护理负担相关因素对痴呆患者护理人员心理健康和生活质量的影响

IF 0.3 Q4 HEALTH CARE SCIENCES & SERVICES Journal of Basic and Clinical Health Sciences Pub Date : 2022-11-09 DOI:10.30621/jbachs.915418
Onur Kekli̇kçi̇, Kenan Topal, Ç. Gereklioğlu, H. Aksoy
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引用次数: 0

摘要

目的:评估痴呆患者护理人员的护理负担以及焦虑抑郁风险与生活质量之间的关系。方法:采用“照顾者负担量表”(CBI)、“医院焦虑抑郁量表”和“世界卫生组织生活质量评估工具简版”(WHOQOL-BREF)对152名痴呆症患者的主要照顾者进行研究。结果:护理人员的平均年龄为49.4±9.0岁;其中女性占79.6%,中小学毕业生占54.6%。痴呆患者的平均年龄为79.8±8.0岁;其中女性占55.2%,晚期痴呆占46.1%,压疮占30.9%。101名(66.4%)护理人员的护理负担较高,37名(24.3%)护理人员焦虑,109名(71.7%)护理人员抑郁。在压疮患者的护理人员中,HAD-A和HAD-D评分显著较高(p=0.007,p=0.002),WHOQOL-Bref评分显著较低(p=0.001)。随着痴呆分期的增加,CBI、HAD-A和HAD-D评分显著增加(分别为0.005、0.042和0.030),WHOQOL-Bref评分显著降低(p=0.009)。HAD-A和HAD-D评分随着CBI评分的增加而增加(p=0.000,p=0.000),WHOQOL-Bref评分随着CBI评分的增加也减少(p=0.000)。结论:痴呆症给护理人员带来了较高的护理负担。至关重要的是,促进获得专业支持服务,以减轻随着年龄增长而增加的护理负担,并建立临终关怀机构,以降低精神障碍的风险,提高护理人员的生活质量。
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Influence of Care Burden-related Factors on Mental Health and Quality of Life of the Caregivers of Dementia Patients
Purpose: To evaluate the care burden of the caregivers of dementia patients and the relationship between anxiety-depression risk and quality of life. Methods: This study was conducted with 152 primary caregivers of dementia patients by using “Caregiver Burden Inventory”(CBI), “Hospital Anxiety-Depression Scale” (HADS) and “Short Version of the Quality of Life Assessment Instrument From the World Health Organization” (WHOQOL-BREF). Results: Mean age of the caregivers was 49.4±9.0 years; of them, 79.6% were females, 54.6% were graduates of elementary/secondary school. Mean age of dementia patients was 79.8±8.0 years; of them, 55.2% were females, 46.1% had advanced stage dementia and 30.9% had pressure ulcers. High care burden was detected in 101 (66.4%) caregivers, anxiety in 37 (24.3%) and depression in 109 (71.7%). The scores of HAD-A and HAD-D were significantly high (p=0.007, p=0.002) and WHOQOL-Bref score was significantly lower (p=0.001) in caregivers of the patients with pressure ulcers. Scores of CBI, HAD-A and HAD-D were found to significantly increase (p=0.005, p=0.042 and p=0.030, respectively) and WHOQOL-Bref score was found to significantly decrease (p=0.009) as stage of dementia increased. HAD-A and HAD-D scores were detected to increase (p=0.000, p=0.000) and WHOQOL-Bref score was detected to decrease (p=0.000) as CBI score increased. Conclusion: Dementia causes a high care burden for the caregivers. It is of vital importance to facilitate reaching professional support services for reducing care burden that increases with increasing stage, and establishing hospice care institutions for reducing the risk of mental disorders and for improving quality of life of the caregivers.
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Journal of Basic and Clinical Health Sciences
Journal of Basic and Clinical Health Sciences HEALTH CARE SCIENCES & SERVICES-
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50.00%
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