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痴呆症患者照顾者孤独感的流行率和预测因素:来自 IDEAL 计划的研究结果。

The prevalence and predictors of loneliness in caregivers of people with dementia: findings from the IDEAL programme.

机构信息

Department of Clinical Sciences, College of Health and Life Sciences, Brunel University London, Uxbridge, UK.

The Centre for Applied Dementia Studies, University of Bradford, Bradford, UK.

出版信息

Aging Ment Health. 2021 Jul;25(7):1232-1238. doi: 10.1080/13607863.2020.1753014. Epub 2020 Apr 20.

Abstract

OBJECTIVES

To establish the prevalence of loneliness among family caregivers of people with dementia and to identify potential risk factors for loneliness.

METHODS

Using data from the baseline wave of the Improving the experience of Dementia and Enhancing Active Life (IDEAL) cohort study, we examined loneliness in 1283 family caregivers of people with mild-to-moderate dementia living in Great Britain. Multinomial regression was used to examine the relative influence of a series of risk factors for caregiver loneliness.

RESULTS

Almost half, 43.7%, of caregivers reported moderate loneliness and 17.7% reported severe loneliness. Greater social isolation and increased caregiving stress were linked with both moderate and severe loneliness. Better quality of relationship with the person with dementia along with increased levels of well-being and life satisfaction were associated with a lower relative risk of reporting both moderate and severe loneliness.

DISCUSSION

This study examines the prevalence and predictors of loneliness in a large sample of family caregivers of people with dementia. Notably over two-thirds of caregivers in our sample reported feeling lonely. Interventions aimed at reducing caregiving stress and supporting meaningful relationships may go some way towards helping to reduce loneliness.

摘要

目的

确定痴呆症患者家庭照顾者中孤独感的普遍程度,并确定孤独感的潜在风险因素。

方法

利用改善痴呆症体验和增强积极生活(IDEAL)队列研究基线波的数据,我们检查了居住在英国的 1283 名轻度至中度痴呆症患者家庭照顾者的孤独感。使用多项回归分析了一系列照顾者孤独感风险因素的相对影响。

结果

近一半(43.7%)的照顾者报告中度孤独,17.7%报告严重孤独。社交隔离程度增加和照顾压力增加与中度和重度孤独感均有关联。与痴呆症患者关系质量更好,以及幸福感和生活满意度提高与报告中度和重度孤独感的相对风险降低有关。

讨论

本研究在一个大型的痴呆症患者家庭照顾者样本中检查了孤独感的普遍性和预测因素。值得注意的是,我们样本中的超过三分之二的照顾者报告感到孤独。旨在减轻照顾压力和支持有意义关系的干预措施可能有助于减少孤独感。

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