Clinically significant changes in burden and depression among dementia caregivers following nursing home admission.
Clinically significant changes in burden and depression among dementia caregivers following nursing home admission.
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DOI：
10.1186/1741-7015-8-85
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发表时间：
2010-12-17
期刊：
影响因子：
9.3
通讯作者：
Newcomer R
中科院分区：
文献类型：
--
作者：
Gaugler JE;Mittelman MS;Hepburn K;Newcomer R
尽管对非正式长期护理进行了广泛的研究，但由于缺乏确定的关键措施的临床分界点，很少有工作研究家庭护理转变的临床意义。本研究的目的是确定是否有临床意义的变化，在照顾者的负担和抑郁症状发生在12个月内的养老院入院（NHA）的亲属与痴呆症，并确定临床持续负担和抑郁症的关键预测因素在第一年后制度化。从美国8个集水区招募了痴呆症照顾者的二次纵向分析，并提供了6个月和12个月的安置后随访数据。样本包括1，610名痴呆症照顾者的数据，其中包括安置前和安置后6个月的数据，以及1，116名安置前，6个月和12个月的安置后数据。负担是衡量与修改版本的Zarit负担清单。采用老年抑郁量表评估抑郁症状。卡方分析发现，与安置前相比，NHA后报告临床显著负担和抑郁症状的照顾者人数显着减少（P <0.05）。Logistic回归模型显示，妻子和女儿最有可能经历临床上持续的负担，丈夫最有可能经历临床上显着的抑郁症后NHA。除了表明照顾者的负担和抑郁症的临床显着减少可能会发生以下机构，结果揭示了特定的照顾者谁是在持续的痛苦风险的子集。这类调查结果可有助于制定甄别程序，以查明收容后面临风险的家庭。
Although extensive research exists on informal long-term care, little work has examined the clinical significance of transitions in family caregiving due to a lack of established clinical cut-points on key measures. The objectives of this study were to determine whether clinically significant changes in symptoms of burden and depression occur among caregivers within 12 months of nursing home admission (NHA) of their relatives with dementia, and to identify key predictors of clinically persistent burden and depression in the first year after institutionalization. Secondary longitudinal analysis of dementia caregivers were recruited from eight catchment areas in the United States with 6- and 12-month post-placement follow-up data. The sample included data on 1,610 dementia caregivers with pre- and six-month post-placement data and 1,116 with pre-placement, six-month, and 12-month post-placement data. Burden was measured with a modified version of the Zarit Burden Inventory. Depressive symptoms were assessed with the Geriatric Depression Scale. Chi-square analyses found significant (P < .05) reductions in the number of caregivers who reported clinically significant burden and depressive symptoms after NHA compared to pre-placement. Logistic regression models revealed that wives and daughters were most likely to experience clinically persistent burden and husbands were most likely to experience clinically significant depression after NHA. In addition to suggesting that clinically significant decreases in caregiver burden and depression are likely to occur following institutionalization, the results reveal particular subsets of caregivers who are at continued risk of distress. Such findings can facilitate development of screening processes to identify families at-risk following institutionalization.
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影响因子：
--
作者：
Lyness, JM;Noel, TK;Caine, ED
通讯作者：
Caine, ED
DOI：
10.1111/j.1532-5415.2006.01037.x
发表时间：
2007-02-01
影响因子：
6.3
作者：
Mason, Anne;Weatherly, Helen;Drummond, Michael
通讯作者：
Drummond, Michael
影响因子：
3.4
作者：
Majerovitz, S. Deborah
通讯作者：
Majerovitz, S. Deborah
DOI：
10.1034/j.1600-0579.2003.00210.x
发表时间：
2003-05-01
影响因子：
6.3
作者：
Brodaty, H;Green, A;Koschera, A
通讯作者：
Koschera, A
影响因子：
3
作者：
Gaugler, Joseph E.;Yu, Fang;Wyman, Jean F.
通讯作者：
Wyman, Jean F.