A Practical Study On Sress Counseling For Dementia Elderly Family Caregiver

At present,China has entered an aging society.One of the major dilemmas faced by the elderly is the gradual decline of physical functions and the various diseases that may be caused by them.All these have greatly affected the quality of life of older people and their normal family life.Among them,the prevalence of dementia in the elderly has increased year by year,which has recently aroused widespread concern in society.Due to the irreversibility of dementia and the severity of the illness,it has brought a heavy burden to patients and families to some extent.Dementia elderly people need to be given long-term care because they have obvious obstacles in self-awareness,cognitive ability,emotional control and even behavioral ability.In China,due to the influence of traditional concepts and economic conditions,demented old people are generally taken care of by their families.With the development of the disease course and the aggravation of illness,this kind of long-term care work makes the home caregiver inevitably bear physical,social,psychological and other pressures.If this kind of pressure builds up in the heart of the caregiver,it will not be effective.The treatment will seriously threaten the physical and mental health of the caregiver.Therefore,the study focuses on the kind of pressure faced by home caregivers of demented elderly people.From social work,what kind of grooming services can be provided for them?This study used the questionnaires and caregiver burden scales to measure the demented elderly family caregivers in the "Let's Love Without Burden" project of Nanjing X Senior Citizen Service Center.The results show that there are three common pressures for home caregivers for demented elderly people.One is physical stress,manifested as physical exhaustion,insomnia and more dreams;the other is social pressure,mainly lack of social communication social support network and other pressure problems;the third psychological stress is expressed as anxiety and anxiety,guilt frustration and complaining Wait.Based on the homogeneity of the problems faced by caregivers of demented elderly home caregivers,on the basis of the combination of interviews and the willingness of the investigators,this study selected eight demented elderly home caregivers with higher scores to form a reciprocal group.The study found that the reasons for the higher pressure of family caregivers for demented elderly families mainly include lack of professional skills,lack of social support and lack of emotional appeasement.Therefore,based on the theory of social support,researchers use the reciprocal model of group work to develop service plans.Through the ice-breaking journey,situational experience,story sharing,relaxation training,sharing of nursing skills,love promises and other themes as the main line,six group activities were designed and carried out to help caregivers build a mutual support network through team members' mutual assistance.Good adaptation to roles and social life,thereby reducing stress and improving the quality of life.After the group activity,the study assessed the effectiveness of the service by evaluating the pre-test and post-test comparisons of the Dementia Elderly Family Caregiver Stress Scale and satisfaction surveys.Researchers have found that carrying out group activities with clear themes can effectively relieve the stress of homeless caregivers for the demented elderly.To a certain extent,it shows that the method of intervention by social workers has a significant effect in relieving the pressure of caregivers of elderly families with dementia,and can provide a certain reference value for research in this field.Finally,the researcher reviewed the theoretical model and practical work in the group process,summed up the effectiveness and inadequacies of the reciprocal model in the practice of stress counseling for caregivers of elderly people with dementia,and put forward the basis of reflection.Some concrete and feasible suggestions.At the same time,the study points out that more extensive empirical research and resource integration are needed in the follow-up in order to help the demented elderly home caregiver to improve the stress situation,build a social support network,and enhance the sense of well-being.