Differential Effects of Two Nursing Interventions in Mexican Family Caregivers of Patients with Dementia

Monday, July 11, 2011: 10:15 AM

María de los Ángeles Villarreal Reyna, PhD
School of Nursing, Universidad Autonoma de Coahuila, Saltillo, Mexico
Bertha Cecilia Salazar, PhD
School of Nursing, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico
Ana Laura Carrillo Cervantes, RN
School of Nursing, Universidad Autónoma de Coahuila, Saltillo, Coah, Mexico
Deyanira Rodríguez Flores, BA
School of Nursing, Universidad Autónoma de Coahuila, Saltillo, Cohuila, Mexico
Perla Lizeth Hernandez, BS, MNS
School of graduates, Nursing College, Universidad Autonoma de Nuevo Leon, Monterrey, Mexico

Learning Objective 1: The learner will be able to describe the nursing interventions aimed to seeking and maintaining positive health outcomes in Mexican family caregivers.

Learning Objective 2: The learner will be able to describe the Mexican researches work about nursing interventions culturally appropriated among Mexican family caregivers.

Purpose: To test the different effects of two nursing interventions on Mexican family caregivers aimed to reduce anxiety, symptoms of depression and improve positive attitude toward caregiving.

Methods:  A repeated measures quasi-experimental design with three groups, two experimental and a control group was used. Experimental conditions were: a) cognitive-behavioral intervention aimed to modification of dysfunctional thoughts about caregiving plus pleasure activities (G1, n=12); b) skills training intervention designed to deal with patient’s behavioral problems plus strategies to taking care at home (G2, n=14); compared to a control group (G3, n = 14). Outcome variables were: anxiety, depression, attitudes toward caregiving, behavioral problems, and dysfunctional thoughts about caregiving. Measurements were performed at: baseline, end of the intervention, and four weeks following the intervention completion.

Results: Following the intervention, caregivers from the two experimental groups showed significant effects on reduction of anxiety (both grups p = .002), symptoms of depression (both p < .05), and improvement of attitude toward caregiving (both p < .001), in comparison to the control group. Experiment's group effects were: cognitive-behavioral intervention showed less symptoms of depression (p < .001), and better attitude toward caregiving (p= .027), than the skills training group.

Conclusion: Caregivers benefit more from the cognitive-behavioral intervention in comparison to the skills training and control groups. To further explore caregiver's benefits it is important to test an intervention that includes both, the cognitive-behavioral and the skills training intervention.