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轻度和中度痴呆症患者照料者的生活质量

Caregivers' quality of life in mild and moderate dementia.

作者信息

Santos Raquel Luiza, Sousa Maria Fernanda Barroso de, Simões-Neto José Pedro, Nogueira Marcela Lima, Belfort Tatiana T, Torres Bianca, Rosa Rachel Dias Lopes da, Laks Jerson, Dourado Marcia Cristina Nascimento

机构信息

Centro para Doença de Alzheimer e Outros Transtornos Mentais da Velhice, Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.

Departamento de Sociologia Política, Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil.

出版信息

Arq Neuropsiquiatr. 2014 Dec;72(12):931-7. doi: 10.1590/0004-282X20140155.

DOI:10.1590/0004-282X20140155
PMID:25517642
Abstract

OBJECTIVE

To investigate quality of life (QoL) of caregivers of mild and moderate dementia and the aspects related to QoL.

METHOD

Cross-sectional assessment of dyads of people with dementia (PwD) and family caregivers (n=88).

RESULTS

Burden (p<0.05) and depressive symptoms (p<0.001) were related to caregivers' QoL in both stages of dementia. In mild dementia, caregivers' depressive symptoms (p<0.001) and PwD neuropsychiatric symptoms (p<0.001) were related to burden. PwD aberrant motor activity (p<0.001) and anxiety (p<0.001), and caregiver-reported QoL domains of friends (p<0.001) and mood (p<0.05) were related to depressive symptoms. In moderate dementia, self-reported QoL (p<0.01) and anxiety (p<0.01), and PwD anxiety (p<0.01) were related to burden. Caregivers' anxiety (p<0.001) and self-reported QoL (p<0.001) were related to depressive symptoms.

CONCLUSION

Burden and depressive symptoms were related to QoL of caregivers of mild and moderate dementia. However, they are driven by different factors according to dementia severity.

摘要

目的

调查轻度和中度痴呆患者照料者的生活质量(QoL)及其与生活质量相关的方面。

方法

对痴呆患者(PwD)及其家庭照料者组成的二元组进行横断面评估(n = 88)。

结果

在痴呆的两个阶段,负担(p<0.05)和抑郁症状(p<0.001)均与照料者的生活质量相关。在轻度痴呆中,照料者的抑郁症状(p<0.001)和痴呆患者的神经精神症状(p<0.001)与负担相关。痴呆患者的异常运动活动(p<0.001)和焦虑(p<0.001),以及照料者报告的朋友生活质量领域(p<0.001)和情绪(p<0.05)与抑郁症状相关。在中度痴呆中,自我报告的生活质量(p<0.01)和焦虑(p<0.01),以及痴呆患者的焦虑(p<0.01)与负担相关。照料者的焦虑(p<0.001)和自我报告的生活质量(p<0.001)与抑郁症状相关。

结论

负担和抑郁症状与轻度和中度痴呆患者照料者的生活质量相关。然而,根据痴呆严重程度,它们由不同因素驱动。

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