Mercer's Institute for Research on Ageing, St James's Hospital, Dublin, Ireland.
Am J Alzheimers Dis Other Demen. 2011 May;26(3):205-11. doi: 10.1177/1533317511400307. Epub 2011 Mar 4.
The desire to institutionalize is an important predictor of future institutionalization. Few studies have examined potentially modifiable caregiver characteristics which might be the focus of future interventional strategies.
A total of 102 patient/caregiver dyads with Alzheimer's disease (n = 84) or mild cognitive impairment were recruited through a memory clinic. Cross-sectional analyses of a range of patients, caregivers, and context of care-related characteristics were conducted.
Caregiver desire to institutionalize was significantly associated with a number of potentially modifiable variables including caregiver coping style, self-efficacy, depression, burden, and the presence of an unmet service need. In a multivariate analysis, caregiver burden, depression, and nonspousal status were the only significant independent predictors of caregiver desire to institutionalize in a model which correctly classified 80.4% of caregivers.
Interventions which seek to reduce caregiver desire to institutionalize should adopt a multifactorial approach to reduce symptoms of burden and depression in caregivers.
住院意愿是未来住院的一个重要预测因素。很少有研究关注可能改变的照顾者特征，这些特征可能是未来干预策略的重点。
通过记忆诊所共招募了 102 对患有阿尔茨海默病（n=84）或轻度认知障碍的患者/照顾者。对一系列患者、照顾者和护理相关特征进行了横断面分析。
照顾者住院意愿与许多潜在的可改变的变量显著相关，包括照顾者应对方式、自我效能感、抑郁、负担以及未满足的服务需求。在多变量分析中，照顾者负担、抑郁和非配偶身份是照顾者住院意愿的唯一显著独立预测因素，该模型正确分类了 80.4%的照顾者。
旨在减少照顾者住院意愿的干预措施应采取多因素方法，减轻照顾者的负担和抑郁症状。
