家庭尊严干预在老年轻度认知障碍患者主要照顾者中的应用  

Application of family dignity intervention in primary caregivers of elderly patients with mild cognitive impairment

作　　者：陈丹[1] 宁晓东[2] 潘慧[3] 杨春[2] 万恩桂[2] Dan CHEN;Xiaodong NING;Hui PAN;Chun YANG;Engui WAN

机构地区：[1]荆门市第一人民医院神经内科,448000 [2]荆门市第一人民医院护理部,448000 [3]荆门市第一人民医院肾脏内科,448000

出　　处：《中华护理杂志》2019年第4期543-548,共6页Chinese Journal of Nursing

基　　金：2018年荆门市一般科技项目(2018YFYB029)

摘　　要：目的探讨家庭尊严干预对老年轻度认知障碍患者主要照顾者照顾负担及负性情绪的影响。方法便利选取80对老年轻度认知障碍患者及其主要照顾者,按出院单双日分为实验组和对照组各40对。实验组在实施常规心理护理的基础上增加家庭尊严干预,对照组实施常规心理护理。应用照顾者负担量表、医院焦虑抑郁量表、Herth希望指数量表评价干预效果。结果干预后实验组主要照顾者的照顾负担评分和焦虑抑郁评分明显低于对照组,希望指数评分明显高于对照组,差异有统计学意义(P<0.05)。结论家庭尊严干预能够明显减轻老年轻度认知障碍患者主要照顾者的照顾负担,有效缓解其负性情绪,提高其希望水平。Objective To expl ore the effects of family dignity intervention on care burden and negative emotions in primary caregivers of elderly patients with mild cognitive impairment (MCI). Methods We conveniently enrolled 80 pairs of MCI patients and their primary caregivers,and divided them into the experimental group (n=40 pairs) and the control group (n=40 pairs) based on the day of discharge. The control group was given conventional psychological care while family dignity intervention was added to the experimental group. Zarit Burden Scale,Hospital Anxiety and Depression Scale, and Herth Hope Index were used to evaluate the effects before and after the intervention. Results After the intervention,the care burden score and anxiety depression score of the main caregivers in the experimental group were significantly lower than those in the control group,and the hope index score was significantly higher than the control group, and the differences were statistically significant (P<0.05). Conclusion Family dignity intervention can significantly relieve the burden of primary caregivers of elderly patients with MCI,effectively alleviate their negative emotions and improve level of hope.

关 键 词：家庭尊严干预 老年人 认知障碍 照顾者 负担 焦虑 抑郁 

分 类 号：R473.2[医药卫生—护理学]