본문 바로가기
KERD
논문KCI 등재

치매의 행동심리증상이 요양시설 간호제공자의 부담감에 미치는 영향

Impact of Behavioral and Psychological Symptoms of Dementia on Caregiver Burden in Nursing Homes

1

조회

0

다운로드

38

인용

0

참고문헌

키워드

주제분류간호학

초록

Purpose: The purpose of this study was to identify the impact of behavioral and psychological symptoms of dementia (BPSD) on the burden of caregivers in nursing homes (NHs). Methods: The sample consisted of 145 dyads of persons with dementia (PWDs) (mean age=83.34±7.11; women 80.69%) and their caregivers (mean age=50.69±8.97; women 97.93%) conveniently selected from six NHs (≥50 beds). PWDs were evaluated using the Korean Mini-Mental Status Exam, Physical Activities of Daily Living, and Korean Cohen-Mansfield Agitation Inventory; and their demographic information was obtained by a chart review. Caregivers were asked to complete the Professional Caregiver Burden Scale and a questionnaire asking general characteristics. Data were analyzed using Pearson correlations, t-tests, ANOVAs, and hierarchical multiple regression analyses. Results: Multiple regression analyses revealed that caregivers’ age (β=-.27, p= .001), PWD’s length of stay in the facility (β=-.23, p= .006) and BPSD (β=.31, p<.001) significantly predicted caregiver burden (F=4.55, p<.001; adjusted R2=.18); and that BPSD was the strongest factor, independently adding 9% to total variance explanation power of the model. Conclusion: Replication studies using large random sample are necessary to confirm the findings of this study.

Abstract

Purpose: The purpose of this study was to identify the impact of behavioral and psychological symptoms of dementia (BPSD) on the burden of caregivers in nursing homes (NHs). Methods: The sample consisted of 145 dyads of persons with dementia (PWDs) (mean age=83.34±7.11; women 80.69%) and their caregivers (mean age=50.69±8.97; women 97.93%) conveniently selected from six NHs (≥50 beds). PWDs were evaluated using the Korean Mini-Mental Status Exam, Physical Activities of Daily Living, and Korean Cohen-Mansfield Agitation Inventory; and their demographic information was obtained by a chart review. Caregivers were asked to complete the Professional Caregiver Burden Scale and a questionnaire asking general characteristics. Data were analyzed using Pearson correlations, t-tests, ANOVAs, and hierarchical multiple regression analyses. Results: Multiple regression analyses revealed that caregivers’ age (β=-.27, p= .001), PWD’s length of stay in the facility (β=-.23, p= .006) and BPSD (β=.31, p<.001) significantly predicted caregiver burden (F=4.55, p<.001; adjusted R2=.18); and that BPSD was the strongest factor, independently adding 9% to total variance explanation power of the model. Conclusion: Replication studies using large random sample are necessary to confirm the findings of this study.

참고문헌 (30)

