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印度西部某地区农村和部落人口中认知障碍老年人照料者的家庭负担——一项基线研究

Family Burden in Caregivers of Elderly with Cognitive Impairment residing in Rural and Tribal Population of a District in Western India - A Baseline Study.

作者信息

Misra Shobha, Oswal Rajat, Patel Mehul

机构信息

Department of Community Medicine, Medical College Baroda, Vadodara, Gujarat, India.

Department of Psychiatry, Medical College Baroda and Attached Hospital, SSGH, Vadodara, Gujarat, India.

出版信息

Indian J Community Med. 2020 Oct-Dec;45(4):445-447. doi: 10.4103/ijcm.IJCM_484_19. Epub 2020 Oct 28.

Abstract

STUDY OBJECTIVES

The objective was to assess cognitive impairment (CI) in adults older than 59 years, residing in rural and tribal population and to assess family burden of those who had significant CI.

MATERIALS AND METHODS

This cross-sectional study was conducted among adults residing in the rural population of a block in a district located in Western India in 2015. A total of 240 households from 12 villages of the block were selected by multistage and random sampling method. Mini-mental state examination and Zarit Burden Interview tools were used to assess CI and burden. Data were entered in MS Excel 2007 and analyzed with descriptive statistics and Chi-squared test.

RESULTS

A total of 212 adults aged over 59 years were studied. The overall prevalence of CI was 42.92%. There was a statistically significant difference seen in CI among females as compared to males. Interview of primary care taker showed that 32 (35.16%) caregivers had little or no burden, 53 (58.24%) had mild-to-moderate burden, and 6 (6.59%) had moderate-to-severe burden, while none had a severe burden.

CONCLUSIONS

Enabling caregivers to provide at home care for longer periods before hospitalization would decrease the burden of CI.

摘要

研究目的

目的是评估居住在农村和部落地区的59岁以上成年人的认知障碍(CI),并评估患有严重认知障碍者的家庭负担。

材料与方法

这项横断面研究于2015年在印度西部一个地区的一个街区的农村居民中进行。通过多阶段随机抽样方法从该街区12个村庄的240户家庭中选取样本。使用简易精神状态检查表和扎里特负担访谈工具来评估认知障碍和负担。数据录入MS Excel 2007,并采用描述性统计和卡方检验进行分析。

结果

共研究了212名59岁以上的成年人。认知障碍的总体患病率为42.92%。女性认知障碍与男性相比有统计学显著差异。对主要照顾者的访谈显示,32名(35.16%)照顾者负担很小或没有负担,53名(58.24%)有轻度至中度负担,6名(6.59%)有中度至重度负担,而没有人有重度负担。

结论

使照顾者能够在住院前更长时间在家中提供护理将减轻认知障碍的负担。

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