痴呆症护理研究和心理社会因素
Lauren Chrzanowski1, Landon B Peeples1, Benjamin Mast1
1University of Louisville, Louisville, KY, USA.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
概括
护理人员负担和痴呆症的行为和心理症状 (BPSD) 显著影响患者的医疗保健费用,包括药物治疗,住院治疗和门诊治疗. 针对这些因素的干预措施可以降低成本并改善患者的治疗结果.
科学领域:
- 老年医学 老年医学
- 卫生经济学 卫生经济学
- 精神病学是一个精神病学.
背景情况:
- 护理人员负担可能会显著影响医疗保健成本,可能比患者的症状更多.
- 痴呆症的行为和心理症状 (BPSD) 在早期阿尔茨海默病中很常见.
- 了解BPSD,护理人员负担和医疗保健成本之间的相互作用对于有效的患者管理至关重要.
研究的目的:
- 调查BPSD,护理人员负担和患者医疗费用之间的关系.
- 分析BPSD和护理人员负担对药物,住院和门诊访问费用的影响.
- 确定在痴呆症护理中降低成本干预措施的潜在目标.
主要方法:
- 分析来自美国因阿尔茨海默病而导致的轻度认知障碍和轻度痴呆的资源使用和成本纵向队列研究 (GERAS-US) 的数据.
- 包括1476名患有早期阿尔茨海默氏症痴呆症的参与者及其照顾者.
- 利用线性混合效应模型 (REML) 来分析六个时间点 (2017-2021) 收集的数据.
主要成果:
- 护理人员负担和BPSD频率显著预测了药物成本.
- 照顾者负担,抑郁症/性障碍症和易怒/不适应性预测了住院费用.
- 焦虑,冷漠/漠不关心以及易怒/易性显著预测出门诊访问费用.
结论:
- 护理人员负担和BPSD是痴呆症患者医疗保健成本的重要驱动因素.
- 护理人员负担和BPSD的具体影响在不同的医疗保健成本类别中有所不同.
- 建议针对护理人员负担和BPSD管理进行有针对性的干预,以减少医疗保健支出并提高患者的治疗结果.
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