权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

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）：本计划项目旨在促进健康和减少慢性病患者的家庭照顾者的心血管风险。由于家庭照顾者为患有长期和渐进性健康状况的亲人提供身体，心理和工具护理，他们在平衡其他生活需求时往往会承受巨大的负担。慢性高强度疲劳是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。沿着照顾者缺乏对自身健康促进的关注，尤其是心血管疾病的风险是一个主要问题。很少有研究探讨自我护理干预的家庭照顾者，特别是有针对性的，以改善应对压力的情况下，也改善慢性压力的有害影响，最终与心血管疾病的风险。在两项研究中，使用心理神经免疫学的方法，我们将测试两种干预措施，心理教育和体育锻炼，单独和组合。第一项研究将针对非裔美国人痴呆症患者的家庭照顾者;第二项研究将重点关注心力衰竭患者的家庭照顾者。平行设计，干预和措施将产生协同作用，因为将所有数据管理和分析整合在生物行为科学和措施核心中。该核心还将提供对通用数据集分析所产生的模型测试的高水平指导和解释。合并后的数据集将允许阐明应激诱导的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实质性的效率;两者都不能在计划项目方法之外实现。这些集体努力将产生重要的数据，使未来的护理可以显着提高家庭照顾者的生活，并尽量减少他们的心血管疾病的风险，这是美国残疾和死亡的头号原因。