Argimon Josep M, Limon Esther, Vila Joan, Cabezas Carmen
Divisió d'avaluació, Servei Català de la Salut, Barcelona, Spain.
Alzheimer Dis Assoc Disord. 2005 Jan-Mar;19(1):41-4. doi: 10.1097/01.wad.0000160343.96562.8e.
Care-giver health-related quality-of-life (QoL) as a predictor of nursing-home placement of family-member patients with dementia was evaluated (using the SF-36 questionnaire) in 181 care providers (78% females; mean age 63 years) at the start and at the end of 12 months of follow-up. The patients and their carers were evaluated at home or at the local Primary Health-care Centers (n = 37) in the area of Barcelona (Catalunya, Spain). Data were evaluated using logistic regression analysis with nursing-home placement of patients as the main outcome measure, and the care-givers' QoL, demographic, medical, social and cognitive variables as covariates. The incidence rate of nursing-home placement was 10.5% (95%CI: 6.4-15.9). Carers of patients who had not been placed in a nursing home had better QoL scores, even after controlling for potential confounding factors. The adjusted odds ratio of being admitted to a nursing home was 6.4 (95%CI: 2.1-19.0) for patients cared-for by relatives who rated their health as being much worse compared with the previous year. The care-giver's poor health-related QoL significantly influenced rates of nursing-home admission of patients in their care.
在181名护理人员（78%为女性；平均年龄63岁）中，于随访12个月开始时和结束时（使用SF - 36问卷）评估了护理人员与健康相关的生活质量（QoL）作为痴呆症家庭成员患者入住养老院的预测指标。患者及其护理人员在巴塞罗那（西班牙加泰罗尼亚）地区的家中或当地初级保健中心（n = 37）接受评估。数据采用逻辑回归分析进行评估，以患者入住养老院作为主要结局指标，护理人员的QoL、人口统计学、医学、社会和认知变量作为协变量。入住养老院的发生率为10.5%（95%CI：6.4 - 15.9）。即使在控制了潜在混杂因素后，未将患者送入养老院的护理人员的QoL得分更高。与前一年相比，认为自己健康状况差得多的亲属照顾的患者入住养老院的调整优势比为6.4（95%CI：2.1 - 19.0）。护理人员与健康相关的QoL较差显著影响了他们所照顾患者的养老院入住率。
