| 杨洁,侯惠如,谭纪萍,王晓晓,徐娟.阿尔茨海默病患者家庭照顾者负担及影响因素分析[J].中国临床保健杂志,2019,22(2):170-173. |
| 阿尔茨海默病患者家庭照顾者负担及影响因素分析 |
| Burden and influencing factors of caregivers for patients with Alzheimer′s disease |
| 投稿时间：2018-11-10 |
| DOI：10.3969/J.issn.1672-6790.2019.02.007 |
| 中文关键词: 阿尔茨海默病 患病代价 医疗陪伴者 家庭 影响因素分析 |
| 英文关键词: Alzheimer disease Cost of illness Medical chaperones Family Root cause analysis 〖FL |
| 基金项目:中国人民解放军总医院保健课题(15BJZ38) |
|
| 摘要点击次数: 6084 |
| 全文下载次数: 5277 |
| 中文摘要: |
| 目的 探讨阿尔茨海默病(AD)患者家庭照顾者负担及影响因素。 方法 采用整群抽样方法,选取2017年7月至2018年3月在北京市某三甲医院神经内科特需门诊临床确诊的AD患者和照顾者各57例。患者采用一般资料问卷、简易精神状态检查量表(MMSE)、日常生活能力评定量表(ADL)对其认知功能和日常生活能力进行评估。照顾者采用一般资料问卷、照顾者负担问卷(CBI)、综合医院焦虑抑郁量表(HAD)、生活质量(QOL)、直观式健康状况量表(VAS)、社会支持评定量表(SSRS)对照顾者负担进行评估,所有数据录入SPSS25.0软件进行统计分析。 结果(1)AD患者照顾者的负担总分为(40.56±13.16)分,其中以时间依赖型负担和发展受限性负担最重,分别为(11.96±3.55)分和(10.54±3.34)分。(2)照顾者负担分别与照顾者年龄、每日照顾时间、焦虑状况、患者年龄、生活自理能力呈正相关,与照顾者的生活质量、社会支持及患者的认知功能呈负相关。(3)多元线性回归分析显示,对照顾者负担评分有影响的因素有其他照顾者身份、照顾者的焦虑程度。 结论 AD患者的照顾工作大部分由配偶和子女承担,照顾者负担处于中度水平。其他照顾者身份和焦虑状况是影响照顾者负担的主要因素。 |
| 英文摘要: |
| Objective To explore the burden and influencing factors of caregivers for Alzheimer′s disease patients. Methods The 57 AD patients confirmed by clinic and their caregivers were performed by systematic and cluster sampling in an A-grade hospital in Beijing.General questionnaire,Mini-mental state examination(MMSE),Activities of daily living(ADL) were used to obtain evaluation of 57 AD patients.Caregiver burden Inventory(CBI)、Hospital anxiety and depression(HAD)、Social Support Rating Score(SSRS)were used for evaluation of 57 family caregivers for AD patients.All data were input into SPSS25.0 software for statistical analysis. Result (1)The CBI of caregivers for Alzheimer′s disease was 40.56±13.16,the time-dependent(11.96±3.55) and development-constrained burdens(10.54±3.34) are the most.(2) The caregiver burden was positively correlated with the caregiver′s age,the daily care time anxiety status,the patient′s age and self-care ability,and negatively correlated with the caregiver′s quality of life,social support and the patient′s cognitive function .(3)Multivariate linear regression analysis showed that the factors influencing caregiver burden score were the identity of other caregivers and degree of anxiety. Conclusion The care of the patient with AD is mostly undertaken by the spouse and children.The caregiver burden is at the moderate level.The identity and degree of anxiety of other caregivers are the main factors affecting the caregiver burden. |
|
查看全文
|
| 关闭 |
|
|
|