Physical disability contributes to caregiver stress in dementia caregivers
Physical disability contributes to caregiver stress in dementia caregivers
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DOI：
10.1093/gerona/60.3.345
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发表时间：
2005-03-01
影响因子：
5.1
通讯作者：
Schaper, F
中科院分区：
文献类型：
--
作者：
Bruce, DG;Paley, GA;Schaper, F
背景资料。以前关于身体疾病对照顾者健康影响的研究结果一直不一致。作者想要确定SF-12调查确定的身体残疾是否会导致照顾者压力。SF-12调查提供了有关身体和精神健康问题的信息。作者采访了91名痴呆症患者的主要照顾者(年龄38-85岁)，他们是第一次被家庭医生转介接受正式支持服务或记忆评估的。照顾者完成SF-12版本的医疗结果研究简表健康调查，该调查生成精神成分摘要(MCS)和身体成分摘要(PC)分数，并报告照顾者的压力以及同时发生的医疗状况和药物。大多数照顾者报告压力(76.9%)，有医疗条件(72.4%)，或服用药物(67%)。MCS而不是PCS的得分显著低于社区常模，表明由于心理健康问题导致的残疾过多。然而，40.7%的人的PCS得分表明存在某种程度的身体残疾。经多元Logistic回归分析，PCS得分与照顾者压力独立相关，而与存在的医疗问题无关。由SF-12PCS评分评估的慢性残疾与照顾者压力独立相关。这些数据表明，痴呆症患者的照顾者应该接受身体残疾和精神健康问题的评估。此外，减少身体残疾的影响可以缓解照顾者的压力。
Background. Previous findings of studies on the impact of physical illness on caregiver health have been inconsistent. The authors wanted to determine whether physical disability, as determined by the SF-12 survey that provides information on both physical and mental health problems, contributes to caregiver stress.Methods. The authors interviewed 91 primary caregivers (aged 38-85 years) of persons with dementia who had been referred by their family physicians for the first time for formal support services or memory evaluation. Caregivers completed the SF-12 version of the Medical Outcomes Study Short Form Health Survey that generates Mental Component Summary (MCS) and Physical Component Summary (PCs) scores and reported on caregiver stress and concurrent medical conditions and medications.Results. Most caregivers reported stress (76.9%), having medical conditions (72.4%), or taking medications (67%). The MCS but not the PCs scores were significantly lower than community norms, indicating an excess of disability due to mental health problems. Nevertheless, 40.7% had PCs scores indicating some degree of physical disability. Using multiple logistic regression analysis, PCs scores but not the presence of medical problems were independently associated with caregiver stress.Conclusions. Chronic disability as assessed by SF-12 PCs scores is independently associated with caregiver stress. These data suggest that caregivers of persons with dementia should be assessed for disabling physical conditions and mental health problems. In addition, reducing the impact of physical disability could ameliorate caregiver stress.