Prevalence of stress, anxiety and depression in with Alzheimer caregivers
Prevalence of stress, anxiety and depression in with Alzheimer caregivers
复制标题
DOI：
10.1186/1477-7525-6-93
复制
发表时间：
2008-11-06
影响因子：
3.6
通讯作者：
Bauco, Claudia
中科院分区：
文献类型：
--
作者：
Ferrara, Maria;Langiano, Elisa;Bauco, Claudia
背景：阿尔茨海默氏症是影响数百万意大利人的社会和公共卫生问题。本研究的重点是照顾者的压力、焦虑和抑郁。方法：使用特定的表格收集200名照顾者及其患者的数据，以评估认知、行为、功能患者(MMSE和ADL-IAD)和照顾者压力(CBI)。结果：照顾者多为女性(%)，平均年龄56.1岁，女儿(70.5%)，退休人员和家庭主妇(30%)，居家照顾病人(79%)。在这些人中，53%的人几乎没有自己的时间，55%的人观察到健康状况恶化，56%的人感到疲惫，51%的人睡眠不足。总体而言，55%的人与患者的家人和/或他们自己的家庭存在问题，57%的人在工作中遇到问题。此外，29%的人认为他们无法应对这种情况，因为他们希望搬离家。焦虑和抑郁程度的增加与疾病的严重程度成正比，影响患者(压力和抑郁的r=0.3与CBI评分r=0.4)。阿尔茨海默病患者的记忆障碍(OR=8.4)、引擎问题(OR=2.6)、知觉障碍(OR=1.9)是照顾者压力的预测因素，抑郁与其他障碍的存在有关，主要是行为障碍(OR=5.2)、低收入(OR=3.4)、65岁(OR=2.9)。结论：照顾者的生活质量与行为障碍的严重程度和阿尔茨海默病的病程有关。这种疾病的严重程度对家庭环境的重组起着重要作用，这些家庭照顾未被制度化的病人。重要的是促进采取措施，减轻患者对照顾者的影响，同时提高患者的生活质量。
Background: Alzheimer's disease presents a social and public health problem affecting millions of Italians. Those affected receive home care from caregivers, subjected to risk of stress.The present investigation focuses on stress, anxiety and depression in caregivers.Methods: Data on 200 caregivers and their patients were collected using a specific form to assess cognitive, behavioural, functional patient (MMSE, and ADL-IAD) and caregiver stress (CBI). The relationship between stress, depression and disease has been assessed by means of a linear regression, logistic analysis which reveals the relationship between anxiety, stress and depression and cognitive problems, age, the patient's income.Results: The caregivers are usually female (64%), mean age of 56.1 years, daughters (70.5%), pensioners and housewives (30%), who care for the sick at home (79%). Of these, 53% had little time for themselves, 55% observed worsening of health, 56% are tired, 51% are not getting enough sleep. Overall, 55% have problems with the patient's family and/or their own family, 57% at work. Furthermore, 29% feel they are failing to cope with the situation as they wish to move away from home. The increase in the degree of anxiety and depression is directly proportional to the severity of the illness, affecting the patient (r = 0.3 stress and depression r = 0.4 related to CBI score). The memory disorders (OR = 8.4), engine problems (OR = 2.6), perception disorders (OR = 1.9) sick of the patient with Alzheimer's disease are predictive of caregiver stress, depression is associated with the presence of other disorders, mainly behavioural (OR = 5.2), low income (OR = 3.4), patients < 65 years of age (OR = 2.9).Conclusion: The quality of life of caregivers is correlated with the severity of behavioural disorders and duration of the Alzheimer's disease. The severity of the disease plays an important role in reorganization of the family environment in families caring for patients not institutionalised. It is important to promote measures to soften the impact that the patient has on the caregiver, and that, at the same time, improves the quality of life of the patient.