摘要
目的探索REACH干预模式对老年失能患者生活质量和家庭照顾者负担的影响。方法用自制量表及照顾者负担问卷(CBI)对52例老年失能患者及其63位照顾者进行调查比较,研究对象随机分为干预组和对照组,对照组接受常规治疗护理和随访,干预组在接受常规治疗和护理及随访的同时,由接受过培训的护士对患者及照顾者进行连续1年的REACH模式干预,包括个体化信息提供、以家庭为基础的多系统干预、心理教育和技能培训,群体支持,环境干预,增强技术体系支持等。结果经过REACH模式干预,干预组生活质量及家庭负担指数优于对照组,差异有统计学意义(P<0.05)。结论 REACH干预模式可提高患者生活质量,同时对降低照顾者时间依赖性负担、身体性负担、社交性负担、情感性负担也有较好的帮助。
Objeceive To search effectiveness of REACH intervention mode on disability elder and the caregiver burden. Methods 52 patients with geriatric disability and its 63 caregivers were done survey with self-made scale and caregiver burden Inventory（CBI）, and survey research subjects were randomly divided into intervention group and control group, control group treated with conventional nurs-ing care and follow-up, intervention group in conventional treatment and care and follow-up at the same time, by a trained nurse to the patient and caregiver intervention for 1 year in a row REACH pattern, including the individual information providing, home-based system more intervention, psychological education and skill training, group support, environmental intervention, strengthen technical system. Results After REACH mode intervention, quality of life and family burden index of intervention group is better than that of control group, the difference was statistically significant （P〈0.05）. Conclusion REACH intervention model can improve the patients’ quality of life, and also reduce affectively caregiver burden of time dependence, the body burden, social burden and emotional burden.
