Department of Nursing, Taichung Veterans General Hospital, Taichung 40705, Taiwan.
Central Office of Administration, Antai Medical Corporation Antai Tian-Sheng Memorial Hospital, Pingtung County 92842, Taiwan.
Int J Environ Res Public Health. 2020 Aug 18;17(16):6009. doi: 10.3390/ijerph17166009.
This study was to evaluate the utilization of long-term care service resources by caregivers of patients with dementia (PWD) and to determine affecting factors. In this cross-sectional study, a total of 100 dyads were enrolled and caregivers responded to the questionnaires. We found 40% of caregivers not using any care resources. Between those caregivers using and not-using care resources, we found differences ( < 0.05) in their health status and living conditions; the difference ( < 0.05) was also found in patients' behavior and psychological symptoms of dementia (BPSD). The frequency of BPSD (OR = 1.045, = 0.016, 95% CI = 1.001-1.083) and the living conditions (OR = 3.519, = 0.007, 95% CI = 1.414-8.759) were related to their use of care resources. Particular BPSDs, such as anxiety or restlessness, throwaway food, aggressive behavior, tearing of clothes, and sexual harassment of patients were related to the caregivers' use of care resources ( < 0.01). Health professionals have to evaluate the patients' BPSD and identify the caregivers' essential needs. Individualized medical care and BPSD-related care resources should be provided for patients and caregivers for taking off their care burden and improving patient care.
本研究旨在评估痴呆症患者（PWD）照顾者对长期护理服务资源的利用情况，并确定影响因素。在这项横断面研究中，共纳入了 100 对患者和照顾者，由照顾者回答问卷。我们发现，有 40%的照顾者未使用任何护理资源。在使用和未使用护理资源的照顾者之间，我们发现他们的健康状况和生活条件存在差异（<0.05）；患者的行为和痴呆的心理症状（BPSD）也存在差异（<0.05）。BPSD 的频率（OR=1.045，=0.016，95%CI=1.001-1.083）和生活条件（OR=3.519，=0.007，95%CI=1.414-8.759）与他们使用护理资源有关。特定的 BPSD，如焦虑或不安、乱扔食物、攻击行为、撕扯衣服和对患者进行性骚扰，与照顾者使用护理资源有关（<0.01）。卫生专业人员必须评估患者的 BPSD，并确定照顾者的基本需求。应为患者和照顾者提供个性化的医疗护理和与 BPSD 相关的护理资源，以减轻他们的护理负担并改善患者护理。
