Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA.
Institute for Social Research and Data Innovation, University of Minnesota, Minneapolis, MN, USA.
West J Nurs Res. 2022 Mar;44(3):296-306. doi: 10.1177/01939459211062950. Epub 2021 Dec 29.
Parent caregivers of children who require lifesaving technology (e.g., mechanical ventilation, feeding tubes) must maintain a high level of vigilance 24/7. A two-arm randomized controlled trial tested the efficacy of a resourcefulness intervention on parents' mental/physical health and family functioning at four time points over six months. Participants ( = 93) cared for their technology-dependent children <18 years at home. The intervention arm received teaching on social (help-seeking), personal (self-help) resourcefulness skills; access to the intervention video and skill application video-vignettes; four weeks of skills reinforcement using daily logs; four weekly phone contacts; and booster sessions at two- and four-month postenrollment. The attention control arm received phone contact at identical time points plus the current standard of care. Statistically significant improvement was noted; fewer depressive cognitions and improved physical health for the intervention participants than attention control participants over time after controlling for covariates. The findings support the resourcefulness intervention efficacy.
需要救生技术（如机械通气、喂养管）的儿童的父母照顾者必须 24/7 保持高度警惕。一项双臂随机对照试验在六个月的四个时间点上测试了一种应对技能干预对父母心理健康/身体健康和家庭功能的效果。参与者（=93）在家中照顾他们 18 岁以下的依赖技术的孩子。干预组接受了关于社会（寻求帮助）、个人（自助）应对技能的教学；可以访问干预视频和技能应用视频短片；使用每日日志进行四周的技能强化；每周四次电话联系；以及在入组后两个月和四个月进行强化课程。对照组在相同的时间点接受电话联系，并提供当前的标准护理。在控制了协变量后，与对照组相比，干预组的参与者在时间上表现出更少的抑郁认知和改善的身体健康。研究结果支持应对技能干预的效果。
