Mygind Anna, Offersen Sara Marie Hebsgaard, Guldin Mai-Britt, Christensen Kaj S, Nielsen Mette Kjærgaard
Research Unit for General Practice, Bartholins Allé 2, Aarhus C 8000, Denmark.
Research Unit for Integrated Care, Steno Diabetes Center Aarhus, Aarhus University Hospital, Aarhus, Denmark.
Palliat Care Soc Pract. 2024 Sep 26;18:26323524241272103. doi: 10.1177/26323524241272103. eCollection 2024.
Caring for a family member can be demanding, particularly when caregivers experience profound distress. Supportive interventions may help prevent mental and physical illness in the caregiver. General practice plays a key role by regularly engaging with patients and caregivers, thereby being able to identify their support needs, offer talk therapy and refer to care initiatives.
This study aimed to develop and pilot-test the Caregiver Care Model to mitigate grief reactions among caregivers in general practice.
A participatory intervention development study.
A prototype was developed in a workshop with healthcare professionals. The prototype was refined based on a pilot-test among 40 caregivers from 5 general practice clinics and a workshop with general practitioners. The data were obtained from workshops, feedback questionnaires completed by healthcare professionals, and interviews with caregivers and general practitioners. The analysis focused on model development and mechanisms of impact.
The prototype was refined by focusing the dialogue questionnaire, minimising the grief facilitation tools and expanding the target group. The prototype seemed to accommodate the needs among caregivers by acknowledging their situation. The final model includes up to seven caregiver consultations in general practice. A dialogue questionnaire filled in by the caregiver serves as a fixed starting point and preparation for the first consultation. If needed, talk therapy in general practice or referrals to other services are used.
The model offers promising support for caregivers. Its flexible structure allows for customisation. The viability of the model should be further tested.
照顾家庭成员可能要求很高，尤其是当照顾者经历深度痛苦时。支持性干预措施可能有助于预防照顾者出现身心疾病。全科医疗通过定期与患者和照顾者接触发挥关键作用，从而能够确定他们的支持需求，提供谈话治疗并转介至护理项目。
本研究旨在开发并试点测试照顾者关怀模式，以减轻全科医疗中照顾者的悲伤反应。
一项参与性干预开发研究。
与医疗专业人员在研讨会上开发了一个原型。基于对来自5家全科诊所的40名照顾者进行的试点测试以及与全科医生的研讨会对该原型进行了完善。数据来自研讨会、医疗专业人员填写的反馈问卷以及对照顾者和全科医生的访谈。分析重点在于模型开发和影响机制。
通过聚焦对话问卷、减少悲伤促进工具并扩大目标群体对原型进行了完善。该原型似乎通过认可照顾者的处境来满足他们的需求。最终模型在全科医疗中包括多达七次照顾者咨询。照顾者填写的对话问卷作为首次咨询的固定起点和准备。如有需要，可在全科医疗中进行谈话治疗或转介至其他服务。
该模型为照顾者提供了有前景的支持。其灵活的结构允许进行定制。该模型的可行性应进一步测试。
