认知行为干预对老年痴呆患者照护者的影响

摘要

Objective To explore the effect of cognitive-behavior intervention on burden and positive feelings in caregivers of Alzheimer's disease (AD) patients. Methods 90 caregivers of AD patients were chosen by convenient sampling and were randomly divided into experimental group (45 cases) and control group (45 cases). Experimental group was given cognitive-behavior intervention, and control group was given conventional care. SF-12 health scale, caregivers burden scale and caregivers positive feelings scale were used to evaluate the effect of the intervention before and after 6 months. Results Before intervention, the SF-12 health sare, the burbenscore,the level of PAC were no significant difference betveen the two groups earegivers (P ＞0. 05). Total psychological score of SF-12 and positive feelings of the experimental group were significantly improved (P ＜ 0. 05), but physical health and burden showed no statistically significant differences between two groups(P ＞0. 05). Conclusions The cognitive-behavior intervention has a positive effect on improving mental health and positive feelings in caregivers of AD patients.%目的 探讨认知行为干预对老年痴呆患者照护者的负担和积极感受的影响,为临床和社区护理服务提供依据.方法 采用便利抽样的方法,选取就诊的轻、中度老年痴呆患者的照护者90例,随机分为干预组和对照组各45人.干预组给予认知行为干预为基础的综合护理干预,对照组仅给予神经内科常规护理.干预时间6个月,并采用SF-12健康量表、照护者负担最表(CBI)、照护者积极感受量表(PCI)于患者干预前和干预后6个月评价干预效果.结果 干预前两组照护者SF-12健康评分、负担评分、PAC水平比较差异均无统计学意义(P＞0.05),干预后干预组照护者SF-12心理健康总分、积极感受明显提高,两组差异有统计学意义(P＜0.05);干预后两组SF-12生理健康评分和负担评分比较差异无统计学意义(P＞0.05).结论 认知行为干预措施能较好的改善照护者的心理健康,显著提高其积极感受.