School of Nursing, Chung Shan Medical University, Chung Shan Medical University Hospital, Asia University, Taichung City, Taiwan.
School of Nursing, Asia University, Taichung City, Taiwan.
Int Nurs Rev. 2015 Sep;62(3):340-50. doi: 10.1111/inr.12194. Epub 2015 Jun 8.
Dementia is an irreversible illness. The caregiver is expected to assume increased responsibility as the condition of the person with dementia declines. It is important to explore the factors constituting caregiver burden on the informal caregivers of people with dementia.
The purpose of this article is to identify the factors constituting caregiver burden on the informal caregivers of people with dementia living in the community.
A systematic review of the four databases, including PubMed, PsycINFO, CINAHL and the Cochrane Library, was carried out to access relevant articles published between 2003 and 2012. Twenty-one articles met the inclusion criteria of this study.
Behavioural problems or psychological symptoms were the primary factor of the person with dementia that is associated with caregiver burden. Caregiver socio-demographical factors and psychological factors were the two primary factors of the caregiver burden.
Several results of this study were based on studies that had their own limitations. Furthermore, the concept of caregiver 'burden' was not clearly defined in some of the studies; instead, the term was broadly defined.
Factors of caregiver burden in regard to people with dementia living in the community were clarified in this review study. By identifying all of the factors, healthcare professionals can deliver appropriate assistance to relieve caregiver burden and improve the quality of caregiving for people with dementia.
It is important to identify the factors of the burden on the caregivers of people with dementia living in the community to prevent early nursing home placement, deterioration of caregiver's health and reduce the adverse health outcomes for care recipients. A health-related policy should be formulated to help informal caregivers receive more professional assistance. Training opportunities should be provided for family caregivers to reduce the impact of caregiving on the delivery of effective care.
痴呆症是一种无法治愈的疾病。随着痴呆症患者病情的恶化，照顾者预计将承担更多的责任。探索构成痴呆症患者非专业照顾者负担的因素非常重要。
本文旨在确定社区中痴呆症患者非专业照顾者负担的构成因素。
对包括 PubMed、PsycINFO、CINAHL 和 Cochrane Library 在内的四个数据库进行了系统综述，以获取 2003 年至 2012 年间发表的相关文章。有 21 篇文章符合本研究的纳入标准。
行为问题或心理症状是与照顾者负担相关的痴呆症患者的主要因素。照顾者的社会人口学因素和心理因素是照顾者负担的两个主要因素。
本研究的一些结果是基于本身存在局限性的研究得出的。此外，一些研究中没有明确界定照顾者“负担”的概念，而是将其宽泛地定义。
本综述研究明确了社区中痴呆症患者照顾者负担的因素。通过确定所有因素，医疗保健专业人员可以提供适当的帮助，减轻照顾者的负担，提高对痴呆症患者的护理质量。
识别社区中痴呆症患者照顾者负担的因素对于防止他们过早入住养老院、照顾者健康状况恶化以及减少护理对象的不良健康后果非常重要。应制定与健康相关的政策，以帮助非专业照顾者获得更多的专业援助。应为家庭照顾者提供培训机会，以减轻照顾对有效护理的影响。
