Patient and caregiver perspectives of quality of life in dementia - An investigation of the relationship to behavioural and psychological symptoms in dementia
Patient and caregiver perspectives of quality of life in dementia - An investigation of the relationship to behavioural and psychological symptoms in dementia
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DOI：
10.1159/000149584
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发表时间：
2008-01-01
影响因子：
2.4
通讯作者：
Byrne, Eleanor Jane
中科院分区：
文献类型：
--
作者：
Hurt, Catherine;Bhattacharyya, Sarmishtha;Byrne, Eleanor Jane
背景/目的：行为和心理症状在痴呆患者中发病率很高，可能是患者和护理人员痛苦的重要来源。本研究从患者和护理人员的角度探讨了痴呆症（BPSD）的生活质量与行为和心理症状之间的关系。探讨了 BPSD 发生的背景因素。方法：46 名患者和 116 名护理人员完成了 BPSD 和生活质量的问卷调查。结果：BPSD 与患者和护理人员对患者生活质量的评分呈负相关。患者和护理人员评分中与生活质量较低相关的症状有所不同：抑郁和烦躁被发现可以预测护理人员生活质量评分较低，而妄想和冷漠则表明患者评分较低。研究发现，护理人员不善于识别 BPSD 的前因和后果。结论：BPSD 的存在与痴呆症患者的生活质量较低有关。旨在改善患者生活质量的干预措施应重点关注与患者生活质量评级特别相关的 BPSD。应向护理人员提供有关行为管理中情境因素的作用的信息。版权所有 (C) 2008 S. Karger AG，巴塞尔。
Background/Aims: Behavioural and psychological symptoms have a high prevalence amongst patients with dementia and can be a significant source of distress to both patients and carers. The present study explored the relationships between quality of life and behavioural and psychological symptoms in dementia (BPSD) from both patient and carer perspectives. Contextual factors surrounding the occurrence of BPSD were explored. Methods: Forty-six patients and 116 carers completed questionnaire measures of BPSD and quality of life. Results: BPSD were negatively associated with both patient and carer ratings of patient quality of life. The symptoms related to lower quality of life differed between patient and carer ratings: depression and irritability were found to predict lower carer ratings of quality of life, whilst delusions and apathy indicated lower patient ratings. Carers were found to be poor at identifying antecedents and consequences of BPSD. Conclusions: The presence of BPSD is associated with lower quality of life in dementia. Interventions designed to improve the quality of life for patients should focus on the BPSD specifically associated with the patient's rating of quality of life. Information regarding the role of contextual factors in behaviour management should be made available to carers. Copyright (C) 2008 S. Karger AG, Basel.