Suppr超能文献

痴呆患者家庭成员的照护管理需求及其预测因素:一项横断面研究。

Caregiving management needs and predictors for family caregivers of persons with dementia: a cross-sectional study.

机构信息

Department of Gerontology and Health Care Management & Geriatric and Long-Term Care Research Center, College of Nursing, Chang Gung University of Science and Technology, No.261, Wenhua 1st Rd., Guishan Dist, Taoyuan City, 333324, Taiwan.

Department of Nursing, New Taipei Municipal TuCheng Hospital, Chang Gung Memorial Hospital, New Taipei City, Taiwan.

出版信息

BMC Geriatr. 2024 Aug 30;24(1):724. doi: 10.1186/s12877-024-05316-3.

Abstract

BACKGROUND

Family caregivers of persons with dementia are faced with complex caregiving management needs. This study had two aims: (1) to identify caregiving management needs of family caregivers of persons with dementia and (2) identify any variables that might influence these needs.

METHODS

This cross-sectional study recruited family caregivers of persons with dementia (N = 250) through referrals from clinicians at a dementia outpatient clinic in Northern Taiwan. Data were collected with a 32-item researcher-developed instrument, the Caregiving Management Needs Scale (CMNS), to identify management needs specific to family caregivers of persons with dementia. The CMNS was comprised of questions about the types of assistance or support family caregivers would like to receive to facilitate caregiving.

RESULTS

CMNS scores indicated caregivers had moderate management needs. Caregivers of relatives with a moderate severity of dementia had significantly higher scores on the CMNS compared with caregivers of persons with very mild dementia (p < 0.01). Linear regression analysis indicated significant predictors of high caregiving management needs were caregivers who were female (p < 0.01), and persons with dementia with behavioral problems (p < 0.01), low scores for Activities of Daily Living (p < 0.01), regular medication adherence (p < 0.01), and use of long-term care services (p < 0.001) were significant (F[13, 236] = 7.12; p < 0.001; R = 28.2%).

CONCLUSIONS

Understanding variables and predictors of caregiving management needs for family caregivers could reduce the complexity of caregiving.

TRIAL REGISTRATION

ClinicalTrials.gov NCT05151185.

摘要

背景

痴呆症患者的家庭照顾者面临着复杂的照顾管理需求。本研究有两个目的:(1)确定痴呆症患者家庭照顾者的照顾管理需求;(2)确定可能影响这些需求的任何变量。

方法

本横断面研究通过在台湾北部的一个痴呆症门诊诊所的临床医生转介,招募了痴呆症患者的家庭照顾者(N=250)。使用研究者开发的 32 项工具,即照顾管理需求量表(CMNS),收集数据,以确定痴呆症患者家庭照顾者特定的管理需求。CMNS 由有关家庭照顾者希望获得哪些类型的帮助或支持以促进照顾的问题组成。

结果

CMNS 得分表明照顾者的管理需求中等。与轻度痴呆症患者的照顾者相比,中度痴呆症患者的亲属的照顾者在 CMNS 上的得分显著更高(p<0.01)。线性回归分析表明,高照顾管理需求的显著预测因素是女性照顾者(p<0.01),以及有行为问题的痴呆症患者(p<0.01)、日常生活活动能力得分低(p<0.01)、定期服药依从性(p<0.01)和使用长期护理服务(p<0.001)(F[13, 236]=7.12;p<0.001;R2=28.2%)。

结论

了解家庭照顾者照顾管理需求的变量和预测因素可以降低照顾的复杂性。

试验注册

ClinicalTrials.gov NCT05151185。

相似文献

3
Multicomponent Intervention for Distressed Informal Caregivers of People With Dementia: A Randomized Clinical Trial.
JAMA Netw Open. 2025 Mar 3;8(3):e250069. doi: 10.1001/jamanetworkopen.2025.0069.
4
Factors that influence participation in physical activity for people with bipolar disorder: a synthesis of qualitative evidence.
Cochrane Database Syst Rev. 2024 Jun 4;6(6):CD013557. doi: 10.1002/14651858.CD013557.pub2.
5
Algorithm-based pain management for people with dementia in nursing homes.
Cochrane Database Syst Rev. 2022 Apr 1;4(4):CD013339. doi: 10.1002/14651858.CD013339.pub2.
6
Pharmacotherapies for sleep disturbances in dementia.
Cochrane Database Syst Rev. 2016 Nov 16;11(11):CD009178. doi: 10.1002/14651858.CD009178.pub3.
7
Mindfulness-based stress reduction for family carers of people with dementia.
Cochrane Database Syst Rev. 2018 Aug 14;8(8):CD012791. doi: 10.1002/14651858.CD012791.pub2.
8
Exercise programs for people with dementia.
Cochrane Database Syst Rev. 2015 Apr 15;2015(4):CD006489. doi: 10.1002/14651858.CD006489.pub4.
10
Challenges, knowledge, and skills required for family caregivers of older adults with dementia: a qualitative study in Vietnam.
Glob Health Action. 2025 Dec;18(1):2526929. doi: 10.1080/16549716.2025.2526929. Epub 2025 Jul 8.

本文引用的文献

1
Effectiveness of a health education program for people with dementia and their family caregivers: An intervention by nurse practitioners.
Arch Psychiatr Nurs. 2024 Jun;50:147-159. doi: 10.1016/j.apnu.2024.03.018. Epub 2024 Mar 22.
2
Further development needed: models of post-diagnostic support for people with dementia.
Curr Opin Psychiatry. 2023 Mar 1;36(2):104-111. doi: 10.1097/YCO.0000000000000848. Epub 2022 Dec 30.
4
2022 Alzheimer's disease facts and figures.
Alzheimers Dement. 2022 Apr;18(4):700-789. doi: 10.1002/alz.12638. Epub 2022 Mar 14.
5
Becoming a Family Caregiver to a Person With Dementia: A Literature Review on the Needs of Family Caregivers.
SAGE Open Nurs. 2021 Jul 22;7:23779608211029073. doi: 10.1177/23779608211029073. eCollection 2021 Jan-Dec.
6
Reimagining Postdiagnostic Care and Support in Young-Onset Dementia.
J Am Med Dir Assoc. 2022 Feb;23(2):261-265. doi: 10.1016/j.jamda.2021.12.008. Epub 2021 Dec 21.
8
The Needs and Utilization of Long-Term Care Service Resources by Dementia Family Caregivers and the Affecting Factors.
Int J Environ Res Public Health. 2020 Aug 18;17(16):6009. doi: 10.3390/ijerph17166009.
10
Informal carers' support needs when caring for a person with dementia - A scoping literature review.
Scand J Caring Sci. 2021 Sep;35(3):685-700. doi: 10.1111/scs.12898. Epub 2020 Aug 11.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验