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路易体痴呆患者照料者负担加重的相关因素

Factors Associated with Increased Burden of Caregivers of People with Dementia with Lewy Bodies.

作者信息

Toya Shunji, Hashimoto Mamoru, Manabe Yuta, Yamakage Hajime, Ikeda Manabu

机构信息

Medical Science, Sumitomo Pharma Co., Ltd., Tokyo 103-6012, Japan.

Department of Psychiatry, Osaka University Graduate School of Medicine, Osaka 565-0871, Japan.

出版信息

Geriatrics (Basel). 2024 Sep 9;9(5):115. doi: 10.3390/geriatrics9050115.

Abstract

The burden of caregivers of people with dementia with Lewy bodies (DLB) is high; however, factors related to their caregiving burden are not fully clarified. We herein investigated factors associated with increasing caregiver burden for caregivers of people with DLB. To explore factors associated with caregiver burden, a linear regression analysis was conducted using the J-ZBI_8 total score as the dependent variable and a total of 36 factors as independent variables. This analysis included 252 pairs of people with DLB and their caregivers. Caregivers' mean J-ZBI_8 was 8.4, indicating that caregiver burden was generally high. First, we identified 20 factors associated with caregiver burden in univariable analysis. Finally, multivariable analysis found three significant factors: irritability (β = 0.208, < 0.001), use of "short stay" or "small-scale, multifunctional home care" (β = 0.208, < 0.001), and nighttime behavior (β = 0.138, = 0.020) were significantly associated with J-ZBI_8 total scores. Irritability and nighttime behavior were found to be contributing factors to caregiver burden. High caregiver burden among caregivers of people with DLB may result in the use of social services providing overnight stays, but to what extent such services reduce caregiver burden is unknown.

摘要

路易体痴呆(DLB)患者的照料者负担较重;然而,与其照料负担相关的因素尚未完全明确。我们在此研究了与DLB患者照料者照料负担增加相关的因素。为了探究与照料者负担相关的因素,我们以J-ZBI_8总分作为因变量,共36个因素作为自变量进行了线性回归分析。该分析纳入了252对DLB患者及其照料者。照料者的J-ZBI_8平均分为8.4,表明照料者负担总体较高。首先,我们在单变量分析中确定了20个与照料者负担相关的因素。最后,多变量分析发现了三个显著因素:易怒(β = 0.208,< 0.001)、使用“短期住院”或“小规模多功能家庭护理”(β = 0.208,< 0.001)以及夜间行为(β = 0.138,= 0.020)与J-ZBI_8总分显著相关。易怒和夜间行为被发现是照料者负担的促成因素。DLB患者照料者的高照料负担可能导致使用提供过夜服务的社会服务,但此类服务在多大程度上减轻照料者负担尚不清楚。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4de5/11417695/debc708accb1/geriatrics-09-00115-g001.jpg

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