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首页> 外文期刊>International psychogeriatrics >Effective psychosocial intervention for family caregivers lengthens time elapsed before nursing home placement of individuals with dementia: a five-year follow-up study.
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Effective psychosocial intervention for family caregivers lengthens time elapsed before nursing home placement of individuals with dementia: a five-year follow-up study.

机译：一项为期五年的随访研究表明，对家庭护理人员进行有效的社会心理干预可延长痴呆症患者在养老院安置之前的时间。

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BACKGROUND: This study was designed to determine the effectiveness of a psychosocial intervention for family caregivers in delaying nursing home placement of individuals with dementia. METHODS: The participants comprised 153 family caregivers of persons with dementia who underwent intervention and 155 family caregivers who did not. The intervention consisted of five weekly counselling sessions and a three-month conversation group. All patients with dementia underwent a standardized assessment of cognitive and functional ability. The degree of burden and the subjective health of family caregivers were assessed. Participation continued until the patient moved to a nursing home or died, or until five years of living at home had passed. RESULTS: There were significant delays (6 months) in nursing home placement, and a longer time at home for persons with dementia with adult children as caregivers in the intervention group compared to the control group at follow-up (p = 0.004). A greater delay of institutionalization was found where intervention-group caregivers were daughters (p = 0.028). The proportional hazards regression showed factors associated with nursing home placement to be the family caregiver's influence on intervention (OR = 1.55, p = 0.019), caregiver gender (OR = 0.66, p = 0.033) and the patient's severity of dementia (OR = 1.45, p = 0.002). CONCLUSION: Family caregiver intervention for adult children was significantly associated with prolonged time to nursing home placement.
机译：背景：本研究旨在确定针对家庭护理人员的社会心理干预措施在延迟痴呆患者的养老院安置中的有效性。方法：参与者包括接受干预的153名痴呆症患者的家庭护理人员和155名未进行干预的家庭护理人员。干预包括五个每周的咨询会议和一个三个月的谈话小组。所有痴呆患者均接受了认知和功能能力的标准化评估。评估了家庭护理人员的负担程度和主观健康。参与一直持续到患者搬到疗养院或去世，或直到在家里生活了五年。结果：与对照组相比，干预组的护理院安置时间显着延迟（6个月），痴呆症患者中有成年子女作为照料者的患者在家中的时间要长于对照组（p = 0.004）。在干预组看护人为女儿的情况下，住院时间更长了（p = 0.028）。比例风险回归显示与养老院安置相关的因素是家庭护理人员对干预的影响（OR = 1.55，p = 0.019），护理人员性别（OR = 0.66，p = 0.033）和患者的痴呆严重程度（OR = 1.45） ，p ＝ 0.002）。结论：成年儿童的家庭看护者干预与疗养院时间的延长显着相关。

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