Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, 7 Engineering Drive 1, Singapore.
Dement Geriatr Cogn Disord. 2010;30(6):469-78. doi: 10.1159/000322086. Epub 2011 Jan 20.
BACKGROUND/AIMS: With an increasing life expectancy, the number of people suffering from dementia globally will rise to about 115.4 million by 2050. It is projected that in the 21st century, the majority of the world's older people will be living in Asia. This paper examines the global issues of family caregiving for older persons with dementia from an Asian perspective.
Literature review of published empirical studies from 1990 to October 2010.
A full understanding of the specific way that culture could influence family caregivers' burdens may play an important part in the development of a holistic model for family-centered care. Well-designed psychoeducation interventions or multicomponent interventions could help in reducing caregivers' burden. With socio-economical and demographical changes, families need to be supported when taking on the caregiving role and be offered alternatives of care.
There is a need for future trials with more rigorous randomization and longitudinal follow-up to assess family caregiver burdens at different illness stages. Future studies could focus on protective factors that promote caregivers' resilience. It is essential to develop psychometrically robust measures for family caregiver burden and gain.
背景/目的：随着预期寿命的延长，到 2050 年，全球痴呆症患者的数量将上升到约 1.154 亿。预计在 21 世纪，世界上大多数老年人将生活在亚洲。本文从亚洲视角审视全球痴呆症老年人家庭护理问题。
对 1990 年至 2010 年 10 月发表的实证研究文献进行综述。
全面了解文化如何影响家庭照顾者的负担，可能对制定以家庭为中心的护理整体模式起着重要作用。精心设计的心理教育干预或多组分干预措施有助于减轻照顾者的负担。随着社会经济和人口结构的变化，在家庭承担护理角色时需要对其提供支持，并提供替代护理的选择。
需要进一步开展试验，以更严格的随机化和纵向随访来评估不同疾病阶段家庭照顾者的负担。未来的研究可以集中于促进照顾者适应力的保护因素。开发用于家庭照顾者负担和获益的具有坚实心理测量学基础的测量工具至关重要。
