对澳大利亚痴呆症患者护理者的干预:单个案例研究

IF 0.8 4区 心理学 Q4 PSYCHIATRY Clinical Case Studies Pub Date : 2024-04-08 DOI:10.1177/15346501241245434
Karen Bell-Weinberg, Michelle Kelly
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引用次数: 0

摘要

照顾痴呆症患者会对非正式照护者的身体、精神和社会福祉造成负面影响。提供复杂且具有挑战性的护理往往会给照护者带来负担、压力和困扰,甚至在受照护者转入老年护理机构后仍会继续存在。本案例研究旨在证明,优化对照护者的支持、知识和技能的学习,以及提高照护者的幸福感,对照护者和他们所照护的人都有好处。本研究以周为单位,介绍了一位澳大利亚非正规护理者在使用 "STRAtegies for RelaTives (START) "人工干预计划方面的经验。该研究采用了可靠的变化指数、标准化测量方法和照顾者调查,以深入了解照顾者在治疗期间和治疗后对该计划和结果的体验。研究结果表明,护理者在所有测量指标上都有所改善,具有可靠的临床意义。照护者的情绪症状和照护负担有所减轻。照护者还报告说,受照护者的痴呆症状也有所减轻。照护者和受照护者的生活质量都有所提高。这些研究结果与最近有关 START 计划可行性的文献相吻合,并与国家痴呆症计划保持一致。
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Intervention for an Australian carer of a person with dementia: A single case study
Caring for a person with dementia can negatively impact the physical, mental, and social wellbeing of an informal carer. Providing complex and challenging care often results in carer burden, stress, and distress, which can continue even when the care recipient transitions into an aged care facility. This case study aims to demonstrate that optimising carer support, knowledge, skill acquisition, and promotion of wellbeing benefits carers and those they care for across contexts. It provides a weekly account of an informal Australian carer’s experience with the STrAtegies for RelaTives (START) manualised intervention program. The study used reliable change indices, standardised measures, and carer surveys to provide insights into the carer’s experience of the program and outcomes during and after the therapy. The results showed reliable and clinically significant change, demonstrating an improvement in all measures. The carer’s mood symptoms and their perceived burden of care decreased. The carer also reported decreased dementia symptoms in their care recipient. Both the carer and the care recipient experienced increased quality of life. These findings are consistent with recent literature on the feasibility of the START program and are aligned with the National Dementia Plan.
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来源期刊
CiteScore
1.80
自引率
20.00%
发文量
36
期刊介绍: Clinical Case Studies seeks manuscripts that articulate various theoretical frameworks. All manuscripts will require an abstract and must adhere to the following format: (1) Theoretical and Research Basis, (2) Case Introduction, (3) Presenting Complaints, (4) History, (5) Assessment, (6) Case Conceptualization (this is where the clinician"s thinking and treatment selection come to the forefront), (7) Course of Treatment and Assessment of Progress, (8) Complicating Factors (including medical management), (9) Managed Care Considerations (if any), (10) Follow-up (how and how long), (11) Treatment Implications of the Case, (12) Recommendations to Clinicians and Students, and References.
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