Res Gerontol Nurs. 2022 Mar-Apr;15(2):101-108. doi: 10.3928/19404921-20220204-01. Epub 2022 Feb 11.
Few health behavior interventions exist for rural caregivers of persons with dementia (PWD) in the United States. Of interventions that have been studied, little is known about health outcomes that are included in interventions and which interventions are most effective on health outcomes. An integrative literature review of intervention studies for rural caregiver health throughout the United States was undertaken with an emphasis on concepts related to health promotion, self-management, self-care, and/or self-efficacy. Findings from this review indicated multicomponent interventions that included self-care strategies were associated with improvements of caregiver psychosocial health outcomes of depression, burden, self-efficacy, social support, and self-rated health. Sleep problems and endurance potential were the only physical health outcomes measured. To prevent adverse physical health outcomes, interventions with attention to rural context are needed that emphasize health promotion with a focus on health behaviors and health outcome measurement in rural caregivers of PWD. [(2), 101-108.].
在美国，针对痴呆症患者（PWD）农村照顾者的健康行为干预措施很少。在已经研究过的干预措施中，对于干预措施中包含的健康结果以及哪些干预措施对健康结果最有效知之甚少。对美国农村照顾者健康的干预研究进行了综合文献回顾，重点关注与健康促进、自我管理、自我护理和/或自我效能相关的概念。这一综述的结果表明，包含自我护理策略的多组分干预措施与照顾者的心理社会健康结果（抑郁、负担、自我效能、社会支持和自我评定健康）的改善相关。仅测量了睡眠问题和耐力潜力这两个身体健康结果。为了预防不良的身体健康结果，需要针对农村环境的干预措施，强调健康促进，关注农村 PWD 照顾者的健康行为和健康结果测量。[(2), 101-108.]。
