CuidaCare: Effectiveness of a nursing intervention on the quality of life's caregiver: Cluster-randomized clinical trial

被引：9

作者：

Rico-Blázquez M. ^{[1
,2
,3
]}

Escortell-Mayor E. ^{[1
,2
]}

del-Cura-González I. ^{[1
,2
,4
]}

Sanz-Cuesta T. ^{[1
,2
]}

Gallego-Berciano P. ^{[5
]}

de las Casas-Cámara G. ^{[6
]}

Soto-Díaz S. ^{[2
,7
]}

García-Sanz P. ^{[8
]}

Harris-de-la-Vega N. ^{[9
]}

Martín-Martín M. ^{[8
]}

Domínguez-Pérez L. ^{[10
]}

Rivera-Álvarez A. ^{[11
]}

Sarrión-Bravo J.A. ^{[11
]}

Pérez-de-Hita C. ^{[11
]}

de-Frías-Redondo M. ^{[11
]}

Ferrer-Arnedo C. ^{[12
]}

Hernández-Pascual M. ^{[13
]}

Valdivia-Pérez A. ^{[14
]}

Fariña Y.R. ^{[2
,15
,16
]}

机构：

[1] Unidad de Apoyo a la Investigación, Dirección Técnica de Docencia e Investigación, Gerencia Adjunta de Planificación y Calidad. Gerencia de Atención Primaria, 28035 Madrid, C/ San Martín de Porres

[2] Investigadora de la Red de Investigacion en Servicios Sanitarios de Salud y en Enfermedades Cronicas, Madrid

[3] Facultad de Enfermería, Universidad de Alcalá, Alcalá de Henares

[4] Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, Madrid

[5] Unidad Docente de Medicina Preventiva y Salud Pública. Comunidad de Madrid, Hospital Universitario de La Princesa, Madrid 28006, Diego de León

[6] FEA Medicina Preventiva y Salud Pública, Hospital Universitario General de Castellón, Castellón de la Plana 12004, Av Benicasim

[7] Unidad Docente Multiprofesional Oeste, Servicio Madrileño de Salud, Mostoles 28933, Calle Alonso Cano

[8] Centro de Salud Juncal, Servicio Madrileño de Salud, Torrejón de Ardoz 28850, Avda. Madrid /Esq. Brasil

[9] Centro de Salud La Veredilla, Servicio Madrileño de Salud, Torrejón de Ardoz 28850, C/ Turin

[10] Centro de Salud Miguel de Cervantes, Servicio Madrileño de Salud, Alcalá de Henares 28

[11] Dirección Asistencial Este Atención Primaria, Servicio Madrileño de Salud, Alcalá de Henares 28803, C/ Nuestra Señora del Pilar, s/n

[12] Gerencia Hospital de Guadarrama, Servicio Madrileño de Salud, Guadarrama 28440, Avda. del Molino del Rey

[13] Dirección Tecnica de Sistemas de Informacion Sanitaria de la Gerencia de Atencion Primaria, Servicio Madrileño de Salud Salud, Madrid 28009

[14] Unidad de Medicina Preventiva, Hospital de Dénia-Marina Salud, Dénia 03700, Ptda de Beniadlá s/n

[15] FUNCIS: Fundación Canaria de Investigación y Salud, Tenerife, (38109), (Camino Candelaria

[16] Centro de Investigaciones Biomédicas de Canarias (CIBICAN), Universidad de La Laguna, La Laguna

来源：

BMC Nursing | / 13卷 / 1期

关键词：

Caregiver burden; Caregivers; Nursing; Primary care; Psychological adaptation; Quality of life; Social support;

D O I：

10.1186/1472-6955-13-2

中图分类号：

学科分类号：

摘要：

Background: In Spain, family is the main source of care for dependent people. Numerous studies suggest that providing informal (unpaid) care during a prolonged period of time results in a morbidity-generating burden. Caregivers constitute a high-risk group that experiences elevated stress levels, which reduce their quality of life. Different strategies have been proposed to improve management of this phenomenon in order to minimize its impact, but definitive conclusions regarding their effectiveness are lacking. Methods/Design: A community clinical trial is proposed, with a 1-year follow-up period, that is multicentric, controlled, parallel, and with randomized allocation of clusters in 20 health care centers within the Community of Madrid. The study's objective is to evaluate the effectiveness of a standard care intervention in primary health care (intervention CuidaCare) to improve the quality of life of the caregivers, measured at 0, 6, and 12 months after the intervention. One hundred and forty two subjects (71 from each group) ≥65 years, identified by the nurse as the main caregivers, and who provide consent to participate in the study will be included. The main outcome variable will be perceived quality of life as measured by the Visual Analogue Scale (VAS) of EuroQol-5D (EQ-5D). The secondary outcome variables will be EQ-5D Dimensions, EQ-5D Index, nursing diagnosis, and Zarit's test. Prognostic variables will be recorded for the dependent patient and the caregiver. The principle analysis will be done by comparing the average change in EQ-5D VAS value before and after intervention between the two groups. All statistical tests will be performed as intention-to-treat. Prognostic factors' estimates will be adjusted by mixed-effects regression models. Possible confounding or effect-modifying factors will be taken into account. Discussion: Assistance for the caregiver should be integrated into primary care services. In order to do so, incorporating standard, effective interventions with relevant outcome variables such as quality of life is necessary. Community care nurses are at a privileged position to develop interventions like the proposed one. Trial registration: This trial has been registered in ClinicalTrials.gov under code number NCT 01478295. © 2014 Rico-Blázquez et al.; licensee BioMed Central Ltd.

引用

共 32 条

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