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《修正后的应激与应对跨理论模型(TTSC)方案对痴呆症照护者知识、负担和生活质量的影响》。

The Effects of the Modified Transtheoretical Theory of Stress and Coping (TTSC) Program on Dementia Caregivers' Knowledge, Burden, and Quality of Life.

机构信息

College of Public Health Sciences, Chulalongkorn University, Bangkok 10330, Thailand.

出版信息

Int J Environ Res Public Health. 2021 Dec 15;18(24):13231. doi: 10.3390/ijerph182413231.

Abstract

This quasi-experimental study aimed to examine the effect of the modified transtheoretical theory of stress and coping (TTSC) program on the knowledge, burden, and quality of life of dementia caregivers. The participants comprised 60 caregivers (30 participants in each group) selected via purposive sampling, and the study was conducted between October 2018 and September 2019 in a semi-urban area of central Thailand. The experimental group received an 8-week program, while the comparison group received routine care. A self-administered questionnaire was used to collect data. To analyze the intervention's effectiveness, repeat measure ANOVA and Mann-Whitney, Friedman, and Dunn's tests were performed. At the end of the program and again three months after the end of the program, the knowledge and quality of life scores for the experimental group were significantly higher ( < 0.05 and < 0.05, respectively) than for the control group. The burden score decreased in the experimental group and increased in the control group in week 8 ( < 0.05). There was no statistically significant difference between the groups, as demonstrated by ANOVA (F[1.58] = 2.394; = 0.127). Our findings show that this program had a positive effect on the caregivers' knowledge and quality of life. However, the program did not affect the caregivers' burden.

摘要

本类实验研究旨在探讨改良应激和应对跨理论模型(TTSC)方案对痴呆症照顾者的知识、负担和生活质量的影响。研究对象为 60 名照顾者(每组 30 名),采用目的抽样法选取,研究于 2018 年 10 月至 2019 年 9 月在泰国中部半城市地区进行。实验组接受 8 周的方案,对照组接受常规护理。采用自填式问卷收集数据。为分析干预效果,采用重复测量方差分析和曼-惠特尼、弗里德曼和邓恩检验。在方案结束时和方案结束后三个月,实验组的知识和生活质量评分明显高于对照组(<0.05 和<0.05)。实验组的负担评分在第八周时下降,而对照组则上升(<0.05)。方差分析(F[1.58] = 2.394; = 0.127)显示两组间无统计学差异。研究结果表明,该方案对照顾者的知识和生活质量有积极影响。但该方案对照顾者的负担没有影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a85a/8701941/c328f7f06b6e/ijerph-18-13231-g001.jpg

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