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基于赋权理论的健康教育对阿尔茨海默病非专业照护者的影响:一项随机对照试验。

The impact of empowerment theory-based health education on Alzheimer's disease informal caregivers: a randomized controlled trial.

机构信息

Department of General Surgery, Taihe Hospital, Hubei University of Medicine, Shiyan, Hubei, China.

Graduate School of Tianjin University of Traditional Chinese Medicine, Tianjin, China.

出版信息

Front Public Health. 2024 Aug 27;12:1393823. doi: 10.3389/fpubh.2024.1393823. eCollection 2024.

Abstract

BACKGROUND

There is a lack of evidence regarding the effectiveness of empowerment healthy education for caregivers of Alzheimer's patients.

OBJECTIVE

To explore the effectiveness of the intervention of health education guided by empowerment theory on dementia knowledge, caregiving readiness, positive caregiving emotions, anxiety, and depression in informal Alzheimer's disease caregivers.

DESIGN

A single-blinded, randomized controlled trial.

SETTING

A teaching hospital in Tianjin, China.

PARTICIPANTS

Eighty caregivers of Alzheimer's disease patients.

METHODS

Participants were recruited from the hospital and randomly assigned to either experimental or control group. The experimental group underwent a 12-weeks, one-to-one intervention of six session lasting 45-60 min each. The control group received conventional health education. Outcome measures included dementia knowledge, caregiver readiness (primary outcomes), positive caregiving emotions, anxiety, and depression (secondary outcomes).

RESULTS

After 12 weeks, the intervention group exhibited significantly higher levels of dementia knowledge, caregiver readiness, and positive caregiving emotions compared with the control group. Furthermore, levels of hospitalization-related anxiety and depression were lower in the intervention group. All study results of this study showed statistically significant differences ( < 0.05).

DISCUSSION

Empowerment theory-based health education appears to be an effective intervention for improving caregiver and readiness to care for caregivers of Alzheimer's disease individuals. The intervention may help reduce caregivers' anxiety and depression levels.

摘要

背景

缺乏关于赋能健康教育对阿尔茨海默病患者照顾者的有效性的证据。

目的

探索赋能理论指导的健康教育干预对非专业阿尔茨海默病照顾者的痴呆症知识、照顾准备、积极的照顾情绪、焦虑和抑郁的影响。

设计

单盲、随机对照试验。

地点

中国天津的一家教学医院。

参与者

80 名阿尔茨海默病患者的照顾者。

方法

参与者从医院招募,并随机分为实验组和对照组。实验组接受为期 12 周、一对一的 6 次干预,每次持续 45-60 分钟。对照组接受常规健康教育。结局指标包括痴呆症知识、照顾者准备(主要结局)、积极的照顾情绪、焦虑和抑郁(次要结局)。

结果

12 周后,干预组在痴呆症知识、照顾者准备和积极的照顾情绪方面的得分显著高于对照组。此外,干预组的住院相关焦虑和抑郁水平较低。本研究的所有研究结果均显示出统计学上的显著差异(<0.05)。

讨论

基于赋能理论的健康教育似乎是改善阿尔茨海默病患者照顾者和准备照顾者的有效干预措施。该干预措施可能有助于降低照顾者的焦虑和抑郁水平。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/865d/11385866/8e35668705d3/fpubh-12-1393823-g001.jpg

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