住院老年期痴呆患者监护人生活质量及其影响因素

The quality of life of guardians of the hospitalized patients with senile dementia

目的探讨住院老年期痴呆患者监护人生活质量及其影响因素。方法采用一般情况调查表、健康状况问卷(SF-36)、社会支持评定量表(SSRS)、简易智力状态检查(MMSE)、AD病理行为评分表(BEHAVE-AD)对住院老年期痴呆患者及门诊老年期痴呆(AD和VD)患者和其监护人进行评定,并与正常老人的监护人进行比较。结果住院痴呆患者监护人SF-36总分及因子分比正常对照低,但较门诊痴呆组评分高,均有显著性差异(P<0.01～0.05)。单因素分析发现不同性别、年龄、文化程度、婚姻状况、工作情况、性格特征、病程、与患者的关系及有无躯体疾病之间比较,其SF-36总评分均具有非常显著性差异(P<0.01);逐步回归分析显示影响监护人生活质量的因素依次为患者痴呆的严重程度,精神行为症状,与患者关系,性别,社会支持。结论住院痴呆患者监护人生活质量较差,影响因素是多方面的,应引起高度重视。

Objective： To explore the quality of life （QOL） and influencing factors of the guardians of the hospitalized patients with senile dementia. Methods： The scales MOS SF-36, SSRS, MMSE, and BEHAVE-AD were used in guardians of dementia in-atients and out - patients, compared with those of guardians of healthy controls. Results ： SF-36 scores were significantly lower in the guardians of dementia in-patients than those in guardians of healthy controls, but higher than those of out-patient group. （P〈0.01-0. 05 ）. Stepwise regression analysis showed the main factors influencing guardian＇quality of life included MMSE , BEHAVE, relationship to patients, the gender and SSRS. Conclusion： The quality of life of guardians of dementia patients were poor and much attention were needed to pay.