Factors associated with quality of life among family members of patients with dementia in Cyprus

Factors associated with quality of life among family members of patients with dementia in Cyprus
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DOI:
10.1017/s104161021300224x
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发表时间:
2014-03-01
影响因子:
7
通讯作者:
Georgiou, Irini Kyriacou
Georgiou, Irini Kyriacou
中科院分区:
医学1区
文献类型:
--
作者:
Papastavrou, Evridiki;Andreou, Panayiota;Georgiou, Irini Kyriacou

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背景:许多研究报告说,照顾痴呆症患者是一种紧张的经历。然而,生活质量(QoL)的措施通常集中在病人,而影响照顾者的QoL的因素还没有明确确定。为了有助于照顾者的生活质量的理解,我们探讨了生活质量之间的照顾者是如何相关的,他们认为的负担水平,他们报告的抑郁症状的数量,和照顾受助人的dependence.Methods的水平:76照顾者提到的两个主要的转诊中心的痴呆症患者在塞浦路斯参加了一个横断面调查与描述性相关设计。照顾者完成了四个工具,测量负担(ZBI),抑郁症(CES-D),生活质量,阿尔茨海默氏病(QoL-AD),和日常生活活动(ADL)的照顾recipients.Results的活动:大多数参与者得分高水平的负担(M = 43.32/SD = 15.23)和抑郁症(59.2%得分超过16的截止点)。生活质量中等(M = 30.89/SD = 8.21),与生活负担(r =-32,p = 0.01)和抑郁(r =-0.296,p = 0.05)呈负相关。生活质量和日常生活能力之间仅存在弱相关性(r = 0.167,p = 0.15)。分层多元回归分析显示,整体负担分数和收入与生活质量,解释20%的整体方差的照顾者的生活质量。结论:进一步的研究是必要的,以调查哪些额外的领域确定生活质量和进一步了解的因素,可能会减少对痴呆症照顾者的负担。
Background:Numerous studies have reported that caring for a person with dementia is a stressful experience. Nevertheless, quality of life (QoL) measures have commonly focused on patients, while factors that influence caregivers' QoL have not been clearly identified. In order to contribute to the understanding of caregivers' QoL, we explored how QoL among caregivers is related to their perceived level of burden, their reported number of depressive symptoms, and the level of care recipients' dependency.Methods:Seventy-six caregivers referred by the two main referral centers of patients with dementia in Cyprus participated in a cross-sectional survey with a descriptive correlational design. Caregivers completed four instruments, measuring burden (ZBI), depression (CES-D), quality of life-Alzheimer's disease (QoL-AD), and activities of daily living (ADL) of the care recipients and provided socio-demographic information.Results:The majority of the participants scored high levels of burden (M = 43.32/SD = 15.23) and depression (59.2% scored over the cut-off point of 16). QoL was only moderate (M = 30.89/SD = 8.21) and negatively correlated with burden (r = -32, p = 0.01) and depression (r = -0.296, p < 0.05). Only a weak correlation was observed between QoL and ADL (r = 0.167, p = 0.15). Hierarchical multiple regression analyses revealed that overall burden scores and income were associated with QoL, explaining 20% of the overall variance of the caregiver's QoL.Conclusion:Further research is necessary to investigate which additional domains determine QoL and further our understanding of the factors that may reduce the burden imposed on dementia caregivers.