Stewart M J, Doble S, Hart G, Langille L, MacPherson K
Centre for Health Promotion Studies, University of Alberta, Edmonton.
Can J Nurs Res. 1998 Summer;30(2):87-117.
The objectives of this nationally funded intervention study were to: (1) implement a home visiting support program for family caregivers of seniors with a recent stroke using experienced peers; (2) monitor, describe, and evaluate the support intervention process; and (3) measure the impact of the peer support intervention on caregivers' perceptions of their social support, burden, stress, and competence and the use of health-care services by stroke survivors. This paper focuses on the first two objectives. Twenty family caregivers were visited initially by a health professional (nurse, occupational therapist) for assessment, and thereafter twice weekly for 12 weeks by a peer (experienced family caregiver). Transcripts of audiotaped post-intervention and delayed post-intervention (3 and 6 months) interviews with participants and the diaries/logs of professionals and peers were subjected to content analysis. Peer visitors offered emotional, informational, and affirmational support to family caregivers. Family caregivers reported that the intervention met their support needs, lessened some of their caregiving demands, and enhanced their confidence and ability to cope.
(1)为近期中风老人的家庭照顾者实施一项由经验丰富的同龄人提供的家访支持计划;(2)监测、描述和评估支持干预过程;(3)衡量同伴支持干预对照顾者对其社会支持、负担、压力和能力的认知以及中风幸存者使用医疗服务的影响。本文关注前两个目标。20名家庭照顾者最初由一名健康专业人员(护士、职业治疗师)进行家访评估,此后由一名同龄人(经验丰富的家庭照顾者)每周进行两次家访,为期12周。对干预后和延迟干预后(3个月和6个月)与参与者的访谈录音记录以及专业人员和同龄人的日记/日志进行了内容分析。同伴探访者为家庭照顾者提供情感、信息和肯定性支持。家庭照顾者报告称,该干预满足了他们的支持需求,减轻了他们的一些照顾负担,并增强了他们应对的信心和能力。