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印度尼西亚痴呆症患者及其照护者的生活质量关系。

Relationship Between Quality of Life of People with Dementia and Their Caregivers in Indonesia.

机构信息

Department of Psychiatry, Faculty of Medicine Universitas Indonesia, Cipto Mangunkusumo Hospital, Jakarta, Indonesia.

出版信息

J Alzheimers Dis. 2021;81(3):1311-1320. doi: 10.3233/JAD-201550.

Abstract

BACKGROUND

Caregivers, as one of the most important roles in caring for a person with dementia, have a challenging task. Therefore, maintaining the quality of life (QoL) of caregivers is an integral part of dementia care.

OBJECTIVE

To explore the relationship between the QoL of people with dementia and their caregivers in Indonesia.

METHODS

This is a cross-sectional study using binary correlations to analyze the relationship between people with dementia and caregivers' QoL. Conducted in Cipto Mangunkusumo Hospital in Jakarta, the subjects were 42 people diagnosed with dementia according to the PPDGJ-III (adapted from the ICD 10) and 42 primary caregivers with at least 6 hours duration of caregiving per day. The QoL of people with dementia was measured by EuroQol-5D and VAS EQ-5D, while severity of dementia was measured by MMSE. Caregivers underwent an interview using WHO Quality of Life Instrument (WHOQOL-BREF) and NPI.

RESULTS

Most caregivers were women, aged 40-70 years old. The study found caregivers' QoL environmental domain strongly correlated with people with dementia's QoL (r = 0.839). Severity of dementia had a strong correlation with caregivers' QoL physical domain (r = 0.946). Age, duration of caregiving per day, period of care provided by caregivers, and caregiver's distress had a strong correlation with caregiver QoL for specific domains.

CONCLUSION

There was a strong correlation between people with dementia's QoL and caregiver QoL, so in managing dementia, clinicians should consider caregivers' wellbeing as an essential part significantly affecting the quality of elderly care improvement.

摘要

背景

照顾者作为照顾痴呆症患者的最重要角色之一,任务艰巨。因此,维持照顾者的生活质量(QoL)是痴呆症护理的一个组成部分。

目的

探讨印度尼西亚痴呆症患者及其照顾者的 QoL 之间的关系。

方法

这是一项横断面研究,使用二元相关分析来分析痴呆症患者与照顾者 QoL 之间的关系。在雅加达的 Cipto Mangunkusumo 医院进行,研究对象为根据 PPDGJ-III(改编自 ICD 10)诊断为痴呆症的 42 人以及每天至少照顾 6 小时的 42 名主要照顾者。痴呆症患者的 QoL 通过 EuroQol-5D 和 VAS EQ-5D 进行测量,而痴呆症的严重程度通过 MMSE 进行测量。照顾者通过 WHO 生活质量量表(WHOQOL-BREF)和 NPI 进行访谈。

结果

大多数照顾者为女性,年龄在 40-70 岁之间。研究发现,照顾者的环境领域 QoL 与痴呆症患者的 QoL 呈强相关(r=0.839)。痴呆症的严重程度与照顾者的身体领域 QoL 呈强相关(r=0.946)。年龄、每天照顾的时间、照顾者提供的照顾时间以及照顾者的困扰与照顾者特定领域的 QoL 呈强相关。

结论

痴呆症患者的 QoL 与照顾者的 QoL 之间存在很强的相关性,因此在管理痴呆症时,临床医生应将照顾者的健康状况视为一个重要组成部分,这对改善老年人护理质量有重要影响。

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