A nursing intervention to decrease depression in family caregivers of persons with dementia
A nursing intervention to decrease depression in family caregivers of persons with dementia
复制标题
DOI：
10.1016/s0883-9417(99)80024-7
复制
发表时间：
1999-04-01
影响因子：
2.3
通讯作者：
Sime, M
中科院分区：
文献类型：
--
作者：
Buckwalter, KC;Gerdner, L;Sime, M
本研究的目的是评估一种基于社区的心理教育护理干预，该干预旨在使用逐步降低压力阈值（PLST）模型来教家庭护理人员管理阿尔茨海默病和相关痴呆（ADRD）患者的行为问题，并将该干预与常规信息和病例管理、社区服务和支持团体的转介进行比较。以往对照顾者的研究压倒性地指出了照顾对照顾者身心健康的不利影响，并且一直有报道称，患有ADRD的照顾者中抑郁症的高发率。因此，主要目的是评估干预对照顾者情感反应的影响，特别是对抑郁的影响。来自情绪状态概要和老年抑郁评定量表的数据支持这种干预在减少接受实验培训的护理人员的抑郁方面的有效性。还报道了与护理者抑郁相关的其他因素的分析。精神科护士在评估和治疗抑郁症的照顾者与ADRD的关键作用进行了讨论。版权所有(C) 1999由W.B. Saunders公司。
The goal of this study was to evaluate a community-based psychoeducational-nursing intervention designed to teach home caregivers to manage behavioral problems of persons with Alzheimer's disease and related dementias (ADRD) using the Progressively Lowered Stress Threshold (PLST) model, and to compare this intervention with routine information and referrals for case management, community-based services, and support groups. Previous caregiver studies have overwhelmingly pointed to the adverse effects of caregiving on the caregivers' physical and mental health, and high prevalence rates of depression among caregivers of persons with ADRD have consistently been reported. Therefore, a primary aim was to evaluate the impact of the intervention on caregivers' affective responses, especially depression. Data from both the Profile of Moods States and the Geriatric Depression Rating Scale support the effectiveness of this intervention in decreasing depression among caregivers who received the experimental training. Additional analysis of factors associated with caregiver depression are also reported. The pivotal role of psychiatric nurses in the assessment and treatment of depression among caregivers of persons with ADRD is discussed. Copyright (C) 1999 by W.B. Saunders Company.