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针对阿尔茨海默病患者家庭照顾者的心理教育与结合瑜伽的心理教育对比:一项随机临床试验。

Psychoeducation versus psychoeducation integrated with yoga for family caregivers of people with Alzheimer's disease: a randomized clinical trial.

作者信息

de Araujo Edivaldo Lima, Rodrigues Marcos Rojo, Kozasa Elisa Harumi, Lacerda Shirley Silva

机构信息

Faculdade Israelita de Ciências da Saúde Albert Einstein, Hospital Israelita Albert Einstein, São Paulo, Brazil.

Instituto de Ensino e Pesquisa em Yoga, São Paulo, Brazil.

出版信息

Eur J Ageing. 2023 Nov 25;20(1):46. doi: 10.1007/s10433-023-00792-9.

Abstract

We evaluate and compare the effectiveness of two psychoeducation programs on the burden and quality of life of family caregivers of people with Alzheimer's disease: one of psychoeducation alone and the other integrated with yoga. Forty-nine participants were randomly allocated to two groups, 25 to the psychoeducation integrated with yoga group (G1) and 24 to the psychoeducation group (G2). The programs took place online through Google Meet and consisted of eight weekly meetings, lasting 30 min for psychoeducation and 30 min for yoga. Participants were evaluated by the Burden Interview Scale (BI-Zarit), Quality of Life Scale in Alzheimer's Disease-Caregiver Version (CQOL-AD), Depression, Anxiety and Stress Scale (DASS-21), Mindfulness and Awareness Scale (MAAS) and a satisfaction survey. Both groups showed reduced overload according to the BI-Zarit scale (F = 4.435, p = 0.041, η = 0.086) and improvement in the domains of physical health (F = 4.881, p = 0.032, η = 0.094), memory (F = 4.192, p = 0.046, η = 0.082) and money (F = 4.862, p = 0.032, η = 0.094) in the CQOL-AD. We detected a significantly higher improvement of G1 in memory (F = 4.192, p = 0.046 η = 0.082), money (F = 7.147, p = 0.010, η = 0.132) and friends (F = 4.828, p = 0.033, η = 0.093). The G1 when compared to the G2 did not demonstrate significant effects of the BI-Zarit, in the total scores CQOL-AD, MAAS and DASS-21. The study showed that both psychoeducation alone and integrated with yoga reduced the burden of family caregivers of people with Alzheimer's disease, and that the integration of online yoga practice with psychoeducation potentiated the improvement only in some aspects of the quality of life and subjective perception of burden reduction.Clinical trial registration https://ensaiosclinicos.gov.br/ , identifier RBR-794593r, retrospectively registered.

摘要

我们评估并比较了两种心理教育项目对阿尔茨海默病患者家庭照顾者负担及生活质量的有效性

一种是单纯的心理教育项目,另一种是与瑜伽相结合的项目。49名参与者被随机分为两组,25人分到与瑜伽相结合的心理教育组(G1),24人分到心理教育组(G2)。这些项目通过谷歌Meet在线进行,包括每周一次的八次会议,心理教育部分每次持续30分钟,瑜伽部分每次持续30分钟。通过负担访谈量表(BI-Zarit)、阿尔茨海默病患者照顾者生活质量量表(CQOL-AD)、抑郁、焦虑和压力量表(DASS-21)、正念与觉察量表(MAAS)以及一项满意度调查对参与者进行评估。根据BI-Zarit量表,两组的负担均有所减轻(F = 4.435,p = 0.041,η = 0.086),CQOL-AD中的身体健康(F = 4.881,p = 0.032,η = 0.094)、记忆(F = 4.192,p = 0.046,η = 0.082)和金钱(F = 4.862,p = 0.032,η = 0.094)领域有所改善。我们发现G1组在记忆(F = 4.192,p = 0.046,η = 0.082)、金钱(F = 7.147,p = 0.010,η = 0.132)和朋友(F = 4.828,p = 0.033,η = 0.093)方面有显著更大的改善。与G2组相比,G1组在BI-Zarit、CQOL-AD总分、MAAS和DASS-21方面未显示出显著效果。该研究表明,单纯的心理教育以及与瑜伽相结合的方式都减轻了阿尔茨海默病患者家庭照顾者的负担,并且在线瑜伽练习与心理教育相结合仅在生活质量的某些方面和减轻负担的主观感受方面增强了改善效果。临床试验注册https://ensaiosclinicos.gov.br/,标识符RBR-794593r,回顾性注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61ff/10676341/518788c7801f/10433_2023_792_Fig1_HTML.jpg

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