Department of Rehabilitation, National Center for Geriatrics and Gerontology, Obu, Japan.
Department of Urology, National Center for Geriatrics and Gerontology, Obu, Japan.
Int J Urol. 2023 Jun;30(6):539-546. doi: 10.1111/iju.15171. Epub 2023 Feb 27.
To conduct an exploratory examination of caregiver burden involving toilet problems in patients with mild cognitive impairment (MCI) and Alzheimer's disease (AD) and related characteristics.
We included 50 outpatients with amnestic MCI and AD and their caregivers. Patients were subclassified into three groups: MCI, mild AD, and moderate/severe AD. We used the Japanese version of the Zarit Burden Interview (J-ZBI) to evaluate caregiver burden and conducted a questionnaire on the frequency of lower urinary tract symptoms and related caregiver burden. We compared the frequency of questionnaire items with the level of burden in each group and subsequently determined the J-ZBI correlation coefficient.
Among the questionnaire items, the caregiver's burden of "increased daytime urinary frequency," "nocturia," "urinary incontinence," and "they cannot clean the toilet" statistically significantly correlated with J-ZBI scores (ρ = 0.52, 0.65, 0.79, and 0.83, respectively). Items including "they cannot clean the toilet," "the smell of excrement is bothersome," "assistance for transfer is necessary," "they soil the clothes and bed," and "they cannot clean the genital region" were significantly more common in the patient group with moderate/severe AD.
Lower urinary tract symptoms and toilet problems were significantly correlated with caregiver burden. Toilet problems differ depending on the severity of dementia. Therefore, a support system based on dementia severity is required to address toilet problems.
探索轻度认知障碍（MCI）和阿尔茨海默病（AD）患者及其照料者的与厕所问题相关的照料者负担。
我们纳入了 50 名有记忆障碍的 MCI 和 AD 患者及其照料者。患者分为三组：MCI、轻度 AD 和中重度/重度 AD。我们使用日本版 Zarit 负担量表（J-ZBI）评估照料者负担，并进行了有关下尿路症状及其相关照料者负担频率的问卷。我们比较了各小组问卷项目的频率与负担水平，并随后确定了 J-ZBI 相关系数。
在问卷项目中，照料者的“日间排尿次数增加”、“夜尿”、“尿失禁”和“他们无法清洁厕所”与 J-ZBI 评分有统计学显著相关性（ρ=0.52、0.65、0.79 和 0.83）。包括“他们无法清洁厕所”、“粪便有异味”、“需要协助转移”、“弄脏衣服和床”以及“无法清洁生殖器区域”的项目在中重度 AD 患者组中更为常见。
下尿路症状和厕所问题与照料者负担显著相关。根据痴呆症的严重程度，厕所问题也有所不同。因此，需要根据痴呆症的严重程度建立一个支持系统来解决厕所问题。
