What Behavioral and Psychological Symptoms of Dementia Affect Caregiver Burnout?
What Behavioral and Psychological Symptoms of Dementia Affect Caregiver Burnout?
复制标题
DOI：
10.1080/07317115.2017.1398797
复制
发表时间：
2018-01-01
影响因子：
2.8
通讯作者：
Kinoshita, Ayae
中科院分区：
文献类型：
--
作者：
Hiyoshi-Taniguchi, Kazuko;Becker, Carl B.;Kinoshita, Ayae
目的：患者的易怒和攻击性与照顾者抑郁有关，但照顾者负担最大的行为尚未明确确定。本研究旨在探讨日本照顾患有痴呆症的居家老人的行为和心理症状(BPSD)与工作倦怠的关系。方法：对80名日本城乡家庭照顾者进行详细的问卷调查，了解他们照顾痴呆症家庭成员的经历。结果：BPSD症状严重程度与照顾者苦恼显著相关。与照顾者职业倦怠相关最强的痴呆症状是：攻击性、易怒、运动行为异常和幻觉。结论：冷漠、焦虑和抑郁是最常见的症状，不会严重加重照顾者的职业倦怠。照顾者在面对焦虑/攻击性、易怒、异常运动行为和幻觉时表现出更高的职业倦怠。照顾者报告的痛苦与他们的倦怠得分惊人地不同；患者的妄想和焦虑导致更高的痛苦报告，但不会导致倦怠。临床意义：BPSD症状的提前诊断应该有助于支持护士和痴呆症患者的照顾者。应考虑为表现出攻击性、易怒、异常运动行为和幻觉的患者的照顾者和护士提供特别的支持。
Objectives: Patients' irritability and aggression have been linked to caregiver depression, but the behaviors that most burden caregivers are not yet definitively identified. This study examines the connection between behavioral and psychological symptoms of dementia (BPSD) and the burnout of caregivers caring for home-dwelling elders with dementia symptoms in Japan.Methods: 80 Japanese rural and urban family caregivers completed detailed questionnaires about their experiences in caring for demented family members. We statistically analyzed the results for correlations between types of dementia, Pines Burnout, and Caregiver Distress.Results: BPSD symptom severity significantly correlated with caregiver distress. The dementia symptoms most strongly correlated with caregiver burnout were: aggression, irritability, abnormal motor behavior, and hallucinations.Conclusions: Among the commonest symptoms, apathy, anxiety, and depression did not seriously aggravate caregiver burnout. Caregivers displayed higher burnout facing agitation/aggression, irritability, aberrant motor behavior, and hallucinations. Caregivers' reported distress was surprisingly dissimilar to their burnout scores; patients' delusions and anxiety led to higher distress reporting but not to burnout.Clinical Implications: Advance diagnosis of BPSD symptoms should be helpful to support nurses and caregivers of dementia patients. Particular support should be considered for caregivers and nurses of patients expressing aggression, irritability, abnormal motor behavior, and hallucination.