Effects of adult day care on daily stress of caregivers: a within-person approach.
Effects of adult day care on daily stress of caregivers: a within-person approach.
复制标题
成人日托对护理人员日常压力的影响：一种内部方法。
DOI：
10.1093/geronb/gbr030
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发表时间：
2011
期刊：
影响因子：
--
通讯作者：
Molenaar,PeterCM
中科院分区：
文献类型：
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作者：
Zarit,StevenH;Kim,Kyungmin;Femia,EliaE;Almeida,DavidM;Savla,Jyoti;Molenaar,PeterCM
ObjectivesThis article examined exposure to and appraisal of care-related stressors associated with use of adult day services (ADS) by family caregivers of individuals with dementia.MethodsUsing a within-person withdrawal design (A-B-A-B), we compared caregivers’ exposure to and appraisal of behavior problems on days their relative attended and did not attend ADS. Participants were 121 family caregivers enrolling a relative with dementia in an ADS program. Daily assessments were obtained prior to the person's attending ADS for the first time and after 1 and 2 months of attendance on days the person attended and did not attend ADS.ResultsTotal exposure to stressors and stress appraisals decreased significantly over time on ADS days compared with non-ADS days. Most of this difference was accounted by the time the person with dementia was away from the caregiver, but there were also significant reductions in behavioral problems during the evening and improved sleep immediately following ADS use.DiscussionADS use lowered caregivers’ exposure to stressors and may improve behavior and sleep for people with dementia on days they have ADS. The study highlights how a within-person design can identify the effects of an intermittent intervention, such as ADS.
