巴西样本中痴呆症照料者的负担：与神经精神症状的关联。
Dementia caregiver burgen in a brasilian sample: Association to neuropsychiatric symptoms.
作者信息
Fialho Patrícia Paes Araujo, Koenig Anne Marise, Dos Santos Etelvina Lucas, Guimarães Henrique Cerqueira, Beato Rogério Gomes, Carvalho Viviane Amaral, Machado Thais Helena, Caramelli Paulo
机构信息
MSc, Behavioral and Cognitive Neurology Research Group, Department of Internal Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
BSc, Behavioral and Cognitive Neurology Research Group, Department of Internal Medicine, Faculty of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
出版信息
Dement Neuropsychol. 2009 Apr-Jun;3(2):132-135. doi: 10.1590/S1980-57642009DN30200011.
UNLABELLED
Taking care of elderly demented individuals, especially when they present behavioral changes, can be very exhaustive for both family and caregivers. Generally, this leads to changes in the family lifestyle, and the caregiver must deal with a range of problems. Information on this topic in Latin America, including Brazil, remains scarce.
OBJECTIVE
To investigate the relationship between the presence of neuropsychiatric symptoms and the level of caregiver burden in a group of Brazilian elderly with dementia.
METHODS
The Brazilian versions of the Zarit Caregiver Burden Interview (ZBI) and of the Neuropsychiatric Inventory (NPI) were administered to a total of 83 family-caregivers of patients with dementia followed at a university-affiliated outpatient clinic. Pearson's correlations were calculated to measure the level of association between the scores on both instruments.
RESULTS
Among the caregivers, 83.1% were women, and had a mean age of 55.6±12.8 years. The ZBI scores ranged from 3 to 79 (mean=31.4). Patients' NPI scores ranged from 0 to 102 (mean=26.9), consistent with a significant degree of behavioral manifestations in most patients. A significant positive correlation was found between ZBI and NPI scores (r=0.402; p=0.000).
CONCLUSION
The presence and severity of behavioral manifestations assessed by the NPI were associated with a high level of caregiver burden in this sample of Brazilian elderly with dementia.
未标注
照顾老年痴呆患者，尤其是当他们出现行为变化时，对家庭和护理人员来说可能非常疲惫。一般来说，这会导致家庭生活方式的改变，护理人员必须应对一系列问题。在包括巴西在内的拉丁美洲，关于这个主题的信息仍然很少。
目的
调查一组患有痴呆症的巴西老年人中神经精神症状的存在与护理人员负担水平之间的关系。
方法
对在大学附属医院门诊就诊的83名痴呆患者的家庭护理人员进行了巴西版的 Zarit 护理人员负担访谈（ZBI）和神经精神科问卷（NPI）。计算皮尔逊相关性以测量两种工具得分之间的关联程度。
结果
在护理人员中，83.1% 为女性，平均年龄为55.6±12.8岁。ZBI 得分范围为3至79（平均 = 31.4）。患者的 NPI 得分范围为0至102（平均 = 26.9），这与大多数患者有明显程度的行为表现一致。ZBI 和 NPI 得分之间存在显著正相关（r = 0.402；p = 0.000）。
结论
在这个患有痴呆症的巴西老年样本中，通过 NPI 评估的行为表现的存在和严重程度与护理人员的高负担水平相关。
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