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基于网络的身心干预对老年痴呆症照顾者的可行性和初步影响。

Feasibility and Preliminary Impact of a Web-Based Mind Body Intervention for Older Dementia Caregivers.

机构信息

College of Nursing, Medical University of South Carolina, Charleston, SC, USA.

Department of Radiation Oncology, Hollings Cancer Center, Medical University of South Carolina, Charleston, SC, USA.

出版信息

West J Nurs Res. 2024 Jun;46(6):416-427. doi: 10.1177/01939459241247926. Epub 2024 Apr 24.

Abstract

BACKGROUND

Mind-body interventions focused on intentional breathing and movement have been found to mitigate the negative effects of caregiving such as such as stress, psychosocial distress, and emotional distress associated for persons living with Alzheimer's disease and related dementias.

OBJECTIVE

The objective was to assess the feasibility and acceptability and preliminary impacts of our 12-week mind body intervention "Gentle Yoga and Yogic Breathing" for caregivers of persons living with dementia on health outcomes including mutuality, depression and anxiety, loneliness and social support, quality of life, and physical function.

METHODS

We conducted a single-group cohort study in which 20 caregivers were enrolled. Data were collected at baseline and at the 12-week post-intervention endpoint.

RESULTS

The intervention was acceptable; 75% (n = 15/20) completed the study; 16 completed post-study questionnaires. Very few experienced technical issues; 31% (n = 3) most commonly reported as poor internet connectivity, 75% (n = 12/16) perceived a health benefit, 88% (n = 14/16) perceived improved day-to-day mood, and 100% (n = 16/16) would recommend the intervention to other caregivers. Although there was minimal change from baseline to 12 weeks, for health outcomes, there were very small improvements noted in anxiety and overall health. There were no reported adverse events.

CONCLUSION

The intervention was well received and is feasible and acceptable for future studies of stress and health management interventions for caregivers of persons living with dementia. with https://www.ClinicalTrials.gov (NCT03853148).

摘要

背景

专注于有意呼吸和运动的身心干预措施已被发现可以减轻照顾者的负面效应,例如与阿尔茨海默病和相关痴呆症患者一起生活的人所经历的压力、心理社会困扰和情绪困扰。

目的

本研究旨在评估为期 12 周的身心干预措施“温和瑜伽和瑜伽呼吸”对痴呆症照顾者的可行性和可接受性,以及对健康结果(包括相互关系、抑郁和焦虑、孤独和社会支持、生活质量和身体功能)的初步影响。

方法

我们进行了一项单组队列研究,共纳入 20 名照顾者。数据在基线和 12 周干预后终点采集。

结果

干预措施是可接受的;75%(n=15/20)完成了研究;16 人完成了研究后问卷调查。只有极少数人遇到技术问题;最常见的问题是 31%(n=3)网络连接不佳,75%(n=12/16)认为对健康有好处,88%(n=14/16)认为日常情绪改善,100%(n=16/16)会向其他照顾者推荐该干预措施。尽管从基线到 12 周的变化很小,但在健康结果方面,焦虑和整体健康状况略有改善。没有报告不良事件。

结论

该干预措施受到了很好的评价,对于未来研究痴呆症照顾者的应激和健康管理干预措施是可行且可接受的。该研究已在 ClinicalTrials.gov(NCT03853148)注册。

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