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疫苗接种在痴呆症患者及其照顾者的家庭成员中的接受情况,以及与痴呆症严重程度和照顾者负担的关系:一项横断面研究。

Vaccine uptake in caregivers family members and patients with dementia and relationship with severity of dementia and caregiver burden: a cross-sectional study.

机构信息

Health Care Center Zagreb-West, Prilaz Baruna Filipovića 11, 10000, Zagreb, Croatia.

School of Medicine, University of Zagreb, Zagreb, Croatia.

出版信息

Aging Clin Exp Res. 2023 Jul;35(7):1565-1569. doi: 10.1007/s40520-023-02443-6. Epub 2023 May 25.

Abstract

We cross sectionally evaluated COVID-19 and seasonal flu vaccination rates among 94 dyads consisting of informal caregiver family member and non-institutionalized patient with dementia observed in family-medicine practice in Zagreb, Croatia. COVID-19 vaccination rates in caregivers (78.7%) and patients with dementia (82.9%) were significantly higher than in general population. Caregiver and patient COVID-19 vaccination status (CVS) did not correlate. Among caregivers, seasonal flu vaccination (P  =  0.004) but no other investigated factors related to caregiving or dementia severity showed significant association with CVS. Among patients with dementia, CVS was significantly associated with lower number of caregiver hours dedicated per week (P  =  0.017), higher caregiver SF-36 role emotional HRQoL (P  =  0.017), younger patient age (P  =  0.027), higher MMSE (P  =  0.030), higher Barthel index (P  =  0.006), absence of neuropsychiatric symptoms of agitation and aggression (P  =  0.031), lower overall caregiver burden (P  =  0.034), lower burden of personal strain (P  =  0.023) and lower burden of frustration (P  =  0.016). Caregiving and severity of dementia-related factors significantly affect patient, but not caregiver CVS.

摘要

我们在克罗地亚萨格勒布的家庭医学实践中,对 94 对由非正规护理家庭成员和非住院痴呆患者组成的护理员进行了横断面评估,评估了他们的 COVID-19 和季节性流感疫苗接种率。护理员(78.7%)和痴呆患者(82.9%)的 COVID-19 疫苗接种率明显高于一般人群。护理员和患者的 COVID-19 疫苗接种状况(CVS)没有相关性。在护理员中,季节性流感疫苗接种(P=0.004),但其他与护理或痴呆严重程度相关的因素与 CVS 没有显著关联。在痴呆患者中,CVS 与每周护理员工作时间(P=0.017)、护理员 SF-36 角色情感 HRQoL 评分(P=0.017)、患者年龄较小(P=0.027)、MMSE 评分较高(P=0.030)、巴塞尔指数较高(P=0.006)、无神经精神症状的躁动和攻击(P=0.031)、整体护理员负担较低(P=0.034)、个人紧张负担较低(P=0.023)、挫败感负担较低(P=0.016)显著相关。护理和与痴呆相关的严重程度因素显著影响患者的 CVS,但不影响护理员的 CVS。

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