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痴呆患者家庭照料者的倦怠。

Burnout in familial caregivers of patients with dementia.

机构信息

Center for Alzheimer's Disease, Institute of Psychiatry, Universidade Federal do Rio de Janeiro, Brazil.

出版信息

Braz J Psychiatry. 2012 Dec;34(4):405-12. doi: 10.1016/j.rbp.2012.02.006.

Abstract

OBJECTIVES

Familial caregivers of demented patients suffer from high levels of burden of care, but the literature is sparse regarding the prevalence and predictors of burnout in this group. Burnout is composed of three dimensions: emotional exhaustion (EE), depersonalization (DP) and reduced personal accomplishment (RPA). We aimed to investigate the associations between burnout dimensions and the caregivers' and patients' sociodemographic and clinical characteristics.

METHODS

This study is cross-sectional in design. Caregivers (N = 145) answered the Maslach Burnout Inventory, Beck Depression Inventory, Beck Anxiety Inventory and a Sociodemographic Questionnaire. Patients (N = 145) were assessed with the Mini Mental State Examination, Functional Activities Questionnaire, Neuropsychiatric Inventory, and Clinical Dementia Rating Scale.

RESULTS

High levels of EE were present in 42.1% of our sample, and DP was found in 22.8%. RPA was present in 38.6% of the caregivers. The caregivers' depression and the patients' delusions remained the significant predictors of EE.

CONCLUSIONS

The presence of caregiver depression and patient delusions should always be part of the multidisciplinary evaluation of dementia cases.

摘要

目的

痴呆患者的家庭照料者承受着较高的照料负担,但关于该群体中倦怠的患病率和预测因素的文献却很少。倦怠由三个维度组成:情绪衰竭(EE)、去人性化(DP)和个人成就感降低(RPA)。我们旨在研究倦怠维度与照料者和患者的社会人口学和临床特征之间的关系。

方法

本研究为横断面设计。照料者(N=145)回答了 Maslach 倦怠量表、贝克抑郁量表、贝克焦虑量表和社会人口学问卷。患者(N=145)接受了简易精神状态检查、功能活动问卷、神经精神问卷和临床痴呆评定量表的评估。

结果

我们的样本中,有 42.1%的人存在高度的 EE,22.8%的人存在 DP。38.6%的照料者存在 RPA。照料者的抑郁和患者的妄想仍然是 EE 的显著预测因素。

结论

照料者的抑郁和患者的妄想应始终作为痴呆病例多学科评估的一部分。

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