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痴呆症患者的认知功能障碍和日常活动紊乱会根据家庭照料者的焦虑和抑郁严重程度影响他们的心理压力。

Cognitive dysfunction and disturbed daily activities of people with dementia impact the psychological stress in family caregivers depending on their anxiety and depression severity.

作者信息

Orlova Olha V, Boiko Dmytro I, Bodnar Lesia A, Zhyvotovska Liliia V

机构信息

Poltava State Medical University, Ukraine.

出版信息

Health Psychol Open. 2024 Nov 29;11:20551029241305549. doi: 10.1177/20551029241305549. eCollection 2024 Jan-Dec.

Abstract

Care for individuals with dementia, predominantly provided by family members, was associated with significant physical and emotional stress. Existing guidelines for supporting caregivers were frequently based on limited evidence. A cross-sectional clinical study involving 104 pairs of caregivers and individuals with dementia was conducted. The study evaluated psychological stress, anxiety, and depression levels among family caregivers, alongside the severity of dementia and challenges with daily activities faced by the individuals with dementia. The findings demonstrated that the severity of dementia in patients had a statistically significant impact on the psychological stress experienced by family caregivers, as did the challenges associated with daily activities. Furthermore, caregiver anxiety was shown to exacerbate their psychological burden, an effect amplified by greater difficulties in daily activities and higher dementia severity. Additionally, it was observed that caregivers' psychological stress increased in correlation with heightened levels of depression, irrespective of the severity of dementia or the patient's difficulties with daily activities.

摘要

对痴呆症患者的护理主要由家庭成员提供,这会带来巨大的身体和情感压力。现有的支持照料者的指南往往基于有限的证据。开展了一项涉及104对照料者和痴呆症患者的横断面临床研究。该研究评估了家庭照料者的心理压力、焦虑和抑郁水平,以及痴呆症的严重程度和痴呆症患者在日常活动中面临的挑战。研究结果表明,患者痴呆症的严重程度对家庭照料者所经历的心理压力有统计学上的显著影响,日常活动相关的挑战也是如此。此外,照料者的焦虑会加剧他们的心理负担,日常活动中更大的困难和更高的痴呆症严重程度会放大这种影响。此外,观察到照料者的心理压力随着抑郁水平的升高而增加,无论痴呆症的严重程度或患者在日常活动中的困难如何。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e59d/11605753/61c7e0cf1bfb/10.1177_20551029241305549-fig1.jpg

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