阿尔茨海默病患者的照料者心理调适与机构化照料

Caregiver psychological adjustment and institutionalization of persons with Alzheimer's disease.

作者信息

Gilley David W, McCann Judith J, Bienias Julia L, Evans Denis A

机构信息

Rush Institute for Healthy Aging, USA.

出版信息

J Aging Health. 2005 Apr;17(2):172-89. doi: 10.1177/0898264304274252.

DOI:10.1177/0898264304274252

PMID:15750050

Abstract

UNLABELLED

This prospective study examines the relationship between caregiver psychological adjustment and institutionalization of persons with Alzheimer's disease (AD).

METHOD

A 3-year longitudinal study was conducted with a clinic-based cohort of 396 persons with AD and their respective family caregivers. Caregiver adjustment was sequentially measured in 3-month intervals using standard scales of appraisal (perceived burden and satisfaction) and emotion (depressive symptoms and positive affect).

RESULTS

In multivariable proportional hazards regression models predicting time to institutionalization controlling for AD severity, hazard ratios were significant for appraisal measures of caregiver adjustment, perceived burden (1.053; 95% confidence interval [CI], 1.014, 1.093), and satisfaction (.929; 95% CI, .883, .977). In contrast, levels of caregivers' positive and negative emotion did not reliably predict institutionalization.

DISCUSSION

The findings highlight the importance of caregiver appraisals in decisions to institutionalize persons with a dementia syndrome, but the limited impact of caregiver emotion was unexpected and requires further study.

摘要

未标注

本前瞻性研究探讨了阿尔茨海默病（AD）患者的照料者心理调适与机构化安置之间的关系。

方法

对396名AD患者及其各自的家庭照料者组成的临床队列进行了为期3年的纵向研究。使用评估标准量表（感知负担和满意度）和情绪标准量表（抑郁症状和积极情绪），每隔3个月依次测量照料者的调适情况。

结果

在控制AD严重程度的多变量比例风险回归模型中，预测机构化安置时间时，照料者调适的评估指标、感知负担（1.053；95%置信区间[CI]，1.014，1.093）和满意度（.929；95%CI，.883，.977）的风险比具有统计学意义。相比之下，照料者的积极和消极情绪水平并不能可靠地预测机构化安置情况。