应对痴呆症患者照护者负担，领悟社会支持有帮助吗？

Is sense of coherence helpful in coping with caregiver burden for dementia?

机构信息

Department of Neuropsychiatry, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan.

出版信息

Psychogeriatrics. 2014 Jun;14(2):87-92. doi: 10.1111/psyg.12050.

DOI:10.1111/psyg.12050

PMID:24954832

Abstract

BACKGROUND

Sense of coherence (SOC) is associated with a reduced risk of various health problems and is thought to be a major factor related to the ability to cope with stress. In the present study, we examined the association between caregiver burden and SOC among caregivers to persons with dementia.

METHODS

Participants included 274 caregivers or family members of community-dwelling elderly dementia patients. To assess the cognitive function of patients, neuropsychological tests (e.g. Mini-Mental State Examination, Clinical Dementia Rating) were conducted by a clinical psychologist who was well trained in interviewing participants; the tests used a semi-structured interview protocol. Senior neurologists and psychiatrists also independently evaluated the dementia status of patients. To assess the SOC and caregiver burden, a social welfare counsellor asked questions from a 13-item version of the SOC scale and the short, eight-item Japanese version of the Zarit Caregiver Burden Interview (ZBI).

RESULTS

Among 78 caregivers of elderly subjects with cognitive impairment due to dementia, the ZBI score was significantly associated with SOC (r = -0.38, P = 0.001). Multiple regression analyses revealed that SOC scores (β = -0.42, P < 0.001) and Mini-Mental State Examination scores (β = -0.28, P = 0.009) were significantly associated with ZBI scores (F(2, 76) = 10.51, P < 0.001). SOC was closely associated with personal strain in the ZBI (β = -0.41, P < 0.001; F(3, 75) = 8.53, P < 0.001).

CONCLUSION

Caregivers with a strong SOC may be less prone to experiencing personal strain from their burden. These results suggest that reinforcement of SOC would contribute to reducing the personal strain.

摘要

背景

社会适应能力（SOC）与各种健康问题的风险降低有关，被认为是与应对压力的能力相关的主要因素。在本研究中，我们研究了痴呆患者照顾者的 caregiver 负担与 SOC 之间的关联。

方法

参与者包括 274 名社区居住的老年痴呆症患者的照顾者或家庭成员。为了评估患者的认知功能，由经过充分培训的临床心理学家进行神经心理学测试（例如，简易精神状态检查，临床痴呆评定）；测试使用半结构化访谈协议。高级神经科医生和精神科医生也独立评估了患者的痴呆症状况。为了评估 SOC 和 caregiver 负担，社会福利顾问根据 SOC 量表的 13 项版本和简短的 8 项日本 Zarit 照顾者负担访谈（ZBI）的短版本询问问题。

结果

在 78 名患有因痴呆引起的认知障碍的老年受试者的照顾者中，ZBI 评分与 SOC 显着相关（r=-0.38，P=0.001）。多元回归分析显示，SOC 评分（β=-0.42，P<0.001）和简易精神状态检查评分（β=-0.28，P=0.009）与 ZBI 评分显着相关（F（2,76）=10.51，P<0.001）。SOC 与 ZBI 中的个人压力密切相关（β=-0.41，P<0.001；F（3,75）=8.53，P<0.001）。