Department of Psychiatric Nursing, Graduate School of Medicine, the University of Tokyo, Tokyo, Japan.
Geriatr Nurs. 2010 Jul-Aug;31(4):246-53. doi: 10.1016/j.gerinurse.2010.01.002. Epub 2010 Mar 6.
The purpose of this study was to identify the impact of the behavioral, psychological, and functional symptoms of dementia on the burden of formal caregivers. A cross-sectional study was conducted among formal caregivers caring for residents with dementia in Japan. The Zarit Caregiver Burden Interview (ZBI) personal strain items, the Personal Self-Maintenance Scale (PSMS), and the Troublesome Behavior Scale (TBS) were used to assess the level of formal caregiver burden, activities of daily living (ADL), and behavioral and psychological symptoms of dementia (BPSD), respectively. The data from 445 respondents were analyzed using multiple linear regression analyses to predict the burden on formal caregivers. Disruptive behaviors, such as aggression, screaming, and a low ADL levels among residents with dementia were significantly correlated with higher formal caregiver burden. The results of this study support a positive relationship between BPSD, low ADL levels, and formal caregiver burden in caring for residents with dementia. These results illustrate the various characteristics of the burdens on staff members compared with those faced by individuals who provide informal care.
本研究旨在确定痴呆症患者的行为、心理和功能症状对正式照顾者负担的影响。在日本，对照顾痴呆症居民的正式照顾者进行了横断面研究。使用 Zarit 照顾者负担访谈 (ZBI) 个人紧张项目、个人自我维持量表 (PSMS) 和麻烦行为量表 (TBS) 分别评估正式照顾者负担、日常生活活动 (ADL) 和行为和心理症状的严重程度。使用多重线性回归分析对 445 名受访者的数据进行分析，以预测正式照顾者的负担。居民的破坏性行为，如攻击性、尖叫和较低的 ADL 水平与正式照顾者的高负担显著相关。这项研究的结果支持了在照顾痴呆症患者时，BPSD、低 ADL 水平与正式照顾者负担之间的正相关关系。这些结果说明了与提供非正式护理的个人相比，工作人员面临的各种负担特征。
