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一项关于“赋权对话”沟通技巧课程对痴呆症患者护理者影响的可行性研究。

A feasibility study of the impact of a communication-skills course, 'Empowered Conversations', for care partners of people living with dementia.

机构信息

Institute of Dementia, School of Health and Society, 7046University of Salford, UK; Division of Population Health, Health Services Research and Primary Care, University of Manchester, UK.

Institute of Dementia, School of Health and Society, 13995University of Salford, UK.

出版信息

Dementia (London). 2021 Nov;20(8):2838-2850. doi: 10.1177/14713012211018929. Epub 2021 May 17.

Abstract

OBJECTIVES

To examine the feasibility, acceptability and impact of an experiential course for family care partners of people living with dementia, Empowered Conversations (EC). This study aimed to assess the impact of participation in an EC course on care partner stress levels, communication and mentalization (a form of relational-based empathy).

METHOD

This study uses an uncontrolled pre-post-follow-up design. Follow-up was at 4-months after the initial EC session where baseline data were collected. One hundred and fifty-nine care partners were recruited. EC is a training course that has been designed to improve care partner communication, well-being and relationships. It is based on an integrative framework that targets the specific psychological, relationship and communication needs of carers. This framework informs targeted strategies and interactive exercises that facilitate carers to consider the goals and emotions of those they are caring for, alongside their own goals and emotions, and to use this to maximize good communication.

RESULTS

Stress was significantly reduced across the three time points. Communication significantly improved across time. There were no significant changes in reflective functioning (mentalization).

DISCUSSION

This study provides preliminary evidence that a communication-skills training course for care partners of people living with dementia is an acceptable and feasible intervention and has an impact both post-intervention and at follow-up. These findings require validation in a rigorous, randomized study.

摘要

目的

考察为痴呆症患者的家庭护理者提供体验式课程(赋能对话,简称 EC)的可行性、可接受性和影响。本研究旨在评估参与 EC 课程对护理人员压力水平、沟通和心理化(一种基于关系的同理心形式)的影响。

方法

本研究采用非对照前后随访设计。随访时间为初次 EC 课程结束后的 4 个月,此时收集基线数据。共招募了 159 名护理人员。EC 是一种培训课程,旨在改善护理人员的沟通、幸福感和人际关系。它基于一个综合框架,针对护理人员的特定心理、关系和沟通需求。该框架为有针对性的策略和互动练习提供信息,帮助护理人员考虑他们所照顾的人的目标和情绪,以及他们自己的目标和情绪,并利用这些来实现良好的沟通。

结果

三个时间点的压力均显著降低。沟通随着时间的推移显著改善。反思功能(心理化)没有显著变化。

讨论

本研究初步证明,为痴呆症患者的家庭护理人员提供沟通技巧培训课程是一种可接受且可行的干预措施,无论是在干预后还是在随访中都有影响。这些发现需要在一项严格的随机研究中得到验证。

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