驻京部队干休所痴呆照料者的现况调查  

A cross-sectional investigation on dementia caregiver status in veterans community in Beijing

作　　者：梁新政 谭纪萍[2] 王鲁宁[2] 兰晓阳[2] 张世敏[2] 崔博[2] 高峰 

机构地区：[1]总参警卫局卫生保健处,北京100017 [2] 中国人民解放军总医院南楼神经内科

出　　处：《中华老年医学杂志》2015年第6期676-679,共4页Chinese Journal of Geriatrics

基　　金：解放军总后勤部卫生部保健专项科研课题

摘　　要：目的 分析驻京部队干休所高龄痴呆患者照护者现况对痴呆诊断的知晓情况. 方法 2009年12月至2011年7月对驻京部队干休所80岁及以上临床诊断为痴呆患者的照护者进行面对面访视和问卷调查,调查内容包括受访者的社会人口学资料（包括性别、年龄、受教育程度等）、对患者痴呆的知晓率、痴呆患者治疗和用药情况以及对痴呆的态度. 结果 共调查痴呆照护者118例,照护者以配偶为主,老年人居多.46.6％痴呆照护者为患者配偶（55/118）,65岁及以上占52.5％（62/118）;对痴呆患者作出诊断时照护者的知晓率为32.2％（38/118）.照护者的性别、年龄和受教育程度对知晓率无明显影响（均P＞0.05）.患者接受治疗的比例为50.8％（60/118）,其中应用指南推荐一线抗痴呆药物（乙酰胆碱酯酶抑制剂和/或美金刚）合计占17.8％（21/118）.98.3％（116/118）的照护者认为对患者态度应该宽容. 结论 驻京部队干休所痴呆照护者以患者配偶为主,老年人所占比重最大,照护者对痴呆患病知晓率以及痴呆患者接受规范治疗的比例均较低,因此有必要加强对痴呆照护者的社会支持.Objective To investigate the dementia caregivers＆#39; awareness of dementia diagnosis for patients aged≥80 years in veterans community in Beijing.Methods Patients aged 80 years and over who were diagnosed as dementia were selected from Dec.2009 to Jul.2011 in the veterans community in Beijing.A face-to-face interview and questionnaire survey were conducted in dementia caregivers individually,including basic social demographic data （gender,age,educational background）,awareness rate of dementia,treatment and drug use situation and their attitude to dementia patients.Results A total of 118 caregivers were investigated individually.The caregivers in this study were mainly the spouse of the patients,and most of them were elderly people.46.6% （55/118） of caregivers were the spouse of the patients,and 52.5% （62/118） of caregivers were 65 years old and over.The caregivers＆#39; awareness rate of dementia was 32.3% （38/118） when patients were diagnosed as dementia.There was no correlations of gender,age and educational background with the awareness rate of dementia diagnosis （all P〉0.05）.50% of dementia patients received the dementia treatment,and only 17.8% （21/118） of patients got the first line drug treatment for dementia （acetylcholinesterase inhibitors and / or memantine）.98.3 % （116 / 118） of caregivers agreed that the dementia patients should be treated kindly.Conclusions The dementia caregivers are mainly patients＆#39; spouse in veterans community and most of them are the elderly.The awareness rate of dementia diagnosis is low among the caregivers.Most patients do not take the formal treatment.The social support for the dementia caregivers should be strengthened.

关 键 词：痴呆 社会支持 

分 类 号：R823[医药卫生—临床医学]