Relationships among caregiver factors and quality of life in care recipients with irreversible dementia
Relationships among caregiver factors and quality of life in care recipients with irreversible dementia
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DOI：
10.1097/00002093-200204000-00006
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发表时间：
2002-04-01
影响因子：
2.1
通讯作者：
Twigg, P
中科院分区：
文献类型：
--
作者：
Burgener, S;Twigg, P
以Lawton(1983)的老年人生活质量(QOL)模型为指导框架，这项正在进行的纵向前瞻性研究的中心目的是检验不可逆性痴呆症患者在经历疾病阶段时的QOL结果的预测因素。在最初的96对护理者/护理者对样本中，73对(N=146)对仍然留在18个月的数据收集点。从基线到18个月评估的护理接受者结果的变化包括精神状态、生产行为和功能能力的显著下降，抑郁的统计显著改善。控制12个月的心理能力，12个月的照顾者预测18个月后照顾者的QOL结果的因素包括通过与照顾者的关系质量和活动参与来预测心理健康。参与活动也能预测抑郁。受照者的功能能力通过活动参与和照顾者角色压力(对日常生活和社会功能的破坏)进行预测。照顾者因素对照顾者生产行为的三个方面中的两个有预测作用。关系质量、问题解决和照顾者角色压力(对照顾者的消极态度)和总体社会接触对照顾者的社会行为具有预期的预测作用。劳顿的生活质量模型得到了这一分析的支持，受照者生活质量结果的五个组成部分(不包括身体损伤和感觉到的个人控制)中的三个(心理健康状况、生产行为、功能能力)的总解释变异量为32%。
Using Lawton's (1983) model of quality of life (QoL) in older adults as a guiding framework, the central purpose of this ongoing longitudinal, prospective study is to examine predictors of QoL outcomes in persons with irreversible dementia as they move through the disease stages. From an initial sample of 96 caregiver/care recipient pairs, 73 (N = 146) pairs remain at the 18-month data collection point. Changes in care recipient outcomes from baseline to the 18-month assessment include significant declines in mental status, productive behaviors, and functional ability, with a statistically significant improvement in depression. Controlling for 12-month mental ability, caregiver factors at 12 months predicting care recipient QoL outcomes at 18 months include psychologic well being predicted by the quality of the relationship with the caregiver and activity participation. Depression was predicted by activity participation as well. Care recipient functional ability was predicted by activity participation and caregiver role stress (disruption to routines and social functioning). Two of the three aspects of care recipient productive behaviors were predicted by caregiver factors. with quality of the relationship predicting problem solving and caregiver role stress (negative attitudes toward care recipient) and total social contacts predicting care recipient social behaviors in the expected direction. Lawton's QoL model was supported by this analysis, with a total explained variance of 32% for three (psychologic well being, productive behaviors, functional ability) of the five (physical impairment and perceived personal control not included) components of care recipient QoL outcomes.