Department of Neurology and Alzheimer's Disease, National Geriatric Hospital, Hanoi, Vietnam.
Hanoi Medical University, Hanoi, Vietnam.
Psychogeriatrics. 2024 Mar;24(2):249-258. doi: 10.1111/psyg.13068. Epub 2023 Dec 28.
The increasing needs of people living with dementia (PLWD) in Vietnam present an enormous public health challenge. Vietnam is an understudied country, and little is known regarding the overall unmet needs of caregivers or the demographic risk factors associated with unmet caregiving needs. This study aimed to determine the burden of unmet care needs of community-dwelling PLWD and identify sociodemographic risks associated with unmet care needs.
A cross-sectional study in a rural area facing urbanisation in Hanoi, Vietnam recruited PWLD-caregiver dyads with multistage sampling. We utilised the Camberwell Assessment of Need for the Elderly (CANE) instrument to evaluate care needs across four domains. Caregivers rated PLWD needs, with higher scores indicating greater unmet needs. The Mann-Whitney test was employed for comparing two groups, while the Kruskal-Wallis test was used for comparisons involving more than two groups in the analysis, and a P-value of less than 0.05 was considered statistically significant.
Among 90 PLWD participating in the study, the overall mean care needs score was 11.6 ± 4.3, with only 16.2% of PLWD having their care needs met. Environmental and physical needs were more frequently met than psychological or social needs. Only 48.0% and 43.9% of environmental and physical needs were met respectively, and a meagre 20.9% and 23.6% for psychological and social needs. Unmet care needs were more frequent for PWLD who were female, single or divorced, had lower monthly household income, or who were in more advanced stages of dementia, as indicated by Clinical Dementia Rating scores ≥1.
Unmet needs for PWLD are common. Increased caregiver education, resources, and services in Vietnam are urgently required to improve the quality of life for this population.
越南痴呆症患者（PLWD）的需求不断增加，这对公共卫生构成了巨大挑战。越南是一个研究较少的国家，对于照顾者的总体未满足需求或与未满足照顾需求相关的人口统计学风险因素知之甚少。本研究旨在确定居住在社区的 PLWD 的未满足照顾需求负担，并确定与未满足照顾需求相关的社会人口学风险因素。
在越南首都河内一个面临城市化的农村地区进行了一项横断面研究，采用多阶段抽样招募了 PLWD-照顾者二人组。我们使用 Camberwell 老年评估需求量表（CANE）评估了四个领域的照顾需求。照顾者对 PLWD 的需求进行评分，得分越高表示未满足的需求越大。我们使用 Mann-Whitney 检验比较了两组，而 Kruskal-Wallis 检验用于分析中涉及两组以上的比较，P 值小于 0.05 被认为具有统计学意义。
在参与研究的 90 名 PLWD 中，总体平均照顾需求评分为 11.6±4.3，只有 16.2%的 PLWD 的照顾需求得到满足。环境和身体需求比心理或社会需求更常得到满足。只有 48.0%和 43.9%的环境和身体需求得到满足，而心理和社会需求仅分别满足 20.9%和 23.6%。在女性、单身或离婚、月家庭收入较低或痴呆症临床严重程度评分≥1 处于更晚期的 PLWD 中，未满足的照顾需求更为常见。
PLWD 的未满足需求很常见。越南迫切需要增加照顾者的教育、资源和服务，以提高这一人群的生活质量。
