Mittelman M S, Ferris S H, Steinberg G, Shulman E, Mackell J A, Ambinder A, Cohen J
Aging and Dementia Research Center, New York University Medical Center (THN 314), NY 10016.
Gerontologist. 1993 Dec;33(6):730-40. doi: 10.1093/geront/33.6.730.
Spouse-caregivers of Alzheimer's disease patients were randomly assigned to either a treatment group (individual and family counseling, support group participation, and ad hoc consultation) or a control group (only routine support). In the first year after intake, the treatment group had less than half as many nursing home placements as the control group. This suggests that a comprehensive counseling program can reduce the socioeconomic impact of Alzheimer's disease. Nursing home placement also was affected by the patient's need for assistance with activities of daily living, patient income, and the age of the patients and caregivers.
阿尔茨海默病患者的配偶照料者被随机分为治疗组（接受个体和家庭咨询、参加支持小组以及临时咨询）或对照组（仅接受常规支持）。在纳入研究后的第一年，治疗组进入养老院的人数不到对照组的一半。这表明全面的咨询项目可以减少阿尔茨海默病的社会经济影响。养老院安置情况还受到患者日常生活活动所需协助、患者收入以及患者和照料者年龄的影响。
