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알쯔하이머병 환자의 삶의 질 평가에 대한 환자 보고와 부양자 보고

Patients’ versus caregivers’ reports of quality of life in Alzheimer’s disease

신일선|김성완
대한생물치료정신의학회 (Korean Society Of Biological Therapies In Psychiatry)|2006.12|생물치료정신의학 (Journal of the Korean Society of Biological Therapies in Psychiatry)|제12권 제2호|pp. 224-230

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참고문헌

키워드

치매·알쯔하이머병·삶의 질·부양자.Dementia·Alzheimer’s disease·Quality of life·Caregiver.
주제분류정신과학

초록

목 적： 본 연구는 AD환자의 QOL에 대한 환자와 부양자의 보고에 차이가 있는지를 알아보고, 환자의 QOL과 인기지능, ADL 및 BPSD과의 연관성을 조사하고자 하였다. 방 법： 51명의 AD환자와 그 환자의 부양자가 연구에 참여하였다. 환자의 QOL은 KQOL-AD를 이용하여 평가－ 229 － 하였다. 각 환자와 환자의 부양자가 환자의 QOL를 평가하였다. K-MSE, ADL 및 NPI를 평가하였다.

Abstract

Objectives：This study investigated the differences between patient and caregiver reported Quality of Life(QOL) in Alzheimer’s disease(AD) and assessed the relationship of patient QOL and cognitive function, activities of daily living(ADL) and behavioral and psychological symptoms of dementia(BPSD). Methods：Fifty-one patients with AD and their caregivers participated. Patient QOL was assessed using by the Korean version of Quality of Life-Alzheimer’s Disease(KQOL-AD) scale. Each patient and caregiver rated the patient QOL. Korean version of mini-mental state examination(K-MMSE), ADL and neuropsychiatric inventory(NPI) were also assessed. Results：There were significant correlations between patients and caregiver reports of patient on mood, living situation, memory, family, marriage, friends, self as a whole, ability to do chores around the house, ability to do things for fun, money, and life as a whole, and total KQOL-AD scores. Patient ratings of patient QOL-AD were higher than caregiver ratings on most patient QOL measures. However, there were no significant differences between patient and caregiver ratings on any QOL item. QOL Scores of patient QOL were significant correlated with NPI scores, but were no significant correlated with K-MMSE and ADL scores. Conclusion：Caregiver and patient reported QOL did not differ. Patients seem to be able to assess their own QOL properly although they have impairment in cognitive function or activities of daily living. BPSD of AD patients adversely affect patient QOL.

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