SOCIAL WORK AND MANAGEMENT ›› 2023, Vol. 23 ›› Issue (2): 57-65.

• SHEHUI GONGZUO • Previous Articles     Next Articles

Research on the Effectiveness of Integrated Social Work Intervention on Caregivers for Patients Mild Cognitive Impairment: A Case Study Based in Shanghai Changzheng Hospital

CHEN Honglin1,2, XIANG Di1, WANG Yihang3   

  1. 1. School of Social Development and Public Policy, Fudan University, Shanghai, 200433, China;
    2. Department of Social Sciences, The University of Eastern Finland, Kuopion Palloseura, 70840, Finland;
    3. Department of Social Work, The University of Hong Kong, Hong Kong, 999077, China
  • Received:2022-07-25 Online:2023-03-15 Published:2023-04-27

Abstract: Mild Cognitive Impairment (MCI) is an early stage of memory disorder. Caregivers of MCI patients have shown strong stress-related negative emotions and caregiving burden. This study aims to conduct integrated social work interventions among informal caregivers for MCI patients. Quasi-experimental design was employed to evaluate the effects of integrated social work intervention among the intervention group (N=38). The effectiveness of the intervention was evaluated by general information questionnaires, caregiver burden inventory, social support scale and general self-efficacy scale, and simplified coping style scale before and after the intervention. The comparison between the experiment group and the control group (N=32) was conducted by descriptive statistics and T-test. After the intervention, six caregivers were interviewed to further understand the caregivers' changes in each dimension of caregiving burden. Overall, there was no significant difference between the caregiver's care burden (P>0.05). As to the sub-dimentions of care burden, there were statistically significant differences on the emotional burden (P<0.05) and the development-restricted burden (P<0.05). There was significant improvement in social support (P<0.05) for caregivers after intervention, and there was no significant change in self-efficacy and coping style of caregivers (P>0.05). The 8-week integrated intervention for MCI caregivers increased the social support of MCI caregivers and strengthened their social support network. However, integrated intervention had no significant effect on self-efficacy and coping strategies, which was mainly attributed to the limited sample size and the duration of the intervention. Although there was no statistically significant alleviation on the overall caregiving burden, the emotional burden of caregivers has decreased significantly with the strengthened social support. On the contrary, the caregiver's development restriction increased, which was impacted by the further understanding of the multiple caregiving tasks for mild cognition impairment, the increase of objective caregiving time, the patients' anosognosia and the increase of the behavioral and psychological symptoms.

Key words: Mild Cognitive Impairment, caregiver burden, integrated social work intervention, social support

CLC Number: 

  • C916
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