Depression of persons with dementia and family caregiver burden: Finding positives in caregiving as a moderator
Depression of persons with dementia and family caregiver burden: Finding positives in caregiving as a moderator
复制标题
痴呆症患者的抑郁症和家庭照顾者的负担：作为调节者在照顾中寻找积极的一面
DOI：
10.1111/ggi.13632
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发表时间：
2019-05-01
影响因子：
3.3
通讯作者：
Luo, Wei
中科院分区：
文献类型：
--
作者：
Yang, Fan;Ran, Maosheng;Luo, Wei
目的 本研究探讨了痴呆症患者的抑郁症与家庭照顾者负担之间的关联，以及这种关联是否取决于照顾者在照顾中发现积极因素的能力水平。方法根据当地精神卫生医院的病历和流行病学调查统计数据，对四川省农村地区157名非机构化痴呆患者主要家庭照顾者进行横断面研究。他们对康奈尔痴呆症抑郁量表做出了回应，这是扎里特负担访谈的简短版本，是看护者意义量表和人口统计问题的子量表。结果 控制照顾者的人口统计学变量后，本研究发现痴呆患者的抑郁水平与照顾者的负担显着相关（P < 0.001），而照顾者在照顾中发现积极情绪的水平显着调节了这种关联（P < 0.05）。此外，与那些在照顾中发现积极性的水平较低的家庭照顾者相比，在照顾中发现积极性的水平较高的家庭照顾者中，痴呆症患者的抑郁与照顾者负担之间的正相关性较弱。结论 这项研究表明，帮助痴呆症患者的家庭护理人员发现护理中积极的一面非常重要。它为开发痴呆症护理人员负担干预措施提供了初步数据，这些干预措施基于对痴呆症护理的深层含义的理解。老年老年国际 2019; 19：414-418。
Aim The present study examined the association between depression of persons with dementia and family caregiver burden, as well as whether the association depended on the level of caregivers' ability to find positives in caregiving. Methods Based on the medical records of a local mental health hospital and the statistics of an epidemiological survey, this cross-sectional study included 157 major family caregivers of non-institutionalized dementia patients in the rural sector of Western China's Sichuan Province. They responded to the Cornell Scale for Depression in Dementia, a short version of the Zarit Burden Interview, a subscale of a caregiver meaning scale and demographic questions. Results Controlling for the demographic variables of the caregivers, the present study found that dementia patients' depression level was significantly associated with caregiver burden (P < 0.001), and the caregivers' levels of finding positives in caregiving significantly moderated the association (P < 0.05). Furthermore, the positive correlation between dementia patients' depression and caregiver burden was weaker among the family caregivers with a high level of finding positives in caregiving, compared with those with a low level of finding positives in caregiving. Conclusions This research suggests the importance of facilitating family caregivers of dementia patients to find positives in caregiving. It provides initial data for the development of dementia caregiver burden interventions that are based on the understanding of the deep meaning of dementia caregiving. Geriatr Gerontol Int 2019; 19: 414-418.