阿尔茨海默病患者挑战性行为与病耻感的关系研究

Research on correlation between challenging behaviors and stigma for patients with Alzheimer's disease

目的调查阿尔茨海默病患者挑战性行为与病耻感的关系。方法采用便利抽样法选取122例阿尔茨海默病患者为研究对象,使用中文版阿尔茨海默病患者挑战性行为量表和病耻感自我评定量表进行问卷调查。结果阿尔茨海默病患者发生挑战性行为有104例,发生率为85.2%,挑战行为总分为(26.01±12.04)分。病耻感总分为(28.10±4.61)分,社交、治疗及能力维度的得分分别为(15.04±6.33)分、(9.52±4.91)分、(10.27±4.09)分。Pearson相关分析显示,患者挑战性行为与病耻感总分及社交、治疗及能力维度均呈正相关(P<0.05)。多元回归分析结果显示,文化程度、伴随疾病、自理能力和病耻感是阿尔茨海默病发生挑战性行为的影响因素。结论阿尔茨海默病患者病耻感对挑战性行为具有正向预测作用,病耻感高的患者更容易发生挑战性行为。

Objective To investigate the correlation between challenging behaviors and stigma for patients with Alzheimer's disease.Method Choose 122 patients with Alzheimer's disease by convenient sampling and investigate them by Chinese version of Challenging Behavior Scale(CBS)and self-rating stigma scale.Result There are 104 cases of challenging behaviors(82.5%)and total score on challenging behavior is(26.01±12.04).Total score on stigma is(28.10±4.61).Scores on dimension of social intercourse,treatment and ability are(15.04±6.33),(9.52±4.91)and(10.27±4.09).Pearson correlation analysis shows that there is positive correlation between challenging behaviors and total score on stigma,social intercourse,treatment and ability dimensions(P<0.05).Multiple regression analysis shows that education level,complicated diseases,self-care ability and stigma are influencing factors of challenging behaviors for patients with Alzheimer's disease.Conclusion Stigma of patients with Alzheimer's disease has positive predictable function on challenging behaviors.Patients with stronger stigma are more likely to have challenging behaviors.