Grafström M, Fratiglioni L, Sandman P O, Winblad B
Stockholm Gerontology Research Center, Sweden.
J Clin Epidemiol. 1992 Aug;45(8):861-70. doi: 10.1016/0895-4356(92)90069-y.
A population-based study was performed to investigate the subjective and objective burden due to caring for a demented relative. All the relatives of the subjects with cognitive impairment, detected in a district of Stockholm, living at home, were included in the study. When compared with relatives of elderly, mentally healthy persons living at home in the same district, they had high ORs for subjective burden and for use of psychotropic drugs. Spouses were the most stressed. However, the ORs for use of medical facilities and somatic drugs were close to unity, showing that caring for a demented person did not affect the physical health of the relative. A second comparison between relatives of demented persons living at home and in institutions, showed that the relatives of institutionalized subjects were less frequently spouses and had more problems with their physical health, but both groups had similar subjective feeling of stress.
一项基于人群的研究旨在调查照顾痴呆亲属所带来的主观和客观负担。在斯德哥尔摩一个地区检测出的、居住在家中的认知障碍患者的所有亲属都被纳入了该研究。与同一地区居住在家中的心理健康的老年人的亲属相比，他们在主观负担和使用精神药物方面的比值比很高。配偶承受的压力最大。然而，使用医疗设施和躯体药物的比值比接近1，这表明照顾痴呆患者并不会影响亲属的身体健康。对居住在家中和机构中的痴呆患者的亲属进行的第二项比较表明，机构化患者的亲属中配偶较少，身体健康问题较多，但两组的主观压力感受相似。
