护理人员负担分析:结合痴呆症患者及其护理人员的变量
Kai-Ming Jhang1, Cheng-Chiang Chen2, Sih-Yi Wang3
1Neurological Institute, Changhua Christian Hospital, Changhua, Taiwan.
痴呆症的护理人员负担与患者的行为和日常生活障碍有关. 单独照顾中度阿尔茨海默氏症患者的女性配偶面临着严重的负担,这凸显了有针对性的支持的必要性.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
背景情况:
- 痴呆症患者的护理人员面临的风险包括抑郁症,行为症状的痛苦和身体健康问题.
- 照顾者的负担是复杂的,主观的,受到与照顾者的资源和需求相互作用的身体,经济和心理社会因素的影响.
研究的目的:
- 调查患者和护理人员因素之间的关联,特别是痴呆症 (BPSD) 的行为和精神症状的严重程度和日常生活障碍,以及中度至重度的护理负担.
主要方法:
- 一项横截面研究涉及585名痴呆患者及其非正式照顾者,由痴呆协作护理团队管理.
- 收集的数据包括患者人口统计,痴呆症严重程度,BPSD和日常生活活动,以及护理人员人口统计,关系,就业和护理负担.
- 使用阿普里奥里算法来确定患者/护理人员因素与护理负担之间的关联.
主要成果:
- 针对中度至重度负担确定了150条规则,总结为20条一般规则.
- 对于严重负担而言,确定了一个单一的一般规则:配偶单独照顾一个中度阿尔茨海默病 (AD) 的男性患者.
- 适度严重的BPSD与高的护理负担的关联比日常生活活动的损害更强.
结论:
- BPSD的严重程度,认知功能,患者/护理人员人口统计,关系,就业和护理负担与护理负担有关.
- 仅照顾中度AD的配偶的女性护理人员经历了严重的负担.
- 针对性护理支持对于女性护理人员来说至关重要,以减轻他们的负担.
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