影响痴呆患者照料者健康的因素分析  

An analysis of the factors influencing the health of caregivers of patients with dementia

作　　者：李育[1] 周琳[2] 梁国莉[1] 易佳佳 王娅平[1,2] LI Yu;ZHOU Lin;LIANG Guo-Li;YI Jia-Jia;WANG Ya-Ping(Teching and Research Section of Clinical Nursing,Xiangya Hospital of Central South University,Changsha,Hunan 410008,China;Department of Geriatrics,Xiangya Hospital of Central South University,Changsha,Hunan 410008,China)

机构地区：[1]中南大学湘雅医院临床护理学教研室,湖南长沙410008 [2]中南大学湘雅医院老干神经内科,湖南长沙410008

出　　处：《国际神经病学神经外科学杂志》2021年第3期263-267,共5页Journal of International Neurology and Neurosurgery

摘　　要：目的探讨影响痴呆患者照料者健康的因素。方法采用横断面调查研究设计及电子调查问卷的方式,结合ordered pro-bit回归模型分析痴呆患者照料者年龄、性别、婚姻状况、学历、收入及痴呆患者病情严重程度等对照料者自评价健康的影响。结果有61.6%的照料者感觉自己的健康受损。ordered probit回归分析结果显示,在控制性别、年龄、学历、婚姻、家庭收入等照料者的一般人口学特点时,痴呆患者日常生活能力[系数:0.148(0.136)]、认知情况[系数:0.133(0.019)]、精神行为状态[系数:0.361(0.169)]对照料者的自评价健康影响显著。结论痴呆患者的病情越严重、日常生活能力及认知情况越差、精神行为异常越显著,照料者更容易感到自身健康受到了损害。我们在关注痴呆患者的同时,应积极关注照料者的健康。Objective To investigate the factors influencing the health of caregivers of patients with dementia.Methods A cross-sectional survey was conducted using electronic questionnaires,and an ordered probit regression model was used to analyze the effects of caregivers’ age,sex,marital status,education background,and income as well as the severity of disease condition of patients with dementia on caregivers’ self-rated health.Results Sixty-one point six percent of the caregivers felt that their health was impaired.The results of the ordered probit regression analysis showed that the activities of daily living(ADL),cognition,and mental and behavioral conditions of patients with dementia had significant effects on their caregivers’ self-rated health while controlling the caregivers’ general demographics such as sex,age,education background,marital status,and family income,with coefficients of 0.148(0.136),0.133(0.019),and 0.361(0.169),respectively.Conclusions Caregivers are more likely to feel that their health is impaired in cases of increased severity of disease condition,reduced ADL and cognition,and significant mental and behavioral disorders of patients with dementia.Attention should be paid to the health of caregivers while caring for patients with dementia.

关 键 词：痴呆 照料者 自评价健康 病情严重程度 

分 类 号：R741[医药卫生—神经病学与精神病学]