University of Pennsylvania School of Nursing, Philadelphia, PA, United States.
University of Pennsylvania School of Nursing, Philadelphia, PA, United States.
Geriatr Nurs. 2021 Sep-Oct;42(5):993-997. doi: 10.1016/j.gerinurse.2021.06.019. Epub 2021 Jul 12.
Anxiety is common in persons living with dementia (PLWD), and particularly burdensome for caregivers. Little is known about how caregiver factors such as caregiver mastery can influence anxiety in PLWD. This study was conducted to examine the relationship between caregiver mastery and anxiety in PLWD. Secondary data analysis was conducted using baseline data from a randomized controlled trial of 170 dyads of community residing PLWD and their caregivers. Logistic regression analyses were used for data analyses. After controlling for covariates (e.g., age, cognitive impairment, sleep impairment, and depression), a higher level of caregiver mastery was related to lower odds of anxiety presentation in PLWD (OR=0.870, 95% CI=0.759-0.998, p=0.046). As caregiver mastery is related to anxiety in PLWD, a comprehensive education program for caregivers that can improve their caregiving skills and mastery is suggested to improve anxiety in PLWD.
焦虑在痴呆症患者（PLWD）中很常见，对护理人员来说尤其沉重。目前对于护理人员的因素（例如护理人员的掌握程度）如何影响 PLWD 的焦虑知之甚少。本研究旨在研究护理人员的掌握程度与 PLWD 焦虑之间的关系。这是对一项针对 170 对居住在社区的 PLWD 和他们的护理人员的随机对照试验的基线数据进行的二次数据分析。使用逻辑回归分析进行数据分析。在控制了协变量（例如年龄、认知障碍、睡眠障碍和抑郁）后，护理人员的掌握程度越高，PLWD 出现焦虑的几率越低（OR=0.870，95%CI=0.759-0.998，p=0.046）。由于护理人员的掌握程度与 PLWD 的焦虑有关，因此建议为护理人员提供一项全面的教育计划，以提高他们的护理技能和掌握程度，从而改善 PLWD 的焦虑。
