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针对越南裔美国痴呆症家庭照顾者的基于家访的正念干预:一项初步可行性研究。

Home Visit Based Mindfulness Intervention for Vietnamese American Dementia Family Caregivers: A Pilot Feasibility Study.

作者信息

Trinh Le Christine, Lee Jung-Ah

机构信息

Tulane University, New Orleans, Louisiana, United States.

University of California-Irvine, Irvine, California, United States.

出版信息

Asian Pac Isl Nurs J. 2021;5(4):207-216. doi: 10.31372/20200504.1096.

Abstract

Healthcare disparities continue to exist among the Vietnamese American (VA) community and many factors (e.g., fear of social stigma) deter family caregivers of persons with dementia (PWD) from seeking assistance. To pilot-test a language-specific and culturally appropriate mindfulness intervention to improve dementia VA family caregiver well-being. Bilingual, trained research assistants administered a mindfulness exercise (i.e., deep breathing) to family caregivers and provided continuous support and care resources through weekly home visits for a month. Weekly surveys measured changes in emotion, feelings of connectedness to the PWD, and mood (i.e., happiness) before and after the intervention. A total of nine VA family caregivers of PWD participated in this pilot study. Positive affect showed an increasing trend (  = 16.0 (SD = 3.48),  = 17.1 (SD = 3.06)) and negative affect showed a decreasing trend (  = 6.44 (SD = 3.31),  = 5.22 (SD = 0.359)). Happiness showed an increasing trend (  = 4.30 (SD = 0.767),  = 4.44 (SD = 0.873)). These findings suggest that a home-based dementia family caregiver intervention with mindfulness exercises may potentially increase positive affect and decrease negative affect in Vietnamese American family caregivers of PWD. Similar interventions may help reduce caregiver burden in dementia family caregivers of other cultures.

摘要

越南裔美国人社区中医疗保健差异依然存在,许多因素(如害怕社会污名化)阻碍了痴呆症患者家庭护理人员寻求帮助。为了对一种特定语言且符合文化背景的正念干预措施进行试点测试,以改善越南裔美国痴呆症患者家庭护理人员的幸福感。双语且经过培训的研究助理对家庭护理人员进行了正念练习(即深呼吸),并通过为期一个月的每周家访提供持续支持和护理资源。每周的调查测量了干预前后情绪、与痴呆症患者的联系感以及情绪(即幸福感)的变化。共有九名越南裔美国痴呆症患者家庭护理人员参与了这项试点研究。积极情绪呈上升趋势(干预前均值 = 16.0(标准差 = 3.48),干预后均值 = 17.1(标准差 = 3.06)),消极情绪呈下降趋势(干预前均值 = 6.44(标准差 = 3.31),干预后均值 = 5.22(标准差 = 0.359))。幸福感呈上升趋势(干预前均值 = 4.30(标准差 = 0.767),干预后均值 = 4.44(标准差 = 0.873))。这些发现表明,针对越南裔美国痴呆症患者家庭护理人员的基于家庭的正念练习干预措施可能会增加积极情绪,减少消极情绪。类似的干预措施可能有助于减轻其他文化背景的痴呆症家庭护理人员的负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb1b/7993887/299eac11ffe0/apinj-05-207-g001.jpg

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