Efficacia del counseling infermieristico nella riduzione del burden dei caregivers dei pazienti con demenza: uno studio pre-post

Romina Matella; Gaetano Auletta; Doriana Montani; Maria Teresa Fanni; Maria Patrizia Caruso; Linda Lazzaro

doi:10.54103/dn/28014

Authors

Romina Matella ASL NO https://orcid.org/0009-0007-0487-306X
Gaetano Auletta Master’s Degree Program in Nursing Science, Piemonte Orientale University https://orcid.org/0009-0000-5130-7983
Doriana Montani Master’s Degree Program in Nursing Science, Piemonte Orientale University https://orcid.org/0009-0002-6846-6854
Maria Teresa Fanni Neurology Complex Unit, Emergency and Acceptance Department, Novara Healthcare Facility
Maria Patrizia Caruso Neurology Complex Unit, Emergency and Acceptance Department, Novara Healthcare Facility https://orcid.org/0009-0008-2845-7324
Linda Lazzaro Novara Healthcare Facility, Hospice, Pain Therapy Service https://orcid.org/0009-0000-9355-232X

DOI:

https://doi.org/10.54103/dn/28014

Keywords:

Caregivers, Dementia, Caregiver Burden, Nursing, Nurse, Nursing Counseling

Abstract

BACKGROUND: Dementia is a condition that is increasingly prevalent worldwide, recognized by the World Health Organization as a public health priority. As the disease progresses, caregivers face increased responsibilities, exposing them to health risks. Identifying key sources of stress and developing nursing counseling pathways could represent an effective strategy to support caregivers, improving their well-being and facilitating the patient's ability to remain at home. Aim: The objective of the study was to assess the impact of a nursing counseling intervention on the perceived burden of caregivers of patients with dementia in the Northern area of ASL NO.

METHODS: A pre- and post-intervention study was conducted with a sample of caregivers enrolled at the CDCD outpatient clinic. The Zarit Burden Interview scale was used to assess levels of stress/burden at baseline and three months after the intervention.

RESULTS: Although no statistically significant differences were found between the two groups (Student’s t-test P-value 0.46; Wilcoxon test 0.31), signs of stress reduction were observed in the experimental group, particularly regarding the desire to entrust caregiving to someone else (mean from 1.21 to 0.85; P-value 0.044).

CONCLUSION: Some improvements in the perception of burden were noted, but the worsening of the perception of health requires further investigation. The results suggest that nursing interventions, although with limitations, may be useful in supporting caregivers, but further studies are needed to confirm these findings.

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