Caregiver psychological adjustment and institutionalization of persons with Alzheimer's disease
Caregiver psychological adjustment and institutionalization of persons with Alzheimer's disease
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DOI：
10.1177/0898264304274252
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发表时间：
2005-04-01
影响因子：
2.8
通讯作者：
Evans, DA
中科院分区：
文献类型：
--
作者：
Gilley, DW;McCann, JJ;Evans, DA
目的：本前瞻性研究探讨照顾者的心理调适与阿兹海默症（AD）患者的机构化之间的关系。方法：对396名AD患者及其家庭照顾者进行了为期3年的纵向研究。照顾者调整连续测量3个月的时间间隔，使用标准量表的评价（感知负担和满意度）和情绪（抑郁症状和积极的影响）。结果如下：在多变量比例风险回归模型中，预测到住院治疗的时间，控制AD严重程度，风险比对护理人员调整，感知负担（1.053; 95%置信区间[CI]，1.014，1.093）和满意度（.929; 95% CI，.883，.977）的评估措施是显着的。相反，照顾者的积极和消极情绪水平并不能可靠地预测机构化。讨论内容：研究结果强调了照顾者评估的重要性，在决策机构化的人与痴呆综合征，但有限的影响照顾者的情绪是出乎意料的，需要进一步研究。
Objective: This prospective study examines the relationship between caregiver psychological adjustment and institutionalization of persons with Alzheimer's disease (AD). Method: A 3-year longitudinal study was conducted with a clinic-based cohort of 396 persons with AD and their respective family caregivers. Caregiver adjustment was sequentially measured in 3-month intervals using standard scales of appraisal (perceived burden and satisfaction) and emotion (depressive symptoms and positive affect). Results: In multivariable proportional hazards regression models predicting time to institutionalization controlling for AD severity, hazard ratios were significant for appraisal measures of caregiver adjustment, perceived burden (1.053; 95% confidence interval [CI], 1.014, 1.093), and satisfaction (.929; 95% Cl, .883, .977). In contrast, levels of caregivers' positive and negative emotion did not reliably predict institutionalization. Discussion: The findings highlight the importance of caregiver appraisals in decisions to institutionalize persons with a dementia syndrome, but the limited impact of caregiver emotion was unexpected and requires further study.