Kuo Li-Min, Huang Huei-Ling, Hsu Wen-Chuin, Wang Yi-Ting, Shyu Yea-Ing L
School of Gerontology Health Management, College of Nursing, Taipei Medical University, 250 Wu Hsing St., Taipei 11031, Taiwan.
Department of Gerontological Care and Management, Chang Gung University of Science and Technology, 261 Wenhwa 1st Road, Guishan District, Taoyuan City 33303, Taiwan.
Geriatr Nurs. 2016 Sep-Oct;37(5):376-384. doi: 10.1016/j.gerinurse.2016.05.005. Epub 2016 Jun 10.
Patients with dementia differ in their behavioral and psychological symptoms according to their diagnosis with Alzheimer's disease (AD) or vascular dementia (VaD), requiring different symptom-management strategies. This study analyzed data from a sub-sample of a randomized clinical trial to determine the effects of a home-based training program on family caregivers of patients with dementia in northern Taiwan. Our sub-sample comprised patient-caregiver dyads (46 VaD and 68 AD patients) followed for 18 months. Caregivers of AD patients in the intervention group had better competence, preparedness, health-related quality of life, and fewer depressive symptoms than those in the control group. Caregivers of VaD patients in the intervention group had better competence and health-related quality of life than those in the control group. The training program benefited family caregivers of AD patients more than caregivers of VaD patients. Specific training programs need to be developed for family caregivers of VaD patients.
患有痴呆症的患者，根据其被诊断为阿尔茨海默病（AD）或血管性痴呆（VaD），其行为和心理症状有所不同，这需要不同的症状管理策略。本研究分析了一项随机临床试验子样本的数据，以确定一项居家训练计划对台湾北部痴呆症患者家庭照顾者的影响。我们的子样本包括患者 - 照顾者二元组（46名VaD患者和68名AD患者），随访18个月。干预组中AD患者的照顾者比对照组的照顾者具有更好的能力、准备情况、健康相关生活质量，且抑郁症状更少。干预组中VaD患者的照顾者比对照组的照顾者具有更好的能力和健康相关生活质量。该训练计划对AD患者的家庭照顾者的益处大于VaD患者的照顾者。需要为VaD患者的家庭照顾者制定特定的训练计划。
