阿尔茨海默病患者的行为和心理症状与居住状况的关系。

Association between behavioural and psychological symptoms of dementia and residence status in patients with Alzheimer's disease.

机构信息

Department of Psychiatry, University of Tsukuba Hospital, 2-1-1 Amakubo, Tsukuba, Ibaraki, 305-8576, Japan.

University of Tsukuba Hospital, 2-1-1 Amakubo, Tsukuba, Ibaraki, 305-8576, Japan.

出版信息

Psychogeriatrics. 2023 Jan;23(1):45-51. doi: 10.1111/psyg.12901. Epub 2022 Oct 26.

DOI:10.1111/psyg.12901

PMID:36289565

Abstract

BACKGROUND

Examining the relationship between the behavioural and psychological symptoms of dementia (BPSD) and residence status is crucial to improving BPSD and reducing the burden on caregivers. However, studies on how BPSD differ between individuals living at home and those in institutional settings are lacking. We conducted a questionnaire survey among healthcare providers (HCPs) involved in dementia care and nursing to clarify the characteristics of BPSD by residence status in patients with Alzheimer's disease (AD) living at home or in facilities.

METHODS

We sent questionnaires to HCPs and asked them to answer questions on up to five cases that needed treatment for BPSD and who received long-term care insurance services from 1 April 2016 to 31 March 2017. Responses were received for 371 cases, of which 130 diagnosed with AD were analyzed. The patients were divided into two groups: patients with AD living at home (home care group) and patients with AD living in facilities (facility care group). A Chi-square test was used to identify differences between the two groups. A binomial logistic regression analysis was also conducted to clarify the association between residence status and BPSD.

RESULTS

Of the 130 patients, 72 lived at home (home care group) and 58 resided in facilities (facility care group). None of the background factors was significantly different between the two groups. The Chi-square test indicated that sleep disturbance was significantly more common in the facility care group (60.3% in the facility care group vs. 33.3% in the home care group, P = 0.003), while the logistic regression analysis indicated that sleep disturbance was significantly associated with residence status (odds ratio: 2.529, P = 0.038).

CONCLUSIONS

Sleep disturbances were more frequently observed among patients with AD living in institutions than among those living in their homes.

摘要

背景

研究痴呆患者的行为和心理症状（BPSD）与居住状态之间的关系，对于改善 BPSD 和减轻照顾者的负担至关重要。然而，关于居家和机构居住的痴呆患者的 BPSD 差异的研究尚不多见。我们对参与痴呆护理和护理的医疗保健提供者（HCP）进行了问卷调查，以明确居家和机构居住的阿尔茨海默病（AD）患者的 BPSD 特征。

方法

我们向 HCP 发送了问卷，并要求他们回答截至 2016 年 4 月 1 日至 2017 年 3 月 31 日期间需要治疗 BPSD 的最多 5 例患者的问题，这些患者都接受了长期护理保险服务。共收到 371 例回复，其中分析了 130 例 AD 患者。患者分为两组：AD 居家患者（居家护理组）和 AD 机构居住患者（机构护理组）。采用卡方检验比较两组间的差异。还进行了二项逻辑回归分析，以明确居住状态与 BPSD 的关联。

结果

在 130 例患者中，72 例居家（居家护理组），58 例机构居住（机构护理组）。两组间无背景因素差异有统计学意义。卡方检验表明，机构护理组的睡眠障碍更为常见（机构护理组 60.3%，居家护理组 33.3%，P=0.003），而逻辑回归分析表明，睡眠障碍与居住状态显著相关（优势比：2.529，P=0.038）。