长期护理机构老年痴呆照顾者负担与患者精神行为症状的相关性

发布时间：2018-04-14 05:04

本文选题：长期护理机构 + 老年痴呆　；参考：《中国老年学杂志》2017年18期

【摘要】：目的探讨机构照顾者负担与老年痴呆患者精神行为症状的相关性及可能的影响因素。方法采用护理院版神经精神问卷、照顾者负担量表、照顾者积极感受量表、状态焦虑量表、抑郁自评量表、智力障碍者照顾困难量表及自制信息采集表对长期护理机构112例老年痴呆患者及35名痴呆照顾者进行调查。结果机构老年痴呆患者的照顾者负担总均分(40.57±11.82)高于常模(t=9.20,P=0.00);其中,生理性负担(66.94%)和时间依赖性负担(62.00%)得分率最高。照顾者焦虑(39.57±8.25)、抑郁(11.68±5.49)自评结果与国内常模无统计学差异(P0.05)。患者精神行为症状严重程度与照顾者照顾困难呈正相关(r=0.40,P=0.04),但二者与照顾者负担不相关(P0.05)。机构照顾者对精神行为症状的应对知识和技能需求最高(89.3%),但因"难以应对患者的精神行为症状"而离职的意愿最低。结论长期护理机构应对老年痴呆患者的照顾者进行精神行为症状照护知识和技能培训,提高照护质量,并采取有效措施,减轻照顾者的生理性和时间依赖性负担。
[Abstract]:Objective to investigate the relationship between the burden of institutional caregivers and the symptoms of mental behavior in patients with Alzheimer's disease and the possible influencing factors.Methods Nursing home version neuropsychiatric questionnaire, carer burden scale, caregiver positive feeling scale, state anxiety scale, self rating depression scale were used.A total of 112 patients with Alzheimer's disease and 35 caregivers of dementia in long term nursing institutions were investigated with the Mental retardation scale and self-made information collection table.Results the total mean burden of carers in senile dementia patients was 40.57 卤11.82), which was higher than that of norm 9.20 P0. 00m, in which the physiological burden was 66.94) and the time-dependent burden was 62.00).There was no statistical difference between the self-evaluation results of anxiety and depression (39.57 卤8.25, 11.68 卤5.49) and the national norm (P 0.05).There was a positive correlation between the severity of mental behavior symptoms and caregivers' care difficulties, but no correlation was found between the severity of mental and behavioral symptoms and carers' burden (P 0.05).Institutional caregivers had the highest demand for coping knowledge and skills for mental and behavioral symptoms, but they had the lowest willingness to leave because of the "difficulty in coping with mental and behavioral symptoms of patients".Conclusion Long-term nursing institutions should train caregivers on mental behavior symptom care knowledge and skills, improve the quality of care, and take effective measures to lighten the burden of physiological and time dependence of caregivers.
【作者单位】：南方医科大学南方医院护理部;广州市老人院;南方医科大学南方医院惠侨科;
【基金】：广东省科技计划项目(2014A020212201) 广东省医学科学研究基金(A2016599)
【分类号】：R473.74

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