Efficacy of group‐based <scp>multi‐component</scp> psycho‐education for caregivers of people with dementia: A randomized controlled study
Efficacy of group‐based <scp>multi‐component</scp> psycho‐education for caregivers of people with dementia: A randomized controlled study
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基于团体的<scp>多成分</scp>心理教育对痴呆症患者护理人员的功效：一项随机对照研究
DOI：
10.1111/ggi.14175
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发表时间：
2021
期刊：
影响因子：
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通讯作者：
Sakurai Takashi
中科院分区：
文献类型：
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作者：
Seike Aya;Sumigaki Chieko;Takeuchi Sayaka;Hagihara Junko;Takeda Akinori;Becker Carl;Toba Kenji;Sakurai Takashi
目的本研究的目的是检验以群体为基础的多成分心理教育干预（GMC - PEI）在减少抑郁、提高照顾评估、非正式照顾者的应对技能和痴呆症患者状况方面的能力。方法在这项随机对照和盲法试验中，我们招募了54名到日本国家老年病学和老年学中心的痴呆症患者的非正式护理人员，并将他们分为GMC‐PEI组和对照组。干预组接受为期12周的GMC - PEI项目，包括6个2小时的结构化课程，以提高他们对痴呆症的认识、护理技能和应对技能。对照组收到了包含痴呆症信息的传单。评估照顾者的抑郁程度、照顾时间、主观负担、照顾评价和照顾应对技能。我们还在基线和12周时对痴呆患者进行了评估，并在24周和48周时对干预组的20名参与者进行了重新评估。结果GMC - PEI显著改善了患者的抑郁、护理满意度、对受照顾者的情感、自我成长和应对技能（如寻求正式支持）。痴呆症患者的抑郁、成就感和情感在24周时出现了最大的改善；在48周的随访期间，正式的支持寻求显示出线性改善。结论以小组为基础的多成分心理教育干预可减少照顾者的抑郁，提高自我评价，提高应对技能。然而，情感增强比寻求支持技能消散得更快，这表明护理人员应该每12-24周进行一次评估。Geriatr Gerontol Int 2021；21日:561 - 567。
AimThe aim of this study was to examine the ability of a group‐based multi‐component psycho‐educational intervention (GMC‐PEI) to reduce depression, and improve caregiving appraisals, coping skills of informal caregivers and the condition of people with dementia.MethodsIn this randomized controlled and blinded trial, we enrolled 54 informal caregivers of people with dementia visiting the Japan National Center of Geriatrics and Gerontology, and divided them into GMC‐PEI and control groups. The intervention group received a 12‐week GMC‐PEI program that included six 2‐h structured sessions to enhance their knowledge of dementia, caregiving skills and coping skills. The control group received leaflets containing information about dementia. We evaluated caregivers' depression, caregiving time, subjective burden, caregiving appraisal and care coping skills. We also evaluated people with dementia at baseline and 12 weeks, and reassessed 20 participants from the intervention group at 24 and 48 weeks.ResultsThe GMC‐PEI significantly improved depression, positive appraisals of fulfillment in caregiving, affection for care recipients, self‐growth and coping skills, such as seeking formal support. Depression, fulfillment and affection for people with dementia showed a peak improvement at 24 weeks; formal support‐seeking showed a linear improvement throughout the 48‐week follow‐up period.ConclusionsThe group‐based multi‐component psycho‐educational intervention reduced depression, improved self‐appraisal and enhanced coping skills in caregivers. However, emotional enhancements dissipated sooner than support‐seeking skills, suggesting that caregivers should be reviewed every 12–24 weeks.Geriatr Gerontol Int 2021; 21: 561–567.