护理人员负担,身体虚弱,种族,行为和心理症状 (BPSD) 和其他相关变量之间的关系:一项探索性研究
Carl I Cohen1, Saeed Hashem2, Kay Thwe Kyaw1
1Division of Geriatric Psychiatry, SUNY Downstate Health Sciences University, MSC 1203, 450 Clarkson Avenue, Brooklyn, NY 11203, USA.
Medicina (Kaunas, Lithuania)
|March 28, 2024
概括
身体虚弱,种族以及痴呆症 (BPSD) 的行为和心理症状是相互关联的,影响照顾者的负担. 了解这些联系对于痴呆症护理和研究至关重要.
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:
- 护理人员负担,身体虚弱,种族以及痴呆症 (BPSD) 的行为和心理症状之间的相互作用尚未得到充分理解.
- 种族是健康的重要社会决定因素,但其在痴呆症相关结果中的作用尚未得到充分研究.
研究的目的:
- 探索痴呆症患者的照顾者负担,身体虚弱,种族和BPSD之间的关系.
- 通过使用横截面模型,研究这些变量对彼此的直接和间接影响.
主要方法:
- 一项对85个符合DSM-5主要神经认知障碍标准的患者护理人员二合体的横截面研究.
- 使用了SHARE-脆弱性仪器 (FI),用于BPSD的神经精神病 inventory (NPI),Zarit的护理人员负担采访 (CBI) 和其他已建立的尺度 (MMSE,ADL,CIRSG).
主要成果:
- 身体虚弱 (prefrail/subsyndromal或frail/syndromal) 直接影响了BPSD,并通过BPSD间接影响了照顾者负担.
- BPSD直接影响了护理人员的负担.
- 白人种族与更高的护理人员负担和更低的身体虚弱有关,但不是间接通过护理人员负担.
结论:
- 身体虚弱,种族,BPSD和照顾者的负担是相互关联的,直接或间接地相互影响.
- 这些因素应纳入痴呆症评估,护理策略和研究.
- 需要使用更大的样本进行进一步的纵向研究来证实这些发现.
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