加纳痴呆症患者照顾者需求评估。

Carers' needs assessment for patients with dementia in Ghana.

机构信息

Department of Medicine, School of Medicine and Dentistry, Kwame Nkrumah University of Science and Technology, Kumasi.

出版信息

Afr J Prim Health Care Fam Med. 2022 Aug 22;14(1):e1-e8. doi: 10.4102/phcfm.v14i1.3595.

DOI:10.4102/phcfm.v14i1.3595

PMID:36073124

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9453144/

Abstract

UNLABELLED

AbstractBackground: Carers of people with dementia (PWD) face a myriad of challenges. As dementia prevalence surges in the sub-Saharan population, the provision of data on the met and unmet needs of caregivers has become paramount.

AIM

This study aimed to identify the needs of carers of older adults living with dementia in Ghana.

SETTING

This study was conducted in Kumasi, Ghana, among participants ≥ 18 years old, serving as carers for PWD.

METHODS

This was a multicentre cross-sectional study involving carers of patients (≥ 50 years) with dementia. The authors administered the Carer's Needs Assessment for Dementia (CNA-D) questionnaire, containing 18 problem areas with interventions for each problem area. Pearson's correlation analysis was performed to establish a relationship between demographic characteristics, problem areas and intervention score.

RESULTS

Fifty participants were recruited with a mean age of 48.8 (± 16.9) years, 72.0% were female participants and 98.0% were family members of PWD. The problem area most frequently identified as no/mild problem was 'legal issues' (92.0%, n = 46), and 'lack of information about dementia' was assessed as severe (48.0%, n = 24). The commonest unmet need was 'printed information material' (84.0%, n = 42), and the commonest met need was 'diagnosis and treatment of carer by a general practitioner' (42.0%, n = 21). There was a statistically negative correlation between age of carer and number of unmet needs (r = -0.308, p = 0.011) and a positive correlation between problem area score and number of unmet needs (r = 0.308, p = 0.030).

CONCLUSION

Effective public education and provision of information on dementia to carers are essential interventions needed to equip them in performing their roles.Contribution: Carers in this study revealed that they lacked information on dementia but their commonest met need was accessibility to their general practitioner. This highlights the importance of promoting knowledge and awareness of dementia among primary care practitioners.

摘要

未标注

背景

痴呆症患者（PWD）的照顾者面临着诸多挑战。随着撒哈拉以南地区痴呆症的患病率不断上升，了解照顾者的需求变得至关重要。

目的

本研究旨在确定加纳老年痴呆症患者照顾者的需求。

地点

本研究在加纳库马西进行，参与者年龄≥ 18 岁，为 PWD 的照顾者。

方法

这是一项多中心横断面研究，涉及≥ 50 岁的患者（PWD）的照顾者。研究人员使用了痴呆症照顾者需求评估问卷（CNA-D），该问卷包含 18 个问题领域和每个问题领域的干预措施。Pearson 相关分析用于建立人口统计学特征、问题领域和干预评分之间的关系。

结果

共招募了 50 名参与者，平均年龄为 48.8（± 16.9）岁，72.0%为女性，98.0%为 PWD 的家庭成员。被认为是无/轻度问题的最常见问题领域是“法律问题”（92.0%，n = 46），而“缺乏痴呆症信息”被评估为严重问题（48.0%，n = 24）。最常见的未满足需求是“印刷信息材料”（84.0%，n = 42），最常见的已满足需求是“全科医生对照顾者进行诊断和治疗”（42.0%，n = 21）。照顾者年龄与未满足需求数量之间存在统计学上的负相关（r = -0.308，p = 0.011），问题领域得分与未满足需求数量之间存在统计学上的正相关（r = 0.308，p = 0.030）。