Determinants of burden in those who care for someone with dementia
Determinants of burden in those who care for someone with dementia
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DOI：
10.1002/gps.2071
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发表时间：
2008-10-01
影响因子：
4
通讯作者：
Lendon, C.
中科院分区：
文献类型：
--
作者：
Campbell, P.;Wright, J.;Lendon, C.
目的照顾者负担是照顾者研究中的一个关键指标，在干预研究中经常被用作基线测量。以前的研究已经发现了许多与照顾者负担有关的因素，例如照顾者和病人之间的关系质量，病人的认知能力，病人表现出的行为和心理症状，照顾者的性别，不良生活事件等等。许多研究对这些因素进行了单独的研究，然而，目前的想法表明，这些因素是多因素作用和相互依赖的。在此基础上，决定使用多元回归分析调查与照顾者负担相关的因素，以确定这些因素对照顾者负担的预测质量。方法横断面研究，使用患者认知能力、执行日常任务的能力以及行为和心理症状的有效测量。使用的照顾者结果包括照顾者负担、关系质量、照顾者信心、不良生活事件经历、神经质、年龄和性别。对英格兰中部地区74例痴呆症患者及其主要照顾者进行访谈和问卷调查。结果多元回归分析显示，照顾者超负荷、照顾者-患者关系质量、不良生活事件经历、照顾者性别、照顾者神经质水平、照顾者角色拘束和照顾者自信水平可解释照顾者负担的变异。此外，由于使用了多元回归分析，研究结果还显示了可以明确预测照顾者负担的因素，并且我们在这些发现之前为未来临床实践干预照顾者负担提供了可能的建议。版权所有(C)2008 John Wiley&Sons。LTD.
Objectives Caregiver burden is a key measure in caregiver research and is frequently used as a baseline measure in intervention studies. Previous research has found numerous factors associated with caregiver burden such as the relationship quality between carer and patient, the patient's cognitive ability, behavioural and psychological symptoms displayed by the patient, caregiver gender, adverse life events to name a few. Many studies have investigated these factors singularly however current thought suggests a multi-factorial role and inter-dependence of these factors. Based on this it was decided to investigate factors associated with caregiver burden using a multiple regression analysis in order to ascertain the predictive quality of these factors of caregiver burden.Method Cross-sectional study using validated measures of a patient's cognitive ability, ability to carry out day-to-day tasks and behavioural and psychological symptoms. Caregiver outcomes used are caregiver burden, relationship quality, caregiver confidence, experience of adverse life events, neuroticism, age and gender. Interviews and questionnaires were carried out on 74 patients diagnosed with dementia and their main caregivers from the Midlands of England.Results Multiple regression analysis showed that caregiver overload, carer-patient relationship quality, the experience of adverse life events, caregiver gender, caregivers' level of neuroticism, caregiver role captivity and the level of caregiver confidence accounted for over 80% of the variance in caregiver burden.Conclusion These results confirm previous correlational research on caregiver burden. Furthermore, due to the use of multiple regression analysis the findings also show factors that are clear predictors of caregiver burden and we offer possible suggestions front these findings oil future clinical practice interventions on caregiver burden. Copyright (C) 2008 John Wiley & Sons. Ltd.