Terayama Hideyuki, Sakurai Hirofumi, Namioka Nayuta, Jaime Rieko, Otakeguchi Koko, Fukasawa Raita, Sato Tomohiko, Hirao Kentaro, Kanetaka Hidekazu, Shimizu Soichiro, Umahara Takahiko, Hanyu Haruo
Department of Geriatric Medicine, Tokyo Medical University, Tokyo, Japan.
Comprehensive Counseling and Support Center, Tokyo Medical University Hospital, Tokyo, Japan.
Psychogeriatrics. 2018 Sep;18(5):327-333. doi: 10.1111/psyg.12337. Epub 2018 Jul 10.
To determine whether providing education to caregivers of patients with dementia decreases their depression symptoms and burden.
Eighty-three outpatients with dementia being treated at the Memory Clinic of Tokyo Medical University Hospital and their caregivers were enrolled. Forty-seven caregivers were enrolled in the caregivers' education (EDU) group and 36 were enrolled in the control (CTL) group. Caregivers were assessed for depression, burden, and quality of life (QoL). Patients were assessed for cognition, psychological symptoms, and QoL. Assessments were carried out at baseline and at 3 months (3M). Caregivers in the EDU group received lectures on symptoms and progression of dementia, management of symptoms, use of social resources etc. RESULTS: At 3M, prevalence of depression symptoms in the EDU group significantly decreased from 36% to 17%, whereas it significantly increased from 22% to 50% in the CTL group. Depression and burden were significantly improved at 3M in the EDU group, whereas they significantly worsened in the CTL group. Psychological symptoms showed a lower tendency at 3M for the EDU group. No significant changes in QoL of caregivers and patients were found in either group.
Providing education to caregivers of patients with dementia improves their depression symptoms and sense of burden, and tends to improve the behaviour and psychological symptoms of dementia in the patients. Providing education to caregivers of dementia patients may hence result in beneficial effects for both the patients and their caregivers, and should be widely used in dementia care.
确定为痴呆症患者的照料者提供教育是否能减轻他们的抑郁症状和负担。
招募了东京医科大学医院记忆门诊正在接受治疗的83名痴呆症门诊患者及其照料者。47名照料者被纳入照料者教育（EDU）组，36名被纳入对照组（CTL）。对照料者的抑郁、负担和生活质量（QoL）进行评估。对患者的认知、心理症状和QoL进行评估。在基线和3个月（3M）时进行评估。EDU组的照料者接受了关于痴呆症症状和进展、症状管理、社会资源利用等方面的讲座。结果：在3M时，EDU组抑郁症状的患病率从36%显著降至17%，而CTL组则从22%显著升至50%。EDU组在3M时抑郁和负担显著改善，而CTL组则显著恶化。EDU组在3M时心理症状有降低的趋势。两组照料者和患者的QoL均未发现显著变化。
为痴呆症患者的照料者提供教育可改善他们的抑郁症状和负担感，并倾向于改善患者痴呆症的行为和心理症状。因此，为痴呆症患者的照料者提供教育可能对患者及其照料者都产生有益影响，应在痴呆症护理中广泛应用。
