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痴呆症患者家庭照顾者的心理困扰体验:一项横断面研究。

The experience of psychological distress in family caregivers of people with dementia: A cross-sectional study.

作者信息

Abreu Wilson, Rodrigues Teresa, Sequeira Carlos, Pires Regina, Sanhudo Ana

机构信息

Center for Health Technology and Services Research (CINTESIS), Porto School of Nursing, Porto, Portugal.

Porto School of Nursing, Porto, Portugal.

出版信息

Perspect Psychiatr Care. 2018 Apr;54(2):317-323. doi: 10.1111/ppc.12240. Epub 2017 Oct 27.

DOI:10.1111/ppc.12240
PMID:29077985
Abstract

PURPOSE

To evaluate the degree of psychological distress in family caregivers of people with dementia.

DESIGN AND METHODS

A nonprobabilistic sample of 54 dyads (people with dementia and family caregivers) was recruited. A sociodemographic questionnaire, the Brief Symptom Inventory (BSI), and the Barthel Index were used for data collection.

FINDINGS

About half of the caregivers had significant levels of psychological distress. Caregivers showed high scores in some BSI dimensions: somatization, obsessive-compulsion, interpersonal sensitivity, anxiety, and paranoid ideation.

PRACTICE IMPLICATIONS

Alleviating the caregivers' distress is likely to have positive effects on the overall health and capacity to care. Frameworks for providing palliative care to people with advanced dementia and support the caregivers would enhance the quality of care provided and may reduce the distress on the caregiver.

摘要

目的

评估痴呆症患者家庭照料者的心理困扰程度。

设计与方法

招募了54对二元组(痴呆症患者及其家庭照料者)的非概率样本。使用社会人口学问卷、简明症状量表(BSI)和巴氏指数进行数据收集。

研究结果

约一半的照料者有显著程度的心理困扰。照料者在BSI的某些维度上得分较高:躯体化、强迫观念及强迫行为、人际敏感、焦虑和偏执观念。

实践意义

减轻照料者的困扰可能会对其整体健康和照料能力产生积极影响。为晚期痴呆症患者提供姑息治疗并支持照料者的框架将提高所提供的护理质量,并可能减轻照料者的困扰。

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