Clinical Neuroscience Research Group, Faculty of Health Sciences, Catholic University of Murcia, 30107 Murcia, Spain.
Department of Applied Economics, Faculty of Economic, Espinardo Campus, University of Murcia, 30100 Murcia, Spain.
Int J Environ Res Public Health. 2021 Oct 12;18(20):10707. doi: 10.3390/ijerph182010707.
Nowadays, there are plenty of programs and resources to prevent caregiver burden of patients with Alzheimer's disease. In spite of that, many caregivers suffer high levels of burden and stress, which leads to an earlier institutionalization of patients. This study aimed to explore the predictors of burden in relative caregivers of patients attending day-care centers and the moderating role of caregiver kinship in these associations. A sample of a hundred and two patient-caregiver dyads was recruited. Burden was measured with a Zarit Burden Interview. Measures of patients' cognition, insight, depression, behavioral disturbances, functional ability and overall physical health were considered as predictors. We found that apathy, irritability and delusions and, patients' mobility are the main determinants of caregivers' burden. The strength of relationship between delusions and irritability was higher in spouse caregivers. Interventions to reduce burden should be adapted to the specific needs of a particular type caregiver.
如今,有许多预防阿尔茨海默病患者照料者负担的方案和资源。尽管如此,许多照料者仍承受着较高的负担和压力,这导致患者更早地被安置在疗养院。本研究旨在探讨日间护理中心患者的亲属照料者负担的预测因素,以及照料者亲缘关系在这些关联中的调节作用。招募了 102 对患者-照料者的样本。使用 Zarit 负担访谈量表来衡量负担。将患者认知、洞察力、抑郁、行为障碍、功能能力和整体身体健康状况等作为预测指标。研究发现,冷漠、易怒和妄想以及患者的活动能力是照料者负担的主要决定因素。配偶照料者中,妄想和易怒之间的关系更为密切。减少负担的干预措施应根据特定类型照料者的特定需求进行调整。