International Journal of Clinical Case Reports, 2025, Vol.15, No.6, 283-292 http://medscipublisher.com/index.php/ijccr 287 4.3 Family and technical support Within families, the rational allocation of care work and the use of technological means to solve problems are increasingly regarded as key methods to support home care. Family caregivers are usually the main force of daily care. It is very helpful for them to clarify their respective roles and divisions of labor, which can not only reduce personal stress but also improve the overall quality of care (Liu et al., 2025; Mynatt et al., 2025). New technological achievements such as smart devices, remote monitoring, and online medical platforms have brought new support methods to caregivers and the elderly. These tools can monitor the health conditions of the elderly, remind them to take medicine on time, prevent falls and accidents, and also help the elderly keep in touch with others more often, making their lives safer and more autonomous. However, these technologies still face many problems, such as the difficulty in purchasing equipment, the hard guarantee of privacy, the lack of simplicity in operation, and the absence of relevant usage training. Only by integrating these technologies with family and community support can they play a better role and be accessible and useful to more people (Moreno et al., 2024). 5 Stress Intervention Practices for Nursing Staff 5.1 A system for identifying and assessing caregiver stress To provide effective stress intervention for caregivers, it is first necessary to have a complete system that can identify and assess the level of their stress. The commonly used effective assessment scales at present include the Perceived Stress Scale (PSS), the Zarit Burden Interview Scale (ZBI), the Caregiver Burden Scale (CBI), and the Berlin Caregiver Stress-Dementia Scale (BICS-D). The latter is suitable for intervention studies and clinical evaluations. However, the psychological assessment performance of many scales is not satisfactory, which indicates that we still need to further improve and develop assessment tools (Gimm et al., 2022; Toullec et al., 2025). Digital and biosensing technologies such as smartwatches and real-time ecological assessment applications that can monitor stress in real time are gradually becoming popular. These tools can provide data in specific scenarios and also help caregivers manage themselves well (Rose et al., 2024). It is still not easy to accurately assess the stress of caregivers, which indicates that it is necessary to combine quantitative scales, qualitative feedback and new digital technologies (Toullec et al., 2025). 5.2 Intervention measures Mindfulness intervention (MBI) is particularly effective for caregivers of patients with cognitive impairment, significantly reducing stress, depressive symptoms and subjective burden. Cognitive behavioral therapy (CBT) has a remarkable stress-relieving effect when implemented in family Settings and can also teach caregivers practical coping methods (Chen et al., 2025; Zhu et al., 2025). Social media-based mind-body intervention (combined with mindfulness meditation and acupoint massage) has been proven feasible and effective in reducing stress and improving sleep quality (Figure 2) (Sui et al., 2022). However, the effects of online intervention vary greatly and are often limited by high attriation rates and variable care needs. Lifestyle intervention is often incorporated into comprehensive programs to enhance the resilience of caregivers. Figure 2 Mindful and acupressure stress-coping model (Adopted from Sui et al., 2022)
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