与阿尔茨海默病的养过程相关的护理人员负担
Verônica Salazar Moreira1, Márcia Lorena Fagundes Chaves1,2, Raphael Machado de Castilhos1,3
1Universidade Federal do Rio Grande do Sul, Programa de Pós-Graduação em Medicina, Ciências Médicas, Porto Alegre RS, Brazil.
Dementia & neuropsychologia
|August 3, 2023
概括
在阿尔茨海默病 (AD) 中,厌恶性养行为显著增加了护理人员的负担,即使是在早期阶段. 教导护理人员如何处理这些养困难可以帮助减少他们的压力.
科学领域:
- 老年学是指老年学的学科.
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 食困难,包括厌恶行为和消化不良,在阿尔茨海默氏症 (AD) 中很普遍.
- 这些挑战对护理人员产生重大影响,但与失消症相比,厌食行为对护理人员负担的具体贡献尚未得到充分研究.
研究的目的:
- 研究阿尔茨海默病患者的食过程与他们的护理人员所经历的负担之间的关系.
- 为了确定厌食性养行为是否与阿尔茨海默病患者的照顾者负担增加有关.
主要方法:
- 一项涉及60个AD个体和他们的护理人员的横截面研究.
- 使用了爱丁堡痴呆症养评估 (EdFED) 尺度,扎里特负担采访 (ZBI),迷你精神状态检查 (MMSE),功能活动问卷 (FAQ) 和功能口服摄入量尺度 (FOIS).
主要成果:
- 这项研究包括60个AD护理者双;患有AD的个体的MMSE中位数为12个,疾病持续时间为4年.
- 多变量线性回归显示,更高的EdFED分数 (表明更多的养困难) 和更长的护理时间与护理人员负担增加有显著关联 (扎里特分数:20.95).
- 食期间的厌恶行为与护理人员负担有关,无论疾病持续时间如何.
结论:
- 厌恶性养行为是阿尔茨海默氏症患者的护理人员负担的重要因素,即使在早期阶段也是如此.
- 专注于管理养困难的护理人员教育对于减轻护理人员负担至关重要.
- 针对养行为的干预措施可能会减轻患有阿兹海默症的人的照顾者的压力.
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