The relationship between psychological burden and providing assistance with taking medication among caregivers of patients with dementia: a cross-sectional study.

IF 1.5 Q3 PHARMACOLOGY & PHARMACY International Journal of Pharmacy Practice Pub Date : 2024-09-03 DOI:10.1093/ijpp/riae029
Habuchi Fuga, Erika Yamaoka, Natsuko Ishida, Koji Shitanda, Masako Hashimoto, Ryo Matushita
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Abstract

Objectives: Previous studies have examined the psychological burden of caregivers of patients with dementia. However, although many caregivers struggle to assist patients with dementia with medication management, the relationship between assisting such patients with taking their medicines and the caregiver psychological burden is understudied. Therefore, this study identified the association between caregivers' psychological burden and assisting patients with dementia with taking medication.

Methods: A cross-sectional survey was conducted among caregivers of patients with dementia in Japan. The survey questionnaire included questions that assessed the symptoms of patients with dementia, their status of taking medication through medication assistance from caregivers, and caregivers' psychological burden using the Kessler Psychological Distress Scale and the Japanese version of the Perceived Stress Scale.

Key findings: A total of 57 caregivers participated in the study. Higher Kessler Psychological Distress Scale scores were significantly associated with unsuccessful assistance with taking regular medication (β = 0.35, 95% confidence interval [CI]: 2.23-12.0, P < .05), depressive symptoms (β = 0.26, 95% CI: 0.10-8.53, P < .05), and irritability (β = 0.38, 95% CI: 2.71-11.5, P < .05). Likewise, higher scores on the Japanese version of the Perceived Stress Scale were significantly associated with irritability (β = 0.37, 95% CI: 1.87-12.5, P < .05) among patients with dementia.

Conclusion: The findings suggest that caregiver psychological burden is associated with unsuccessful assistance with taking regular medication for patients with dementia.

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痴呆症患者照顾者的心理负担与协助服药之间的关系:一项横断面研究。
研究目的以往的研究曾对痴呆症患者护理者的心理负担进行过调查。然而,尽管许多护理人员都在努力协助痴呆症患者进行药物治疗,但协助这类患者服药与护理人员心理负担之间的关系却未得到充分研究。因此,本研究确定了照顾者的心理负担与协助痴呆症患者服药之间的关系:方法:在日本对痴呆症患者的护理者进行了一项横断面调查。调查问卷的问题包括痴呆症患者的症状、通过护理人员协助服药的情况以及护理人员的心理负担(使用凯斯勒心理压力量表和日语版知觉压力量表):共有 57 名护理人员参与了研究。凯斯勒心理压力量表(Kessler Psychological Distress Scale)得分较高与协助定期服药不成功(β = 0.35,95% 置信区间 [CI]:2.23-12.0,P < .05)、抑郁症状(β = 0.26,95% CI:0.10-8.53,P < .05)和易怒(β = 0.38,95% CI:2.71-11.5,P < .05)显著相关。同样,痴呆症患者在日语版感知压力量表中的得分越高,其烦躁程度越高(β = 0.37,95% CI:1.87-12.5,P < .05):研究结果表明,护理人员的心理负担与未能成功协助痴呆症患者按时服药有关。
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来源期刊
CiteScore
2.90
自引率
5.60%
发文量
146
期刊介绍: The International Journal of Pharmacy Practice (IJPP) is a Medline-indexed, peer reviewed, international journal. It is one of the leading journals publishing health services research in the context of pharmacy, pharmaceutical care, medicines and medicines management. Regular sections in the journal include, editorials, literature reviews, original research, personal opinion and short communications. Topics covered include: medicines utilisation, medicine management, medicines distribution, supply and administration, pharmaceutical services, professional and patient/lay perspectives, public health (including, e.g. health promotion, needs assessment, health protection) evidence based practice, pharmacy education. Methods include both evaluative and exploratory work including, randomised controlled trials, surveys, epidemiological approaches, case studies, observational studies, and qualitative methods such as interviews and focus groups. Application of methods drawn from other disciplines e.g. psychology, health economics, morbidity are especially welcome as are developments of new methodologies.
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