Etters Lynn, Goodall Debbie, Harrison Barbara E
Detroit Medical Center Huron Valley-Sinai Hospital, Krieger Geriatric Center, Commerce, Twp Michigan, USA.
J Am Acad Nurse Pract. 2008 Aug;20(8):423-8. doi: 10.1111/j.1745-7599.2008.00342.x.
To identify current evidence of factors influencing dementia-related caregiver burden (CB), describe patient and caregiver characteristics associated with CB, and describe evidence-based interventions designed to lessen the burden of caregiving.
Comprehensive literature review of Cumulative Index of Nursing and Allied Health Literature, MEDLINE, and Psych Info was performed for the years 1996-2006 of peer-reviewed journals using keywords CB and dementia.
Dementia caregiving has been associated with negative effects on caregiver health and early nursing home placement for dementia patients. Many factors influence the impact of the caregiving experience such as gender, relationship to the patient, culture, and personal characteristics. Although various interventions have been developed with the goal of alleviating CB, evidence suggests that individually developed multicomponent interventions including a diversity of services will decrease burden, improve quality of life, and enable caregivers to provide at-home care for longer periods prior to institutionalization.
The ability to properly assess the dementia patient-caregiver dyad related to CB is critical to decreasing its negative physical and psychological health outcomes. Appropriately tailored interventions can improve the health and well-being of both caregiver and patient.
确定影响痴呆症相关照料者负担（CB）的因素的当前证据，描述与CB相关的患者和照料者特征，并描述旨在减轻照料负担的循证干预措施。
使用关键词CB和痴呆症，对1996年至2006年同行评审期刊的护理及相关健康文献累积索引、医学期刊数据库（MEDLINE）和心理学文摘数据库进行了全面的文献综述。
痴呆症照料与照料者健康的负面影响以及痴呆症患者早期入住养老院有关。许多因素会影响照料经历的影响，如性别、与患者的关系、文化和个人特征。尽管已开发出各种旨在减轻CB的干预措施，但证据表明，个体化制定的多成分干预措施，包括多种服务，将减轻负担、改善生活质量，并使照料者能够在机构化之前更长时间地提供居家护理。
正确评估与CB相关的痴呆症患者-照料者二元组的能力对于减少其负面的身心健康结果至关重要。适当定制的干预措施可以改善照料者和患者的健康与福祉。
