老年期痴呆患者记忆行为问题的发生现状及照顾者的态度

发布时间：2018-06-18 00:50

本文选题：痴呆 + 老年人　；参考：《中国全科医学》2014年03期

【摘要】：目的了解老年期痴呆患者记忆行为问题的发生现状及照顾者的态度,为社区工作人员针对存在不同记忆行为问题的患者及其照顾者进行干预提供参考依据。方法选取2011年4月—2012年3月在湖南省9所三级甲等医院确诊的153对老年期痴呆患者及其主要照顾者为研究对象,采用修订记忆行为问题量表(RMBPC)对153对老年期痴呆患者的记忆行为问题的发生情况及其照顾者的态度进行问卷调查,由老年期痴呆照顾者负责填写。比较患者不同记忆行为问题发生率及其对应的照顾者的态度间的差异。结果在RMBPC的3个维度中,152例(99.3%)患者出现记忆相关问题,137例(89.5%)出现抑郁,136例(88.9%)出现破坏性行为,记忆相关问题发生率均高于抑郁和破坏性行为的发生率(P0.01)。照顾者在面对患者破坏性行为时的困扰强度〔(1.95±1.13)分〕均高于记忆相关问题、抑郁时的困扰强度〔(0.91±0.76)分和(0.89±0.85)分〕(P0.01)。应用曲线拟合对患者出现记忆行为问题的例数与照顾者困扰强度的关系进行分析,发现二者可能存在曲线关系(Cubic三次方程曲线的R2值最大,为0.278,F=229.212,P0.05)。结论几乎所有的老年期痴呆患者会出现记忆相关问题,绝大部分患者出现了抑郁及破坏性行为,其中破坏性行为对照顾者的困扰最大,值得对此群体进行特别的关注。
[Abstract]:Objective to investigate the status quo of memory behavior problems in senile dementia patients and the attitude of caregivers, and to provide reference for community workers to intervene with patients with different memory behavior problems and their caregivers. Methods from April 2011 to March 2012, 153 pairs of senile dementia patients diagnosed in 9 Grade 3A hospitals in Hunan Province and their main caregivers were selected as subjects. A questionnaire survey was conducted on 153 senile dementia patients with memory behavior problems and the attitudes of their caregivers by using the revised memory behavior inventory (RMBPCC), which was filled out by the caregivers of senile dementia. The incidence of different memory behavior problems and the attitudes of caregivers were compared. Results among the three dimensions of RMBPC, 152 patients (99.3) had memory related problems (89.5%) and 136 cases had depression (88.9%). The incidence of memory-related problems was higher than that of depression and destructive behavior (P 0.01). The distraction intensity of caregivers was higher than that of memory-related problems when they were faced with destructive behavior (P = 0.91 卤0.76) and 0.89 卤0.85 (P < 0.01). The relationship between the number of patients with memory behavior problems and care intensity was analyzed by curve fitting. It was found that the R2 value of cubic equation curve was the largest, which was 0.278F _ (229.212V) P _ (0.05). Conclusion almost all senile dementia patients have memory related problems, most of them have depression and destructive behavior, among which destructive behavior is the most disturbing to caregivers, so it is worth paying special attention to this group.
【作者单位】：中南大学护理学院;湖南师范大学医学院;
【分类号】：R749.16

【参考文献】