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迟发性运动障碍对患者和照护者的影响:对美国照护者的调查。

Impact of tardive dyskinesia on patients and caregivers: a survey of caregivers in the United States.

机构信息

Texas Tech University School of Medicine-Permian Basin, Midland, TX, USA.

Analysis Group, Inc., Boston, MA, USA.

出版信息

J Patient Rep Outcomes. 2023 Nov 28;7(1):122. doi: 10.1186/s41687-023-00658-9.

DOI:10.1186/s41687-023-00658-9
PMID:38015301
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10684842/
Abstract

BACKGROUND

Tardive dyskinesia (TD) has a multidimensional impact on patients with TD and, as importantly, their caregivers. An online survey was developed and administered to assess patient and caregiver burden of TD. Survey participants were unpaid caregivers for patients with diagnoses of TD and schizophrenia, bipolar disorder, and/or major depressive disorder. Overall, 162 caregivers rated the 7-day impact of TD on the physical, psychological, and social functioning of patients and the impact of TD on these domains in their own lives and in their professional lives.

RESULTS

Across physical, psychological, and social domains, most caregivers (82.7%) reported that TD had severe impact on the cared-for patients, and 23.5% reported severe impact of TD in their own lives. Caregivers experienced 46.4% activity impairment, and caregivers who were employed (n = 136) experienced 49.5% overall work impairment because of TD-related caregiving.

CONCLUSIONS

These results suggest that TD imposes substantial burden for both caregivers and patients.

摘要

背景

迟发性运动障碍 (TD) 对 TD 患者及其护理人员有多重影响。我们开发并实施了一项在线调查,以评估 TD 患者和护理人员的负担。调查参与者是 TD 患者的无薪护理人员,这些患者的诊断为 TD 以及精神分裂症、双相情感障碍和/或重度抑郁症。总体而言,162 名护理人员对 TD 在患者身体、心理和社会功能方面的 7 天影响以及 TD 在其自身生活和职业生活中的影响进行了评分。

结果

在身体、心理和社会领域,大多数护理人员(82.7%)报告 TD 对所照顾的患者有严重影响,23.5%的护理人员报告 TD 对其自身生活有严重影响。护理人员经历了 46.4%的活动障碍,其中有 136 名受雇的护理人员因与 TD 相关的护理而经历了 49.5%的整体工作障碍。

结论

这些结果表明 TD 给护理人员和患者都带来了巨大的负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7a1/10684842/4172afabda85/41687_2023_658_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7a1/10684842/7277018d1f6d/41687_2023_658_Fig1a_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7a1/10684842/e39d80c3578d/41687_2023_658_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7a1/10684842/c3491088e85e/41687_2023_658_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7a1/10684842/3a80049844fb/41687_2023_658_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7a1/10684842/4172afabda85/41687_2023_658_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7a1/10684842/7277018d1f6d/41687_2023_658_Fig1a_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7a1/10684842/e39d80c3578d/41687_2023_658_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7a1/10684842/c3491088e85e/41687_2023_658_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7a1/10684842/3a80049844fb/41687_2023_658_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7a1/10684842/4172afabda85/41687_2023_658_Fig5_HTML.jpg

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本文引用的文献

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J Clin Psychiatry. 2023 Apr 3;84(3):22m14694. doi: 10.4088/JCP.22m14694.
2
Current perspectives on the epidemiology and burden of tardive dyskinesia: a focused review of the clinical situation in Japan.迟发性运动障碍的流行病学和负担的当前观点:对日本临床情况的重点综述
Ther Adv Psychopharmacol. 2022 Dec 26;12:20451253221139608. doi: 10.1177/20451253221139608. eCollection 2022.
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The burden of caring for adults with depression and suicidal ideation in five large European countries: analysis from the 2020 National Health and Wellness Survey.
在五个欧洲大国照顾患有抑郁症和自杀意念的成年人的负担:2020 年国家健康和健康调查的分析。
BMC Psychiatry. 2021 Nov 9;21(1):550. doi: 10.1186/s12888-021-03511-9.
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Tardive Dyskinesia in Older Persons Taking Antipsychotics.服用抗精神病药物的老年人的迟发性运动障碍
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Caregiver-Reported Burden in RE-KINECT: Data From a Prospective Real-World Tardive Dyskinesia Screening Study.RE-KINECT中照护者报告的负担:一项前瞻性真实世界迟发性运动障碍筛查研究的数据
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