A psycho-educational intervention for family caregivers of patients receiving palliative care: A Randomized controlled trial

A psycho-educational intervention for family caregivers of patients receiving palliative care: A Randomized controlled trial
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DOI:
10.1016/j.jpainsymman.2005.04.006
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发表时间:
2005-10-01
影响因子:
4.7
通讯作者:
Hayman-White, K
Hayman-White, K
中科院分区:
医学2区
文献类型:
--
作者:
Hudson, PL;Aranda, S;Hayman-White, K

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本研究描述了一个评估的心理教育干预的家庭照顾者死于癌症的病人在家里。在一项随机对照试验中,参与者(n = 106)接受标准的家庭姑息治疗服务(n = 52)或这些服务加上新的干预措施(n = 54)。在三个时间点收集数据:开始家庭姑息治疗时(时间1),五周后(时间2),以及患者死亡后八周(时间3)。没有干预效果方面的准备护理,自我效能,能力和焦虑。然而,接受干预的参与者报告说,在第2次和第3次接受标准护理的参与者相比,他们的护理经验显着更积极。研究结果表明,它是可能的,以增加照顾者的奖励,尽管沉浸在具有挑战性的情况下,往往会产生相当大的负面心理社会后遗症。此外,卫生专业人员可以与护理人员讨论情感话题,如即将死亡,而不会产生不良影响。
This study describes an evaluation of a psycho-educational intervention for family caregivers of patients dying of cancer at home. In a randomized controlled trial, participants (n = 106) received standard home based palliative care services (n = 52) or these services plus the new intervention (n = 54). Data were collected at three time points: upon commencement of home-based palliative care (Time 1), five weeks later (Time 2), and theo eight weeks following patient death (Time 3). No intervention effects were identified with respect to preparedness to care, self-efficacy, competence, and anxiety. However, Participants who received the intervention reported a significantly more positive caregiver experience than those who received standard care at both Times 2 and 3. The findings indicate that it is possible to increase caregiver rewards despite being immersed in challenging circumstances that often yield considerable negative psychosocial sequelae. Furthermore, it is feasible for health professionals to discuss emotive topics, such as impending death, with caregivers without adverse effects.