南京地区老年期痴呆患者照护负担研究

The care burden of senile dementia patients in Nanjing

文章以就诊的老年期痴呆患者及其照护者为研究对象,采用问卷调查探讨影响照护负担的因素。结果显示:①照护者负担量表(caregiver burden inventory,CBI)总均分为(44.33±20.13)分,各因子分均值为5.80~20.13分,得分最高的为情感性负担。②单因素分析中,患者的基础疾病种类、宗教信仰、生活费医药费等支出、年龄、病程,以及照护者的宗教信仰、自身基础疾病状况、是否被歧视、医药费用压力、家庭月收入等均是影响照护负担的因素(P<0.05)。③多因素分析结果显示,照护者受到歧视、照护者自身患有基础疾病、患者医疗费用高、有宗教信仰等是造成照护负担的主要因素。照护者的主要负担是情感性负担,患者病程与照护负担呈正相关,照护负担也将对照护者的身体健康状况产生影响;患者医疗费用的增加是影响照护负担得分的重要因素。

This article took senile dementia patients and their caregivers as the research object,and conducted a questionnaire survey to explore the factors affecting care burden.The results showed that:①the total average score of caregiver burden inventory(CBI)was 44.33±20.13,the average score of each factor was 5.80~20.13,and the highest score was emotional burden.②In univariate analysis,patients’basic disease types,religious beliefs,living expenses,medical expenses,age and course of disease,caregivers’religious beliefs,their own basic disease status,whether they were discriminated against,the medical expense pressure and the family monthly income were the factors affecting the care burden(P<0.05).③The results of multivariate analysis showed that the main factors causing care burden were the discrimination of caregivers,the basic diseases of caregivers,the high medical expenses of patients,and patients’religious beliefs.The main burden of caregivers was emotional burden.The disease course of patients was positively correlated with care burden,and care burden would also affect the health status of caregivers.The increase of patients’medical expenses was an important factor affecting the score of care burden.