三次与六次问题解决培训与或没有助推器的痴呆症成年人的护理伙伴 (CaDeS):一个随机对照优化试验
Shannon B Juengst1,2, Alexandra Holland2, Kristin Wilmoth2,3
1Brain Injury Research Center, TIRR Memorial Hermann, Houston, TX, USA.
Lancet regional health. Americas
|September 22, 2025
概括
解决问题的培训 (PST/DSJ) 有效地减少了阿尔茨海默病和相关痴呆症 (ADRD) 护理伙伴的护理人员负担和抑郁症状. 六次与助推器的会议显示了最大的改善,为未来的痴呆症护理干预提供了信息.
科学领域:
- 老年学是一门学科.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 照顾阿尔茨海默病和相关痴呆症 (ADRD) 患者显著影响情绪健康.
- 解决问题的培训/共同发现解决方案 (PST/DSJ) 是旨在减轻这些负面情绪后果的干预措施.
研究的目的:
- 确定PST/DSJ会话的最佳数量以及加强会话的必要性,以减少护理人员的负担和抑郁症状.
- 在ADRD护理伙伴中评估双语PST/DSJ干预的有效性.
主要方法:
- 与ADRD护理伙伴进行了一项随机因子设计试验.
- 参与者被分配到3个或6个PST/DSJ会话中,有或没有助推器.
- 使用Zarit负担访谈和患者健康问卷 (PHQ-8),分别测量了护理人员负担和抑郁症状.
主要成果:
- 所有干预组都显示,随着时间的推移,护理人员负担和抑郁症状显著改善.
- 在会议数量或使用助推剂之间,没有发现有效性的显著差异.
- 效果大小表明,与三个相比,六个会话的改善趋势更大,特别是当加上助推器时.
结论:
- 对于PST/DSJ会话和助推器的数量,对于降低护理人员负担和抑郁症状的有效性没有产生差异.
- 六次使用助推器的会议显示了最大的效果大小,这表明了潜在的最佳配置.
- 这些发现支持实施基于证据的双语解决问题的干预措施,以支持痴呆症护理伙伴.
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