摘要
目的调查老年期痴呆患者的基本情况、家庭关系、照料者的负担、躯体与心理状况。方法采用统一自行设计的调查问卷及焦虑自评量表(SAS)、抑郁自评量表(SDS)、临床痴呆评定量表(CDR)由调查员入户调查。根据CDR评分分为轻度痴呆组(20例)、中度痴呆组(16例)、重度痴呆组(27例)。结果调查老年期痴呆患者63例。不同严重程度的老年期痴呆患者总经济损失(F=-15.40,P=0.00)、医疗护理费用(F=-14.48,P=0.00)、照料者经济损失(F=-13.57、P=0.00)、每日照料时间(F=-16.72,P=0.00)方面存在统计学差异。照料者的SAS得分平均(30.98±5.14)分,SDS得分平均为(32.27±5.39)分,不同严重程度的痴呆患者的照料者SAS(F=14.818,P=0.000)、SDS(F=5.592,P=0.040)得分有统计学差异。结论不同严重程度的老年期痴呆患者的照料者的负担不同。痴呆的严重程度影响照料者的心理状况。
Objective： To collect the general information of patients with senile dementia and their caregivers＇ family relationships, burdens, physical and psychological status. Methods： The subjects were interviewed with self- made questionnaires, Self- Rating Anxiety Scale（ SAS）, Self- Rating Depression Scale （SDS） and Clinical Dementia Rating Scale（CDR）. Results： 63 patients with senile dementia were included and were divided into mild dementia group（ 20 patients） , moderate dementia group（ 16 patients） and sever dementia group （ 2 7 patients ） . There was significant difference on the total economic loss （ F = - 15.4 0 , P = 0. 00 ） , the cost ofhealthcare （ F = - 14.4 8, P = 0.00 ） , the caregiver ＇s economic loss （ F = - 13.5 7, P = 0.00） and daily care time （F = -16.72, P = 0.00）among the three groups . The average scores of SAS and SDS of the caregivers were 30.98 ± 5.14 and 32.27 ±5.39 respectively. There were significant difference of scores of SAS（ F = 14. 818, P = 0. 000 ） and SDS （ F = 5. 592, P = 0. 040 ） among 3 groups. Conclusion： The senile dementia earegiver＇ s burdens differ in different severity of dementia. The severity of dementia influences the psychological status of the caregivers.
出处
《上海精神医学》
2009年第4期234-236,共3页
Shanghai Archives of Psychiatry
关键词
老年期痴呆
照料者
负担
Senile dementia Caregivers Burden
