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Caregiver Stress: Interventions to Promote Health and Wellbeing

照顾者压力：促进健康和福祉的干预措施

基本信息

批准号：
8521908
负责人：
Elizabeth Jeanne Corwin
金额：
$ 59.52万
依托单位：
EMORY UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-09-30 至 2015-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8521908
关键词：
Address African American Attention Behavioral Sciences Cardiovascular Diseases Caregiver Burden Caregivers Caring Cessation of life Chronic Chronic Disease Chronic stress Clinical Control Groups Data Data Analyses Data Collection Data Set Dementia Development Education Emotional Equilibrium Exercise Family Caregiver Family member Future Goals Health Health Promotion Healthy People 2010 Heart Heart Diseases Heart failure Intervention Joints Leadership Life Manuals Measures Mental Health Modeling National Institute of Nursing Research Neurosecretory Systems Nurses Nursing Research Outcome Participant Patients Persons Physiological Process Program Research Project Grants Protocols documentation Psychiatrist Psychiatry Psychoneuroimmunology Research Resources Risk School Nursing Science Scientist Self Care Stress Talents Test Result Testing Training United States Universities behavior measurement biobehavior cardiovascular disorder risk cardiovascular risk factor caregiving coping data management disability disorder prevention experience health disparity improved loved ones medical schools physical conditioning programs psychoeducational intervention psychosocial response skills therapy design treatment as usual

项目摘要

DESCRIPTION (provided by applicant): This Program Project aims to promote health and reduce cardiovascular risk in family caregivers of persons with chronic illness. As family caregivers provide physical, psychosocial, and instrumental care to their loved ones with prolonged and progressive health conditions, they often experience tremendous burden while balancing other life demands. Chronic intense caregiving represents a situation of chronic stress, which takes a toll on health through a cascade of deleterious physiological stress processes. Along with caregivers' lack of attention to their own health promotion, risk of cardiovascular disease, in particular, is a major concern. Few studies have explored self-care interventions for family caregivers especially targeted to improve coping with the stressful circumstances and also to ameliorate the harmful effects of chronic stress ultimately associated with cardiovascular risk. In two studies, using a psychoneuroimmunological approach, we will test two interventions, psycho-education and physical exercise, individually and in combination. The first study will target family caregivers of African American dementia patients; the second will focus on family caregivers of heart failure patients. Parallel designs, interventions and measures will create synergy as will integration of all data management and analyses within a Biobehavioral Science and Measures Core. This Core will also provide high level guidance and interpretation of model testing resulting from analysis of the common data set. The combined data set will allow for elucidating the neuroendocrine mechanisms of stress-induced cardiovascular risk, further developing the model, and stimulating future research, while the shared core support will provide substantial efficiency; neither could be achieved outside of a Program Project approach. These collective efforts will generate important data whereby future care can significantly enhance the lives of family caregivers and minimize their risk of cardiovascular disease, the number one cause of disability and death in the United States.

描述（由申请人提供）：该计划项目旨在促进慢性病患者家庭护理人员的健康并降低心血管风险。当家庭护理人员为患有长期和不断恶化的健康状况的亲人提供身体、心理和工具护理时，他们在平衡其他生活需求的同时往往会承受巨大的负担。长期的紧张护理代表了一种慢性压力的情况，它通过一系列有害的生理压力过程对健康造成损害。由于护理人员缺乏对自身健康促进的关注，心血管疾病的风险尤其令人担忧。很少有研究探索针对家庭护理人员的自我护理干预措施，特别是针对改善应对压力环境以及减轻最终与心血管风险相关的慢性压力的有害影响。在两项研究中，我们将使用心理神经免疫学方法，单独或组合测试两种干预措施：心理教育和体育锻炼。第一项研究将针对非裔美国痴呆症患者的家庭护理人员；第二个项目将重点关注心力衰竭患者的家庭护理人员。并行设计、干预措施和措施将产生协同作用，生物行为科学和措施核心内所有数据管理和分析的集成也将产生协同作用。该核心还将提供对公共数据集分析所产生的模型测试的高级指导和解释。合并后的数据集将有助于阐明压力诱发心血管风险的神经内分泌机制，进一步开发模型并刺激未来的研究，而共享的核心支持将提供显着的效率；除了计划项目方法之外，这两者都无法实现。这些集体努力将产生重要的数据，未来的护理可以显着改善家庭护理人员的生活，并最大限度地降低他们患心血管疾病的风险，心血管疾病是美国残疾和死亡的头号原因。