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心理干预对减轻非机构化依赖老年人非正式照料者的抑郁症状和负担以及改善生活质量的有效性:一项系统综述。

Effectiveness of psychological interventions for reducing depressive symptomatology and overload and improving quality of life in informal caregivers of non-institutionalized dependent elderly: a systematic review.

作者信息

Barrero-Mejias Marco Antonio, Gómez-Martínez Sandra, González-Moreno Jesús, Rueda-Extremera María, Izquierdo-Sotorrio Eva, Cantero García María

机构信息

Faculty of Health Sciences and Education, Universidad a Distancia de Madrid (UDIMA), Madrid, Spain.

Faculty of Health Sciences, Valencia International University, Valencia, Spain.

出版信息

Front Med (Lausanne). 2024 Jun 19;11:1394640. doi: 10.3389/fmed.2024.1394640. eCollection 2024.

Abstract

INTRODUCTION

The phenomenon of aging is distinguished by profound life transformations, with the most dependent group being constituted by elderly individuals. The responsibility for their care primarily falls on the figure of the informal caregiver. The scarcity of time, the stress associated with caregiving, the financial, work-related, and personal difficulties it entails, make it a collective with high probabilities of experiencing various psychological disorders. Interventions that have shown the best results are those of multiple components, composed of various techniques that seek to adapt to the reality of the informal caregiver.

METHOD

The purpose of this study is a systematic review of effective interventions on depressive symptoms, emotional wellbeing, burden, or quality of life in informal caregivers of non-institutionalized dependents from 2018 to the present. A search was conducted in November 2023, on Pubmed, Pubmed Central, Proquest, and Scielo. The final review was conducted on 11 articles.

RESULTS

The results indicate that multiple component interventions including cognitive behavioral techniques and psychoeducation in combination with stress coping techniques and social support are more effective on depressive symptoms, burden, quality of life, and increasing the social support network.

DISCUSSION

Results on web-based programs demonstrate their efficacy and effectiveness, but require a greater number of trials to adjust their methodological quality and content to the idiosyncrasies of the informal caregiver.

摘要

引言

衰老现象的特征是生活发生深刻变化,其中最需要依赖他人的群体是老年人。照顾他们的责任主要落在非正式照顾者身上。时间的稀缺、与照顾相关的压力、其所带来的经济、工作和个人困难,使得这个群体极有可能出现各种心理障碍。已显示出最佳效果的干预措施是多成分干预,由各种旨在适应非正式照顾者实际情况的技术组成。

方法

本研究的目的是对2018年至今针对非机构化依赖者的非正式照顾者的抑郁症状、情绪健康、负担或生活质量的有效干预措施进行系统综述。2023年11月在PubMed、PubMed Central、ProQuest和SciELO上进行了检索。最终对11篇文章进行了综述。

结果

结果表明,包括认知行为技术和心理教育,以及压力应对技术和社会支持的多成分干预措施,在改善抑郁症状、负担、生活质量以及扩大社会支持网络方面更有效。

讨论

基于网络的项目的结果证明了其有效性,但需要更多试验来根据非正式照顾者的特点调整其方法质量和内容。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/641f/11221383/c87216d51b03/fmed-11-1394640-g001.jpg

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