韩国痴呆症患者照料者虐待行为的患病率及危险因素 - Suppr | 超能文献

Abstract

OBJECTIVE

We investigated the prevalence and risk factors of physically abusive behaviors (PhAB) and psychologically abusive behaviors (PsAB) towards people with dementia (PWD) in family caregivers, and compared their prevalences between East Asian and Western countries.

METHODS

We estimated the prevalence and risk factors of PhAB and PsAB in 467 Korean pairs of community-dwelling PWD and their primary family caregivers. We evaluated abusive behaviors using the Modified Conflict Tactics Scale. In addition, we compared the prevalence of abusive behaviors between Asian and Western countries through a meta-analysis on 12 studies including the current one.

RESULTS

More than a half of the caregivers reported PsAB and about one out of seven caregivers admitted PhAB within past three months. PsAB and PhAB were slightly more prevalent in East Asian countries than in Western countries. Non-Alzheimer type and moderate to severe behavioral and psychological symptoms of dementia were associated with the risk of PhAB but not with the risk of PsAB. Severe care burden and low income were associated with the risk of PhAB and PsAB.

CONCLUSION

PhAB and PsAB were as prevalent in the family caregivers of PWD in Asian countries including Korea as in Western countries. Prevention strategies should be implemented according to the type of abusive behaviors.

摘要

目的

我们调查了家庭照护者对痴呆症患者实施身体虐待行为（PhAB）和心理虐待行为（PsAB）的患病率及风险因素，并比较了东亚和西方国家之间这些行为的患病率。

方法

我们评估了467对居住在社区的韩国痴呆症患者及其主要家庭照护者中PhAB和PsAB的患病率及风险因素。我们使用改良冲突策略量表评估虐待行为。此外，我们通过对包括本研究在内的12项研究进行荟萃分析，比较了亚洲和西方国家虐待行为的患病率。

结果

超过一半的照护者报告了PsAB，约七分之一的照护者承认在过去三个月内实施了PhAB。PsAB和PhAB在东亚国家的患病率略高于西方国家。非阿尔茨海默病类型以及中度至重度痴呆行为和心理症状与PhAB风险相关，但与PsAB风险无关。严重的照护负担和低收入与PhAB和PsAB风险相关。

结论

在包括韩国在内的亚洲国家，痴呆症患者家庭照护者中PhAB和PsAB的患病率与西方国家相当。应根据虐待行为的类型实施预防策略。