  1. Aarsland, D., "Neuropsychiatric symptoms in patients with Parkinson's disease and dementia: Frequency, profile and associated care giver stress", Journal of Neurology, Neurosurgery & Psychiatry, 78(1), pp.36~42 (2007)
  2. Algase, D. L., "Need-driven dementia-compromised behavior: An alternative view of disruptive behavior", American Journal of Alzheimer's Disease, 11(6), pp.10~19 (1996)
  3. Black, W., "A systematic review of the association between the behavioral and psychological symptoms of dementia and burden of care", International Psychogeriatrics, 16(3), pp.295~315 (2004)
  4. Brodaty, H., "Nursing home staff attitudes towards residents with dementia: Strain and satisfaction with work", Journal of Advanced Nursing, 44(6), pp.583~590 (2003)
  5. Cerejeira, J., "Behavioral and psychological symptoms of dementia", Frontiers in Neurology, 3, pp.1~21 (2012)
  6. Chan, D. C., "Presence of behavioral and psychological symptoms predicts nursing home placement in community-dwelling elders with cognitive impairment in univariate but not multivariate analysis", The Journal of Gerontology, Series A, Biological Sciences and Medical Sciences, 58, pp.548~554 (2003)
  7. Cohen-Mansfield, J., "Agitated behavior in persons with dementia: The relationship between type of behavior, its frequency, and its disruptiveness", Journal of Psychiatric Research, 43, pp.64~69 (2009)
  8. Cohen-Mansfield, J., "A description of agitation in a nursing home", Journal of Gerontology, 44(3), pp.M77~M84 (1989)
  9. Edberg, A., "Strain in nursing care of people with dementia: Nurses' experience in Australia, Sweden and United Kingdom", Aging and Mental Health, 12(2), pp.236~243 (2008)
  10. Edvardsson, D., "Associations between the working characteristics of nursing staff and the prevalence of behavioral symptoms in people with dementia in residental care", International Psychogeriatrics, 20(4), pp.764~776 (2008)
  11. Ejaz, E. K., "The impact of stress and support on direct care workers' job satisfaction", The Gerontologist, 48(Special Issue I), pp.60~70 (2008)
  12. Everitt, D. E., "Resident behavior and staff distress in the nursing home", Journal of the American Geriatric Society, 39(8), pp.792~798 (1991)
  13. Goergen, T., "Stress, conflict, elder abuse and neglect in German nursing homes: A pilot study among professional caregivers", Journal of Elder Abuse, 13, pp.1~26 (2001)
  14. Hall, G. R., "Progressively lowered stress threshold: A conceptual model for care of adults with Alzheimer's disease", Archives of Psychiatric Nursing, 1(6), pp.399~406 (1987)
  15. Huang, S. S., "Caregiver burden associated with behavioral and psychological symptoms of dementia (BPSD) in Taiwanese elderly", Archives of Gerontology and Geriatrics, 55(1), pp.55~59 (2012)
  16. Kang, Y., "A validity study on the Korean Mini-Mental state Examination (K-MMSE) in dementia patients", The Journal of the Korean Neurological Association, 15(2), pp.300~308 (1997)
  17. Kim, K. S., "A study on behavioral and psychological symptom of dementia (BPSD) among dementia elderly in an institutional setting", Journal of Korean Gerontological Nursing, 14(2), pp.129~141 (2007)
  18. Kwon, J. D., "Development of the measurement tool and model for the caregiving" (1995), Hongikjae
  19. Lim, Y. M., "Factors affecting burden of family caregivers of community-dwelling ambulatory elders with dementia in Korea", Archives of Psychiatric Nursing, 22(4), pp.226~234 (2008)
  20. McCarty, E. F., "Burden and professional caregivers: Tracking the Impact", Journal for Nurses in Staff Development, 18(5), pp.250~257 (2002)
  21. Monastero, R., "A systematic review of neuropsychiatric symptoms in mild cognitive impairment", Journal of Alzheimer's Disease, 18(1), pp.11~30 (2009)
  22. Miyamoto, Y., "Formal caregiver burden in dementia: Impact of behavioral and psychological symptoms of dementia and activities of daily living", Geriatric Nursing, 31(4), pp.246~253 (2010)
  23. "Bureau of long term health insurance statistics" (2012)[URL]
  24. Rabinowitz, J., "Factor analysis of the Cohen-Mansfield Agitation Inventory in three large samples of nursing home patients with dementia and behavioral disturbance", American Journal of Geriatric Psychiatry, 13(11), pp.991~998 (2005)
  25. Rodney, V., "Nurse stress associated with aggression in people with dementia: Its relationship to hardiness, cognitive appraisal and coping", Journal of Advanced Nursing, 31(1), pp.172~180 (2000)
  26. Suh, G. H., "Agitated behaviors among the institutionalized elderly with dementia: Validation of the Korean version of the Cohen-Mansfield Agitation Inventory", International Journal of Geriatric Psychiatry, 19(4), pp.378~385 (2004)
  27. Survey of dementia prevalence, "Seoul National University Hospital", Ministry of Health, Welfare, and Family Affairs, ~ (2009)
  28. Son, G. R., "Korean adult child caregivers of older adults with dementia: Predictors of burden and satisfaction", Journal of Gerontological Nursing, 29(1), pp.19~28 (2003)
  29. Tan, L. L., "The impact of neuropsychiatric symptoms of dementia on distress in family and professional caregivers in Singapore", International Psychogeriatrics, 17(2), pp.253~263 (2005)
  30. Zuidema, Z., "Prevalence and predictors of neuropsychiatric symptoms in cognitively impaired nursing home patients", Journal of Geriatric Psychiatry and Neurology, 20(1), pp.41~49 (2007)

관련 논문AI추천

이 간행물의 다른 논문 (7건)