The Effectiveness of a Community Nurse-Led Support Program for Dementia Caregivers in Chinese Communities: The Chongqing Ageing and Dementia Study

作者全名："Ma, Yuanyuan; Gong, Juan; Zeng, Lingli; Wang, Qinghua; Yao, Xiuqing; Li, Huiming; Chen, Yaozhi; Liu, Feng; Zhang, Mengyuan; Ren, Hui; Xiao, Lily Dongxia; Lian, Yan"

作者地址："[Ma, Yuanyuan; Wang, Qinghua] Third Mil Med Univ, Daping Hosp, Dept Neurol, Chongqing, Peoples R China; [Ma, Yuanyuan; Wang, Qinghua] Third Mil Med Univ, Daping Hosp, Ctr Clin Neurosci, Chongqing, Peoples R China; [Ma, Yuanyuan; Wang, Qinghua; Lian, Yan] Chongqing Key Lab Ageing & Brain Dis, Chongqing, Peoples R China; [Gong, Juan; Zeng, Lingli] Daping Community Healthcare Ctr, Chongqing, Peoples R China; [Yao, Xiuqing] Chongqing Med Univ, Dept Rehabil, Affiliated Hosp 2, Chongqing, Peoples R China; [Li, Huiming; Chen, Yaozhi; Lian, Yan] Third Mil Med Univ, Daping Hosp, Med & Res Sect, Dept Prevent & Healthcare, Chongqing, Peoples R China; [Liu, Feng] Third Mil Med Univ, Daping Hosp, Dept Sleep & Psychol, Chongqing, Peoples R China; [Zhang, Mengyuan] Third Mil Med Univ, Daping Hosp, Dept Clin Nutr, Chongqing, Peoples R China; [Ren, Hui] Third Mil Med Univ, Sch Nursing, Chongqing, Peoples R China; [Xiao, Lily Dongxia] Flinders Univ S Australia, Coll Nursing & Hlth Sci, Adelaide, SA, Australia"

通信作者："Lian, Y (通讯作者)，Third Mil Med Univ, Daping Hosp, Med & Res Sect, Dept Prevent & Healthcare, Chongqing, Peoples R China.; Ren, H (通讯作者)，Third Mil Med Univ, Sch Nursing, Chongqing, Peoples R China.; Xiao, LD (通讯作者)，Flinders Univ S Australia, Coll Nursing & Hlth Sci, Adelaide, SA, Australia."

来源：JOURNAL OF ALZHEIMERS DISEASE REPORTS

ESI学科分类：　

WOS号：WOS:001099528700001

JCR分区：Q2

影响因子：2.8

年份：2023

卷号：7

期号：1

开始页：1153

结束页：1164

文献类型：Article

关键词：Alzheimer's disease; caregivers; community health nursing; community support; dementia

摘要："Background: As the primary caregivers for people with dementia in China, family caregivers face a significant care burden that can negatively impact their mental and physical health. It is vital to investigate ways to support these caregivers. Objective: To assess the effectiveness of a program led by community nurses to support caregivers of individuals with dementia. Methods: A total of 30 caregivers received nurse-led support in addition to usual care, while 28 caregivers received only usual care. The primary outcome was caregivers' sense of competency in providing dementia care, which was measured using the Short Sense of Competence Questionnaire (SSCQ). Secondary outcomes included caregivers' ability to perform daily activities, behavioral and psychological symptoms of dementia (BPSD) using a neuropsychiatric inventory questionnaire, and quality of life using the short form health survey (SF-36). The trial was registered at the Chinese Clinical Trial Registry (ChiCTR 2300071484). Results: Compared to the control group, the intervention group had significantly higher SSCQ scores and a lower caregiver distress index over time. Physical and mental health-related quality of life also improved significantly among caregivers in the intervention group. However, there was no significant difference between the two groups in terms of activities of daily living and BPSD. Conclusions: The community nurse-led support program significantly improved caregivers' competency in providing dementia care and quality of life and reduced distress. These findings have important implications for dementia care policies, resources, and workforce development in China, including strengthening community dementia care services through collaboration with specialists in hospitals."

基金机构：National Natural Science Foundation of China [92249305]; Chongqing Social Science Foundation [2015YBSH 142]; Third Military Medical University

基金资助正文："This work was supported by the National Natural Science Foundation of China (92249305), the Chongqing Social Science Foundation (2015YBSH 142) and a grant from Third Military Medical University."