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.
BMC Geriatr. 2024 Aug 30;24(1):724. doi: 10.1186/s12877-024-05316-3.
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.
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.
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%).
Understanding variables and predictors of caregiving management needs for family caregivers could reduce the complexity of caregiving.
ClinicalTrials.gov NCT05151185.
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。
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。
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%)。
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。
ClinicalTrials.gov NCT05151185。