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Problem Solving Therapy for Home-Hospice Caregivers: A Pilot Study
Journal of Social Work in End-of-Life & Palliative Care Pub Date : 2020-08-30 , DOI: 10.1080/15524256.2020.1800554
Christin Gregory 1 , Zvi Gellis 1
Affiliation  

Abstract

This pilot study examined the effects of Brief Problem-Solving Therapy on caregiver quality of life, depression, and problem-solving in family caregivers of hospice patients. Thirty-seven family caregivers to home-based hospice patients (mean age 62.8 [SD = 12.32]) were randomized to the study group (PST-Hospice), for a 45 minute per week/5 week intervention or comparison group of usual care plus caregiver education (UC + CE). The severity of depressive symptoms, caregiver quality of life and problem-solving functioning were assessed at baseline and follow-up. At post-test, the PST-Hospice condition had significantly higher scores on caregiver quality of life compared to UC + CE. On the Social Problem Solving Inventory-Revised Short Form (SPSI-R) measure, PST-Hospice scores clinically improved as compared to UC + CE on Positive Problem Orientation and Rational Problem-Solving subscales. In addition, this pilot study found that brief problem-solving treatment delivered by a hospice social worker appears to be an acceptable and feasible tool for routine use in the home-hospice setting.



中文翻译:

家庭临终关怀护理人员的问题解决疗法:一项试点研究

摘要

这项初步研究检查了简短问题解决疗法对临终关怀患者的家庭照顾者的照顾者生活质量、抑郁和解决问题的影响。家庭临终关怀患者(平均年龄 62.8 [SD = 12.32])的 37 名家庭护理人员被随机分配到研究组(PST-临终关怀),每周 45 分钟/5 周干预或常规护理加看护者教育(UC + CE)。在基线和随访时评估抑郁症状的严重程度、照顾者的生活质量和解决问题的功能。在测试后,与 UC + CE 相比,PST-Hospice 条件在看护者的生活质量方面得分显着更高。关于解决社会问题的清单修订简表 (SPSI-R) 措施,与 UC + CE 相比,PST-临终关怀在积极问题导向和理性问题解决分量表上的临床评分有所提高。此外,这项试点研究发现,由临终关怀社工提供的简短解决问题的治疗似乎是家庭临终关怀环境中常规使用的可接受且可行的工具。

更新日期:2020-08-30
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