TY - JOUR A2 - Zaffaroni，毛罗AU - 马丁 - 亚当斯，詹尼弗AU - 尤伯，杰弗里AU - 莱，欧丁玉 - 伯恩斯，罗伯特AU - Graney，马歇尔AU - 尼科尔斯，琳达O. PY - 2020 DA - 2020/01/ 27 TI - 保姆集成到支持多发性硬化症护理SP - 3436726 VL - 2020 AB - 随着多发性硬化症（MS）的移动性的损失进来护理人员协助，负担，压力，抑郁增加。这6个月的可行性研究使用预先设计后的验证，行为干预的照料测试整合到一个持续的MS诊所。由于该计划的重点是照顾者，有提供给活比平时医疗等MS的人没有额外的服务。Twenty-five MS caregivers received REACH VA (Resources for Enhancing All Caregivers’ Health in the VA), a six-session behavior-focused intervention during two to three months designed to increase caregiver skills in managing their own stress and burden and MS related issues and concerns, with a focus on mobility. Caregivers were assessed at baseline, three, and six months. Caregivers’ expectations of the program were to receive education on MS, caregiving and stress management skills, and support. The major benefits caregivers reported were understanding their loved one’s condition and how to better provide care. At six months, caregivers reported statistically and clinically significant improvements in depressive symptoms and bother with challenging MS behaviors. Persons with MS reported benefit for their caregivers and for themselves; 71% reported that their caregivers had helped them with mobility and function. Study results suggest that the addition of the brief REACH caregiver intervention into an MS clinic would benefit both caregivers and persons with MS. Although the intervention was six sessions over three months, benefit persisted at six months, suggesting durability of effects. This trial is registered with ClinicalTrials.gov NCT02835677。SN - 2090至2654年UR - https://doi.org/10.1155/2020/3436726 DO - 10.1155 /三百四十三万六千七百二十六分之二千○二十○JF - 多发性硬化症国际PB - Hindawi出版KW - ER -