台湾地区家庭陪同就诊与痴呆严重程度的关系。
The Relationship between Clinic Visit Accompanied by Family and Dementia Severity in Taiwan.
机构信息
Department of Medical Education and Research, Jen-Ai Hospital, Taichung 41256, Taiwan.
Department of Eldercare, Central Taiwan University of Science and Technology, Taichung 40601, Taiwan.
出版信息
Int J Environ Res Public Health. 2021 Feb 12;18(4):1792. doi: 10.3390/ijerph18041792.
INTRODUCTION
This study analyzes the severity of dementia status with clinical dementia rating (CDR) score distribution among patients according to various family functional and sociodemographic issues.
METHODS
A cross-sectional study was performed in a regional hospital in Central Taiwan. The sample consisted of 318 patients who came to the clinic from May 2018 to April 2019, and who were diagnosed by the physicians with CDR scores ≧ 0.5. The Chi-Square test and binary logistic regression analyses were performed for inferential statistical analysis.
RESULTS
The mean age of the sample was 78.7 ± 8.51 years, and 61.6% of the samples' CDR scores were equal or less than 1.0. Patients visiting the clinic were accompanied by spouses (21.7%), sons or daughters-in-law (40.6%), daughters (23.6%). Of the sample, 142 (44.3%) patients live with sons. Patients with a lower educational level had higher CDR scores. Compared to the patients who went to the clinic by themselves, the higher OR values of CDR scores ≧ 2 are found in patients who were accompanied by other relatives (OR = 18.871, 95% C.I. = 3.117-114.237, = 0.001), or spouse (OR = 10.783, 95% C.I. = 1.996-58.245, = 0.006).
CONCLUSION
The family member who accompanied the patient to a clinic visit and the patient's educational level are both significant issues relating to the severity of dementia.
简介
本研究通过临床痴呆评定量表（CDR）评分分布，分析了不同家庭功能和社会人口学问题患者的痴呆严重程度。
方法
本研究采用横断面研究方法，在台湾中部的一家地区医院进行。样本包括 2018 年 5 月至 2019 年 4 月期间因 CDR 评分≧0.5 而由医生诊断为痴呆的 318 名患者。采用卡方检验和二元逻辑回归分析进行推断性统计分析。
结果
样本的平均年龄为 78.7±8.51 岁，61.6%的样本 CDR 评分等于或小于 1.0。就诊时由配偶（21.7%）、儿子或儿媳（40.6%）、女儿（23.6%）陪同。在样本中，有 142 名（44.3%）患者与儿子同住。受教育程度较低的患者 CDR 评分较高。与独自就诊的患者相比，有其他亲属陪同（OR=18.871，95%CI=3.117-114.237，=0.001）或配偶陪同（OR=10.783，95%CI=1.996-58.245，=0.006）的患者 CDR 评分≧2 的比值比更高。
结论
陪同患者就诊的家属和患者的受教育程度都是与痴呆严重程度相关的重要问题。
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