一个基于正念的多组分护理人员干预 (PAACC):目标,研究设计和队列描述
Mamta Sapra1,2, Lauren Hagemann1, Katherine Luci1,2
1Center for Aging and Neurocognitive Services Salem Veteran Affairs Medical Center Salem Virginia USA.
这项研究介绍了第一项针对老年痴呆症护理人员的基于正念的干预,PAACC,显示了改善生活质量的潜力. 基线数据表明,PAACC群体的危险程度更高,这表明他们已经准备好进行干预.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
背景情况:
- 患有痴呆症的退伍军人的家庭照顾者面临着巨大的负担和压力,这些负担和压力被TBI和PTSD等疾病所加剧.
- 迫切需要有效的干预措施来支持这些高风险的护理人员.
研究的目的:
- 为了比较一种基于正念的多元组件干预 (PAACC) 和一种认知行为干预 (REACH),用于老年痴呆症护理人员.
- 提供PAACC干预中注册的护理人员的基线评估.
主要方法:
- 一个双臂,盲目,随机对照试验,涉及133名痴呆症护理人员.
- 参与者被分配到PAACC或REACH干预中.
- 基线评估测量了护理人员的压力,负担,正念,反省,同情,抑郁症状,焦虑和护理接收者的行为.
主要成果:
- 该研究包括133名照顾者,平均年龄为67.17岁,其中85%是女性,70%是配偶照顾者.
- 在PAACC和REACH组之间没有发现显著的人口差异.
- 在PAACC组的护理人员报告了更高的基线抑郁症状和焦虑,以及较低的正念接受度.
结论:
- 该PAACC干预是第一个基于正念的程序,专门为退伍军人痴呆症的护理人员设计.
- 它旨在增强认知灵活性,培养同情心,并提供实际技能,以改善护理人员的生活质量.
- 基线心理资料表明,护理人员的心理健康和正念准备程度可能会影响干预结果.
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