一项以门诊病人为基础的培训计划提高了家庭照顾者在照顾轻度认知障碍患者方面的准备:一项随机对照试验。

IF 2.4 3区 医学 Q1 NURSING
Yi-En Tung, Li-Min Kuo, Min-Chi Chen, Wen-Chuin Hsu, Yea-Ing Lotus Shyu
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引用次数: 0

摘要

背景:由于文献中各种研究测量的结果变量存在显著差异,因此关于培训计划对轻度认知障碍老年人家庭照顾者的影响知之甚少。目的:本研究旨在检查门诊护理人员培训计划对负责照顾轻度认知障碍老年人的参与者的准备、健康相关生活质量和抑郁症状的影响。方法:采用随机临床试验。在54名提供完整有效数据的家庭照顾者参与者中,分别有28人和26人被分配到实验组和对照组。实验组参加了一项研究人员开发的培训计划,该计划提供有关轻度认知障碍的信息,维持和促进轻度认知障碍患者认知功能的策略,管理他们自己和他们的护理对象的医疗保健,以及管理他们自己的情感支持和压力。结果(照顾者准备、健康相关生活质量和抑郁症状)在培训项目开始前(基线)和项目完成后1、3和6个月进行评估。结果:在控制被照顾者认知功能基线和照顾者准备水平后,实验组在基线时的准备水平明显低于对照组(β = -1.41, p = 0.031),三次后测的准备水平均优于对照组(组差分别为1.3、1.53和4.24),其中第三次后测(6个月)的差异有统计学意义(p = 0.008)。后测时未发现干预对照顾者抑郁症状或健康相关生活质量的影响。结论:本研究发现,培训干预可以提高家庭照顾者在处理轻度认知障碍患者的各个方面的感知准备。然而,在抑郁症状或与健康相关的生活质量方面没有发现变化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An Outpatient-Based Training Program Improves Family Caregivers' Preparedness in Caring for Persons With Mild Cognitive Impairment: A Randomized Controlled Trial.

Background: Little is known regarding the effects of training programs on family caregivers of older persons with mild cognitive impairment because of the significant differences in outcome variables measured in the various studies in the literature.

Purpose: This study was designed to examine the effects of an outpatient-based caregiver training program on the preparedness, health-related quality of life, and depressive symptoms of participants responsible for caring for older persons with mild cognitive impairment.

Methods: A randomized clinical trial was implemented. Of the 54 family caregiver participants who provided complete and valid data, 28 and 26 were assigned to the experimental and control groups, respectively. The experimental group participated in a researcher-developed training program that provided information on mild cognitive impairment, strategies for maintaining and promoting cognitive function in persons with mild cognitive impairment, managing their own and their care recipients' healthcare, and managing their own emotional support and stress. Outcomes (caregiver preparedness, health-related quality of life, and depressive symptoms) were assessed before the start of the training program (baseline) and at 1, 3, and 6 months after completion of the program.

Results: After controlling for baseline cognitive function of the care recipients and of caregiver preparedness, the experimental group was shown to be significantly less prepared than the control group at baseline (β = -1.41, p = .031) and better prepared than the control group at all three posttests (group differences: 1.3, 1.53, and 4.24, respectively), with the difference at the third posttest (6 months) reaching statistical significance (p = .008). No impact of the intervention on caregiver depressive symptoms or health-related quality of life was found at posttest.

Conclusions: The training intervention in this study was found to increase the perceived preparedness of the family caregiver participants to handle various aspects of providing care to persons with mild cognitive impairment. However, no changes were found in depressive symptoms or health-related quality of life.

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来源期刊
CiteScore
4.20
自引率
3.70%
发文量
60
审稿时长
>12 weeks
期刊介绍: ​​​The Journal of Nursing Research (JNR) is comprised of original articles that come from a variety of national and international institutions and reflect trends and issues of contemporary nursing practice in Taiwan. All articles are published in English so that JNR can better serve the whole nursing profession and introduce nursing in Taiwan to people around the world. Topics cover not only the field of nursing but also related fields such as psychology, education, management and statistics.
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