护理人员管理风格是否与痴呆症的纵向功能衰退有关?
Vaisakh Puthusseryppady1,2, Allan Bregola1, Julieta Camino1
1School of Health Sciences, University of East Anglia, Norwich, UK.
Journal of Alzheimer's disease : JAD
|November 13, 2023
概括
认知能力下降,而不是照顾者的风格,导致痴呆症患者的长期残疾. 认知的变化预测未来日常活动的下降.
科学领域:
- 神经科学是一个神经科学.
- 老年学是一门学科.
- 公共卫生 公共卫生
背景情况:
- 痴呆症 (PLwD) 患者的残疾受内在 (与痴呆症相关) 和外在因素的影响.
- 了解这些因素的相互作用对于有效的护理策略至关重要.
研究的目的:
- 检查基线时的内在和外在因素的结合是否预测PLwD中日常生活活动 (ADL) 绩效的纵向下降.
- 区分与当前ADL状态相关的因素与预测未来ADL下降的因素.
主要方法:
- 评估了141个PLwD-护理人员对象的认知 (ACE-III),冷漠 (CBI-R),护理人员管理风格 (DMSS),并发症 (CCI) 和ADL表现 (DAD).
- 多重线性回归分析了与ADL得分的基线关联以及在12个月内ADL表现的纵向变化.
主要成果:
- 较低的认知 (ACE-III),较高的冷漠 (CBI-R),关键的照顾者风格 (DMSS) 和更多的并发症 (CCI) 与较差的基线ADL表现有关.
- 虽然ADL的表现在12个月内显著下降,但这种下降并不是由基线因素预测的.
- 纵向ADL下降与认知功能 (ACE-III) 的同时下降显著相关.
结论:
- 认知变化,而不是基线内在或外在因素,似乎是PLwD纵向ADL下降的主要驱动因素.
- 照顾者管理风格可能会影响当前的ADL表现,但不能预测该人口的未来ADL下降.
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