The development of a rapid screen for caregiver burden

The development of a rapid screen for caregiver burden
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DOI:
10.1111/j.1532-5415.2004.52468.x
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发表时间:
2004-10-01
影响因子:
6.3
通讯作者:
Karlawish, JHT
Karlawish, JHT
中科院分区:
医学1区
文献类型:
--
作者:
Hirschman, KB;Shea, JA;Karlawish, JHT

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目的:为了开发一个缩短的筛选与照顾阿尔茨海默病(AD)患者相关的负担。设计:横断面。设置:AD中心的记忆障碍诊所。参与者:251名AD患者-照顾者。测量:照顾者负担筛查(SCB)、流行病学研究中心抑郁量表、医学结局简表、简易精神状态检查,结果:至少有25%的样本赞同SCB主观负担(SB)量表中25个项目中的8个。在这八个项目的流行率为25%或更高的认可,七个项目的项目总相关性为0.55或更大。缩短的七项SCB SB的α为0.86,表明缩短的量表具有良好的内部一致性(完整SCB SB α =0.88)。七项SCB SB与抑郁症和整体心理健康指标高度相关。结论:这种缩短版SCB允许临床医生快速评估与AD患者护理相关的负担。
Objectives: To develop a shortened screen for burden associated with caring for a patient with Alzheimer's disease (AD).Design: Cross-sectional.Setting: The Memory Disorders Clinic of an AD center.Participants: Two hundred fifty-one AD patient-caregiver dyads.Measurements: Screen for Caregiver Burden (SCB), Center for Epidemiologic Studies Depression scale, Medical Outcomes Short Form, Mini-Mental State Examination, and patient and caregiver characteristics.Results: At least 25% of the sample endorsed eight of the 25 items in the SCB subjective burden (SB) scale. Of these eight items with a prevalence of 25% or greater endorsement, seven items had item-total correlations of 0.55 or greater. The shortened seven-item SCB SB had an alpha of 0.86, indicating that the shortened scale has good internal consistency (Full SCB SB alpha=0.88). The seven-item SCB SB was highly associated with depression and overall mental health measures.Conclusion: This shortened version of the SCB allows a clinician to rapidly assess the burden associated with caregiving for a person with AD.