RESUMEN
OBJETIVO: Demostrar que la terapia de resolución de problemas es eficaz para disminuir la carga en los cuidadores de niños con parálisis cerebral. DISEÑO: Ensayo clínico aleatorizado. Emplazamiento: Consulta de atención primaria dentro de una asociación privada no lucrativa. Participantes: Ciento cuarenta cuidadores divididos en un grupo control (GC) y un grupo experimental (GE). Intervenciones: Se realizó en ambos grupos una intervención psicosocial con una frecuencia de una sesión por semana durante 3 semanas a completar 120 min. En el GE se realizó una forma acortada de terapia de resolución de problemas con enfoque en la carga del cuidador y en el GC se realizó una intervención educativa con enfoque en enfermedades respiratorias. Mediciones principales: La variable respuesta corresponde a la puntuación obtenida mediante el cuestionario Zarit. La variable independiente correspondió a la intervención psicosocial. RESULTADOS: En el GE, de acuerdo con la puntuación del cuestionario Zarit, se obtuvo un promedio preintervención de 45,0 puntos contra 45,3 puntos en el GC; tras la intervención se obtuvo un promedio Zarit de 29,8 puntos en el GE y de 44,3 puntos en el GC (p < 0,0001). Se catalogó a los grupos según su puntuación Zarit en carga: nula, leve, moderada y severa, encontrando diferencias del impacto de la intervención en los diversas categorías (prueba de Wilcoxon Z = -6,281, p < 0,00001). CONCLUSIONES: La terapia de resolución de problemas es efectiva para disminuir la carga en los cuidadores de niños con parálisis cerebral
OBJECTIVE: To demonstrate that problem-solving therapy is effective in reducing the burden on caregivers of children with cerebral palsy. DESIGN: Randomized clinical trial. Location: Check primary care within a private nonprofit association. Participants: 140 caregivers divided into control group (CG) and experimental group (EG).Interventions: We performed in both groups a psychosocial intervention with a frequency of one session per week for three weeks to complete 120 minutes. In the EG performed a shortened form of problem-solving therapy with a focus on caregiver burden and the CG performed an educational intervention focusing on respiratory diseases. Main measures: The response variable corresponds to the score obtained by Zarit questionnaire. The independent variable accounted for psychosocial intervention. RESULTS: In the EG according to Zarit questionnaire score was obtained by averaging 45.0 points pre intervention against 45.3 points in the CP after intervention Zarit was obtained by averaging 29.8 points in the EG and 44.3 points in the CG (P <0.0001). The catalog groups according to their score Zarit in charge: none, mild, moderate and severe impact differences were found in the different intervention categories (Wilcoxon test Z = 6.281, P < 0.00001). CONCLUSIONS: Problem solving therapy is effective in reducing the burden on caregivers of children with cerebral palsy
Asunto(s)
Humanos , Masculino , Femenino , Cuidadores/educación , Cuidadores/ética , Cuidadores/normas , Atención Primaria de Salud/métodos , Atención Primaria de Salud , Cuidadores/tendencias , Parálisis Cerebral/diagnóstico , Parálisis Cerebral/terapia , Apoyo SocialRESUMEN
OBJECTIVE: To demonstrate that problem-solving therapy is effective in reducing the burden on caregivers of children with cerebral palsy. DESIGN: Randomized clinical trial. LOCATION: Check primary care within a private nonprofit association. PARTICIPANTS: 140caregivers divided into control group (CG) and experimental group (EG). INTERVENTIONS: We performed in both groups a psychosocial intervention with a frequency of one session per week for three weeks to complete 120minutes. In the EG performed a shortened form of problem-solving therapy with a focus on caregiver burden and the CG performed an educational intervention focusing on respiratory diseases. MAIN MEASURES: The response variable corresponds to the score obtained by Zarit questionnaire. The independent variable accounted for psychosocial intervention. RESULTS: In the EG according to Zarit questionnaire score was obtained by averaging 45.0 points pre intervention against 45.3 points in the CP after intervention Zarit was obtained by averaging 29.8 points in the EG and 44.3 points in the CG (P<.0001). The catalog groups according to their score Zarit in charge: none, mild, moderate and severe impact differences were found in the different intervention categories (Wilcoxon test Z=6.281, P<.00001). CONCLUSIONS: Problem solving therapy is effective in reducing the burden on caregivers of children with cerebral palsy.