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影响痴呆症患者照料者心理困扰的因素

Factors Influencing Psychological Distress in Caregivers of People with Dementia.

作者信息

Umpimai Nantiya, Sangon Sopin, Nintachan Patcharin

机构信息

Master of Nursing Science Program in Psychiatric and Mental Health Nursing, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand.

Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand.

出版信息

Healthcare (Basel). 2025 Jul 2;13(13):1582. doi: 10.3390/healthcare13131582.

DOI:10.3390/healthcare13131582
PMID:40648607
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12250601/
Abstract

This predictive research aimed to examine the influences of gender, perceived patients' ability to perform activities of daily living, perceived impact of behavioral and psychological symptoms of dementia (BPSD), perceived caregiver burden, and perceived social support on the psychological distress of family caregivers of persons with dementia. : The sample consists of 172 family caregivers of persons with dementia who received services at the outpatient department of a hospital in Bangkok and met the inclusion criteria. The research tools used in this study included a demographic questionnaire, the Kessler Psychological Distress Scale, the Barthel Activities of Daily Living Index, a Thai tool for assessing behavioral and psychological symptoms of dementia, the Thai Burden Interview for Caregivers of Patients with Chronic Illness, and Social Support Scale. The data were analyzed using descriptive statistics and multiple regression analysis. : The research findings revealed that 26.2% of the sample experienced psychological distress. Multiple regression analysis indicated that gender, perceived patients' ability to perform activities of daily living, perceived impact of BPSD, perceived caregiver burden, and perceived social support could jointly explain 66.3% of the variance of psychological stress of family caregivers of persons with dementia (R = 0.663, F = 65.303, < 0.001). The factors that significantly influenced psychological distress in family caregivers of dementia were perceived caregiver burden (β = 0.693, < 0.001) and perceived impact of BPSD (β = 0.164, < 0.01). : The findings from this study can serve as a basis for developing strategies to reduce or prevent psychological distress in family caregivers of persons with dementia.

摘要

这项预测性研究旨在探讨性别、对患者日常生活活动能力的认知、对痴呆症行为和心理症状(BPSD)的认知影响、感知到的照顾者负担以及感知到的社会支持对痴呆症患者家庭照顾者心理困扰的影响。:样本包括172名在曼谷一家医院门诊部接受服务且符合纳入标准的痴呆症患者家庭照顾者。本研究使用的研究工具包括一份人口统计学问卷、凯斯勒心理困扰量表、巴氏日常生活活动指数、一种评估痴呆症行为和心理症状的泰语工具、针对慢性病患者照顾者的泰语照顾负担访谈以及社会支持量表。数据采用描述性统计和多元回归分析。:研究结果显示,26.2%的样本经历了心理困扰。多元回归分析表明,性别、对患者日常生活活动能力的认知、对BPSD的认知影响、感知到的照顾者负担以及感知到的社会支持能够共同解释痴呆症患者家庭照顾者心理压力方差的66.3%(R = 0.663,F = 65.303,<0.)。对痴呆症患者家庭照顾者心理困扰有显著影响的因素是感知到的照顾者负担(β = 0.693,<0.)和对BPSD的认知影响(β = 0.164,<0.01)。:本研究结果可为制定减轻或预防痴呆症患者家庭照顾者心理困扰的策略提供依据。 (原文中部分小于号后面的内容不完整,已按原样翻译)

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本文引用的文献

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Psychological distress among family caregivers of persons with Alzheimer's disease and related dementias in Uganda.乌干达阿尔茨海默病及相关痴呆患者家属的心理困扰。
BMC Geriatr. 2024 Jul 15;24(1):602. doi: 10.1186/s12877-024-05190-z.
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Psychological Distress in Alzheimer's Disease Family Caregivers: Gender Differences and the Moderated Mediation of Resilience.
阿尔茨海默病家庭照顾者的心理困扰:性别差异与心理韧性的调节中介作用
Healthcare (Basel). 2023 Dec 1;11(23):3084. doi: 10.3390/healthcare11233084.
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Predictors of Psychological Distress Among Rural Family/Friend Caregivers of People Living With Dementia in the United States: Consequences of the COVID-19 Pandemic.美国农村地区痴呆患者家庭/朋友照护者心理困扰的预测因素:COVID-19 大流行的后果。
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Sleep Disturbance, Psychological Distress and Perceived Burden in Female Family Caregivers of Dependent Patients with Dementia: A Case-Control Study.痴呆依赖患者女性家庭照顾者的睡眠障碍、心理困扰及感知负担:一项病例对照研究。
Healthcare (Basel). 2022 Dec 2;10(12):2435. doi: 10.3390/healthcare10122435.
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Psychological Distress in Caregivers for People with Dementia: A Population-Based Analysis of a National Cross-Sectional Study.痴呆症患者照料者的心理困扰:一项基于全国横断面研究的人群分析。
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