Boltz Marie, Chippendale Tracy, Resnick Barbara, Galvin James E
*Boston College, William F. Connell School of Nursing, Chestnut Hill, MA †Department of Occupational Therapy, Steinhardt School of Culture, Education, and Human Development, New York University §Departments of Neurology, Psychiatry, Nursing, Nutrition, and Population Health, Alzheimer Disease Center and Center for Cognitive Neurology, New York University Langone School of Medicine, New York, NY ‡University of Maryland School of Nursing, Baltimore, MD.
Alzheimer Dis Assoc Disord. 2015 Jul-Sep;29(3):236-41. doi: 10.1097/WAD.0000000000000072.
Baseline health and functional vulnerabilities increase the risk for complications in persons with dementia and predispose family caregivers (FCGs) to increased stress.
This secondary analysis used a combined quantitative and qualitative approach. Regression analyses examined the contribution of patient and FCG characteristics to FCG anxiety. Interviews with FCGs explored the experiences and responses of FCGs during hospitalization of their family member with dementia.
Lower patient physical function and higher caregiver strain were associated with higher FCG anxiety. FCGs described the following themes related to the hospitalization: (1) added strain, (2) care-related worries, (3) keeping vigil, (4) need to be heard, and (5) enablers of FCGs.
Routine evaluation of caregiver strain and baseline patient function is integral to informing the transitional planning for persons with dementia. The FCG responses suggest that a multifactorial approach (family-centered policies of partnership in care, staff education addressing the specialized needs of patients and family members, and attention to promoting functional recovery) may benefit both hospitalized patients with dementia as well as FCGs and warrants future research.
基线健康状况和功能脆弱性会增加痴呆症患者出现并发症的风险，并使家庭护理人员（FCG）面临更大的压力。
本二次分析采用定量与定性相结合的方法。回归分析考察了患者和FCG特征对FCG焦虑的影响。对FCG进行访谈，探讨其家庭成员患痴呆症住院期间FCG的经历和反应。
患者身体功能较差和护理人员负担较重与FCG较高的焦虑水平相关。FCG描述了与住院相关的以下主题：（1）负担加重，（2）护理相关担忧，（3）守夜，（4）需要被倾听，以及（5）FCG的促成因素。
对护理人员负担和患者基线功能进行常规评估对于为痴呆症患者制定过渡计划至关重要。FCG的反应表明，多因素方法（以家庭为中心的护理伙伴关系政策、针对患者和家庭成员特殊需求的工作人员教育以及对促进功能恢复的关注）可能使住院痴呆症患者和FCG都受益，值得未来开展研究。
