| ObjectivesTo explore the effects of intervention of health education guided by Empowerment theory on dementia disease knowledge,caregiving readiness,positive feelings about caregiving,anxiety and depression in primary caregivers with Alzheimer’s disease(AD).Methods1.In this study,primary caregivers caring for patients with diagnosed AD for more than3 months at a tertiary care general hospital in Tianjin,China,from April 2021 to October 2021 in the memory disorders clinic were selected strictly based on the inclusion and exclusion criteria,then the primary caregivers were randomly divided into two groups using the computerized randomization method.Those with a random number of 1 were enrolled in intervention group(40)and those with a random number of 2 were enrolled in control group(40).The control group was given conventional nursing interventions,and the intervention group was given health education interventions guided by empowerment-based theory.The Dementia Disease Knowledge Scale,the Caregiver Readiness Scale,the Positive Feelings about Caregiving Scale,and the Hospital Anxiety and Depression Scale were used to measure the study subjects before 4-weeks after,and 12-weeks after the intervention,respectively.2.In this study,EXCEL 2010 was used to establish a database for two-person data entry;SPSS 21.0 statistical software was used for data analysis,and the main statistical methods used included descriptive analysis,chi-square test,t-test,and repeated measures ANOVA,withα=0.05(two-sided)as the test level,and P<0.05 as a statistically significant difference.ResultsA total of 80 primary caregivers of patients with AD eventually completed this study(40in the intervention group and 40 in the control group).Before the intervention,there were no statistical differences between the two groups in the general demographic data,disease-related data,Dementia Disease Knowledge Scale,Caregiver Readiness Scale,Positive Feelings about Caregiving Scale,and Hospital Anxiety and Depression Scale for comparison of primary caregivers at baseline(P > 0.05).At 4 weeks of intervention,the intervention group of dementia disease knowledge score of primary caregivers with AD patients was higher(34.25±7.04)than that of the control group(22.27 ± 4.93),with a statistically significant difference(P<0.05),and at 12 weeks of intervention,the intervention group of dementia disease knowledge score of primary caregivers with AD patients was better(42.62±7.39)than control group(23.90±4.61),it means that the statistically difference was significant(P < 0.05).The difference in scores under the main effect of the grouping factor was statistically significant(F=78.643,P<0.001),the difference in scores under the main effect of the time factor was statistically significant(F=125.216,P<0.001),and there was an interaction effect between the time factor and the grouping factor(F=80.609,P<0.001).At 4 weeks of intervention,the intervention group of caregiver readiness score of primary caregivers with AD patients(25.27±3.41)was better than control group(21.32±4.30),with a statistically significant difference(P<0.05),and at 12 weeks of intervention,the caregiver readiness score of intervention group of primary caregivers with AD patients was higher(29.07 ± 2.45)than that of the control group(22.87 ± 4.23),with a statistically significant difference(P < 0.05).The difference in scores under the main effect of the grouping factor was statistically significant(F=9.357,P<0.05),the difference in scores under the main effect of the time factor was statistically significant(F=95.842,P<0.001),and there was an interaction effect between the time factor and the grouping factor(F=39.390,P<0.001).At 4 weeks of intervention,the intervention group of self-affirmation score of primary caregivers with AD patients was better(20.27±3.47)than control group(17.40±2.23),with a statistically significant difference(P < 0.05),and at 12 weeks of intervention the self-affirmation score of primary caregivers of AD patients in the intervention group was higher(22.35 ± 1.91)than that of the control group(17.72 ± 2.76),with a statistically significant difference(P < 0.05).The difference in scores under the main effect of the grouping factor was statistically significant(F=33.355,P<0.001),the difference in score under the main effect of the time factor was statistically significant(F=39.477,P<0.001),and the interaction effect between the time factor and the grouping factor(F=21.549,P<0.001).At 4 weeks of intervention,the intervention group life outlook score of primary caregivers with AD patients was better(16.62±2.71)than control group(15.07±2.88),with a statistically significant difference(P < 0.05),and the self-affirmation score of primary caregivers of AD patients in the intervention group at 12 weeks of intervention was higher(19.22±0.94)than that of the control group(16.05 ±2.83),with a statistically significant difference(P < 0.05).The difference in scores was statistically significant under the main effect of the grouping factor(F=5.667,P<0.05),the difference in scores under the main effect of the time factor was statistically significant(F=67.998,P<0.001),and the interaction effect between the time factor and the grouping factor was(F=27.411,P<0.001).At 4 weeks,the intervention group of hospital anxiety score of primary caregivers with AD patients(3.50 ± 2.20)was lower than the control group(4.62 ± 2.51),it means that statistically difference was significant(P < 0.05),and at 12 weeks,the intervention group of the hospital anxiety score of primary caregivers with AD patients(1.27±0.90),was lower than control group(4.17±2.63),it means that the statistically difference was significant(P <0.05).The difference in scores under the main effect of the grouping factor was statistically significant(F=4.081,P<0.05),the difference in scores under the main effect of the time factor was statistically significant(F=95.199,P<0.001),and there was an interaction effect between the time factor and the grouping factor(F=49.981,P<0.001).At 4 weeks,the the intervention group of hospital depression score of primary caregivers with AD patients(3.02 ± 1.95)was lower than control group(4.52 ± 2.37),it means that statistically difference was significant(P < 0.05),and at 12 weeks,the intervention group of hospital depression score of primary caregivers with AD patients(1.75±1.48)was lower than control group(4.30±3.12),it means that the statistically difference was significant(P < 0.05).The difference in scores under the main effect of the grouping factor was statistically significant(F=4.310,P<0.05),the difference in score under the main effect of the time factor was statistically significant(F=31.950,P<0.001),and there was an interaction effect between the time factor and the grouping factor(F=22.058,P<0.001).Conclusions(1)Empowerment health education intervention can improve the knowledge of dementia disease and the level of care preparedness of the main caregivers of AD patients,and the effect of the intervention changes more significantly with time,and there is an interaction effect between time and grouping factors.(2)Empowerment health education interventions can improve the positive feelings of care of the main caregivers of AD patients and reduce the anxiety and depression levels of caregivers,and the intervention effect changes more significantly with time,and there are interaction effects between time and grouping factors. |
PDF Full Text Request