Necesidades de los cuidadores de pacientes con enfermedad lateral amiotrófica: estudio piloto sobre una intervención multidisciplinar

Delia González de la Cuesta , M.ª Carmen Expósito Sánchez , Beatriz Hernández Fregenal , Josep Oriol Casanovas Marsal
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引用次数: 1

Abstract

Amyotrophy lateral sclerosis is a disease that causes disability, chronicity and physical handicap. Moreover, the dependence of the patient will increase.

Objectives

To assess the efficacy of specific interventions designed to train non-professional caregivers of patients diagnosed with amyotrophic lateral disease.

Method

Descriptive cross-sectional study of an intervention designed for non-professional caregivers of patients with ALS. Pilot study. The target audience of this study are non-professional caregivers of patients with ALS. The level of dependence of the patients is measured with the Barthel index, the Revised Scale of Functional Assessment of Amyotrophic Lateral Sclerosis and Cognitive Behavioural Screening in ALS. The needs of these patients’ caregivers were evaluated according to the Kreutzer questionnaire. A multidisciplinary intervention designed to modify this situation was designed and reevaluated.

Results

Finally, seven caregivers were included in the pilot study. They were women, with an average age of 56 years, partners of the patients, with parallel economic activity and with an average level of education. The patients were men with a mean age of 63 years and 1-3 years of disease duration; they presented a moderate-mild Barthel, cognitive impairment, gross motility and respiratory function. The most demanded needs were for «medical/health information» and «involvement in treatment and care».

Conclusion

Specific interventions to meet the needs of non-professional caregivers are highly effective. Using tools that identify them contributes to improving caregivers’ care.

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肌萎缩性侧索硬化症患者照顾者的需求:多学科干预的初步研究
肌萎缩侧索硬化症是一种导致残疾、慢性和身体残疾的疾病。此外,患者的依赖性也会增加。目的评估针对肌萎缩性侧索疾病患者的非专业护理人员进行培训的特定干预措施的效果。方法对针对ALS患者的非专业护理人员设计的干预措施进行描述性横断面研究。试点研究。本研究的目标受众是ALS患者的非专业护理人员。采用Barthel指数、肌萎缩性侧索硬化症功能评估修订量表和ALS患者认知行为筛查来衡量患者的依赖水平。根据Kreutzer问卷对患者护理人员的需求进行评估。设计并重新评估了旨在改变这种情况的多学科干预措施。结果最终,7名护理人员被纳入先导研究。他们是女性,平均年龄为56岁,是患者的伴侣,具有相似的经济活动和平均教育水平。患者均为男性,平均年龄63岁,病程1 ~ 3年;他们表现出中轻度的Barthel、认知障碍、大运动和呼吸功能障碍。需求最多的是"医疗/健康信息"和"参与治疗和护理"。结论满足非专业护理人员需求的针对性干预措施是有效的。使用识别这些疾病的工具有助于改善护理人员的护理。
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