Stress reduction for family caregivers: effects of adult day care use.
Stress reduction for family caregivers: effects of adult day care use.
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DOI：
10.1093/geronb/53b.5.s267
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发表时间：
1998-09
期刊：
影响因子：
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通讯作者：
S. Zarit;M. A. Stephens;A. Townsend;R. Greene
中科院分区：
文献类型：
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作者：
S. Zarit;M. A. Stephens;A. Townsend;R. Greene
目的：本研究报告了一项评估家庭照顾者使用成人日托帮助痴呆亲属的心理益处的研究结果。方法：本研究采用准实验设计，治疗组的护理人员使用了大量的服务，而对照组的护理人员在评估期间的任何时候都没有使用日托服务，只有少量的其他喘息服务。该评价以护理压力过程模型为指导，该模型区分了主要压力源评价和幸福感评价。结果使用日托3个月后的结果显示，治疗组在三项主要评价指标中的两项（超载和紧张）和三项幸福感指标中的两项（抑郁和愤怒）得分均显著低于对照组。一年后的研究结果显示，治疗组在超负荷和抑郁方面的得分明显低于对照组。这些结果表明，与对照组相比，痴呆患者的护理人员使用成人日托可降低护理相关压力水平，改善心理健康状况。
OBJECTIVES This study reports the findings of an evaluation of the psychological benefits of use of adult day care by family caregivers assisting a relative with dementia. METHODS The study used a quasi-experimental design in which caregivers in the treatment group used substantial amounts of services, whereas caregivers in a control group did not use day care at any point during the evaluation and only small amounts of other respite services. The evaluation was guided by the stress process model of caregiving which distinguishes between appraisals of primary stressors and well-being. RESULTS Results after 3 months of day care use showed that the treatment group had significantly lower scores than the control group on two of the three measures of primary appraisals (overload and strain) and two of the three measures of well-being (depression and anger). Findings at one year showed that the treatment group had significantly lower scores on overload and depression than the control group. DISCUSSION These results demonstrate that use of adult day care by caregivers of dementia patients results in lower levels of caregiving-related stress and better psychological well-being when compared to that of controls.