Center of Cornellà Specialists, Consorci Sanitari Integral, 08940 Barcelona, Spain.
Department of Public Health, Mental Health and Maternal-Child Nursing, School of Nursing, University of Barcelona, Health Sciences Campus Bellvitge, L'Hospitalet de Llobregat, 08907 Barcelona, Spain.
Int J Environ Res Public Health. 2022 Dec 30;20(1):644. doi: 10.3390/ijerph20010644.
The personal demands involved in caring for a chronically ill person can lead to emotional and physical exhaustion in caregivers. The aim of this study was to evaluate the effectiveness of an online nursing intervention called "dialogue circles" designed to reduce caregiver overload and enhance positive mental health (PMH) in family caregivers. We used a pre-post design. The sample consisted of 86 family caregivers of patients with complex chronic conditions, randomly assigned to the intervention group (n = 43) or the control group (n = 43). All participants completed the Zarit scale and the Positive Mental Health Questionnaire 15 days before starting the intervention and 30 days after its completion. Comparison of the post-test changes revealed statistically significant differences between the two groups in PMH and overload, with the intervention group showing greater positive changes in all dimensions of PMH after the intervention and lower scores on overload. In conclusion, the results suggest that incorporating dialogue circles as an online nursing intervention in the caregivers of patients with complex chronic conditions can enhance PMH and decrease caregiver overload, especially in settings where face-to-face encounters are not possible.
照顾慢性病患者会给照顾者带来情感和身体上的疲惫，本研究旨在评估一种名为“对话圈”的在线护理干预措施的有效性，该措施旨在减轻照顾者负担并增强家庭照顾者的积极心理健康（PMH）。我们采用了预-后设计。样本由 86 名患有复杂慢性病患者的家庭照顾者组成，随机分为干预组（n=43）和对照组（n=43）。所有参与者在开始干预前 15 天和干预完成后 30 天完成了 Zarit 量表和积极心理健康问卷。对后测变化的比较显示，两组在 PMH 和负担过重方面存在统计学差异，干预组在干预后 PMH 的所有维度上都表现出更大的积极变化，负担过重得分更低。总之，结果表明，将对话圈作为一种在线护理干预措施纳入复杂慢性病患者的照顾者中，可以增强 PMH 并减轻照顾者负担过重，尤其是在无法进行面对面接触的情况下。
