适应心理教育小组计划以改善痴呆症照顾者的应对能力:采用混合方法的可行性研究
Sandrine Pihet1,2, M Clément3, E Terrapon3
1School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, Fribourg, Switzerland. Sandrine.Pihet@gmail.com.
BMC geriatrics
|February 27, 2024
概括
这项研究适应了瑞士的痴呆症护理人员支持计划,发现更短的21小时干预显著减少了护理人员的负担和痛苦. 该计划赋予非正式照顾者应对日常挑战的应对策略.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 心理学 心理学 心理学
背景情况:
- 非正式的护理人员对于痴呆症护理至关重要,但他们面临着影响他们的健康和生活质量的慢性压力.
- 痴呆症护理是全球医疗保健成本的重要组成部分,全球估计为40%.
- 现有的支持计划需要文化适应,以满足不同的护理人员需求.
研究的目的:
- 为痴呆症护理人员适应加拿大的精神教育小组干预,以适应法语瑞士的背景.
- 评估与原始计划相比,调整后的干预措施的可行性和有效性.
- 评估调整干预措施对护理人员福祉和应对策略的影响.
主要方法:
- 采用了混合方法并发嵌套设计.
- 该干预措施采用参与式方法进行了调整,结合了促进者和障碍者反.
- 评估了对五个定量结果的可行性和影响,并补充了关于可接受性和影响的定性数据.
主要成果:
- 调整后的节目缩短到21小时,提高了可访问性和参与者的包容性.
- 观察到主观负担 (d = -0.32) 和心理痛苦 (d = -0.48) 的显著减少.
- 与痴呆症行为问题相关的护理人员压力显著下降 (d = -0.57),定性数据突出了结构化应对策略的有用性.
结论:
- 一个21小时,7次的小组干预有效地为非正式痴呆症照顾者提供了应对策略.
- 调整后的程序使得护理人员的信心,满意度和情绪调节得到了显著的改善.
- 这种干预使护理人员能够更有效地应对日常挑战,提高他们的整体幸福感.
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