Department of Social Sciences and Humanities, Poznan University of Medical Sciences, Rokietnicka 7, Poznań, 60-806, Poland.
Department of Organization and Management in Health Care, Poznan University of Medical Sciences, Poznań, Poland.
Orphanet J Rare Dis. 2024 Nov 30;19(1):450. doi: 10.1186/s13023-024-03481-7.
Duchenne and Becker muscular dystrophies (DBMD) are rare progressive, X-linked diseases of muscle wasting characterised by the early onset and prognosis of premature death. The aim of this study was to evaluate the impact of providing care for a person with DBMD on caregivers' quality of life, perceived burden and financial well-being.
202 Polish caregivers of a person with DBMD were included and completed a self-administered, computer-assisted online survey. Results show that DBMD affects the quality of life of caregivers who score significantly lower than the national average in every domain: 85.1% of DBMD caregivers scored below the national average in the physical health domain; in the environmental domain 83.7%; in the social relationships domain 82.2%; and in the psychological domain 72.3%. It also demonstrates that DBMD is a source of severe burden (mean score of 35.3). Finally, we report that while some dimensions of respondents' quality of life and perceived burden were associated with patients' age and caregivers' educational status, financial well-being was the most important predictor of respondents' quality of life and caregiving burden.
To improve DBMD caregivers' quality of life and alleviate their burden, future intervention programs should promote resiliency and active coping and develop a social support system and respite care. Additionally, it is crucial to provide caregivers with adequate financial resources to fulfil their needs.
杜氏肌营养不良症(Duchenne muscular dystrophy,DMD)和贝克肌营养不良症(Becker muscular dystrophy,BDMD)是两种罕见的进行性 X 连锁肌肉萎缩疾病,其特征为发病早、预后差,导致患者过早死亡。本研究旨在评估为 DMD 患者提供护理对照顾者生活质量、感知负担和经济福祉的影响。
本研究共纳入 202 名波兰 DMD 患者的照顾者,他们完成了一份自我管理的、计算机辅助的在线调查。结果表明,DMD 会影响照顾者的生活质量,他们在每个领域的得分都明显低于全国平均水平:85.1%的 DMD 照顾者在身体健康领域的得分低于全国平均水平;在环境领域为 83.7%;在社会关系领域为 82.2%;在心理领域为 72.3%。研究还表明,DMD 是严重负担的来源(平均得分为 35.3)。最后,我们报告说,尽管受访者生活质量和感知负担的某些维度与患者年龄和照顾者教育程度有关,但经济福祉是受访者生活质量和照护负担的最重要预测因素。
为了提高 DMD 照顾者的生活质量并减轻其负担,未来的干预计划应促进适应力和积极应对,并建立社会支持系统和暂息护理。此外,为照顾者提供足够的经济资源以满足其需求至关重要。