알쯔하이머병과 혈관성치매 환자의 부양부담 차이
The Difference of Caregiver Burden in Patients with Alzheimer's Disease and Vascular Dementia
2
조회
0
다운로드
4
인용
0
참고문헌
초록
Abstract
Background: The burden on caregivers of patients with dementia has an impact on medical, economic, and social areas. However, not enough attention is given to this burden in Korea. There are also very few reports comparing the burden experienced by caregivers of patients with Alzheimer's disease (AD) and vascular dementia (VD). Methods: One hundred and forty four Alzheimer's and vascular dementia patients were recruited by nine medical centers in the metropolitan city of Busan and the Gyeongnam province. We evaluated the global dementia state of patients in terms of cognitive functions, behavioral and psychological symptoms of dementia, and the activity of daily living along with caregiver burden with the length of care time per day. The Burden Interview, Caregiver Burden Inventory (CBI), Life Satisfaction Index-Z, Beck Depression Inventory, and Beck Anxiety Inventory were conducted by face-to-face interviews with the caregivers. We compared the differences of caregiver burden related to the cause of dementia and according to dementia severity. Results: There were 98 AD patients (68.1%) and 46 VD patients (31.9%). There were 89 females (61.8%) and 55 males (38.2%). Most of the global dementia states did not differ between AD and VD except for the Barthel index (p<0.05). Most of the caregiver burden tests were scored worse in VD. The differences of CBI-time dependent burden and CBI-developmental burden were statistically significant in all the patients (p<0.05). Conclusions: Our study suggests that VD patients have more caregiver burden than AD patients and that the physical activity of daily living influences caregiver burden.
참고문헌 (35)
- "Economic impact of Alzheimer's disease in the United Kingdom.Cost of care and disease severity for non-institutionalised patients with Alzheimer's disease", 174, pp.51~55 (1999)
- "The increasing burden of Alzheimer disease", 17 suppl 3, pp.75~79 (2003)
- "Caregiver burden:an important concept in the management of Alzheimer's disease", no4, pp.5no4 (1999), ~
- "Assessment,measures and approaches to easing caregiver burden in Alzheimer's disease", 19, pp.203~215 (2002)
- "Alzheimer's disease care:costs and potential savings", 17, pp.206~216 (1998)
- "The association between caregiver burden and caregiver health-related quality of life in Alzheimer disease", 15, pp.129~136 (2001)
- "A multinational review of recent trends and reports in dementia caregiver burden", 18, pp.99~109 (2004)
- "The costs of vascular dementia:a comparison with Alzheimer's disease", 203-204, pp.35~39 (2002)
- "Vascular dementi versus dementia of Alzheimer's type do they have differential effects on caregivers' burden", pp.93~98
- "Family caregivers of patients with dementia:impact of factors of burden", 29, pp.142~147 (2002)
- "Family caregiver's burden of stoke patients", 19, pp.213~218 (2001)
- "Determinants of care burden of caregiver in patients with dementia", 40, pp.1106~1113 (2001)
- "American Psychiatric Association Committee on Nomenclature and Statistics Diagnostic and Statistical Manual of Mental Disorders" (1994)
- "Clinical diagnosis of Alzheimer's disease report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force On Alzheimer's Disease", 34, pp.939~944 (1984)
- "Vascular dementia", 312, pp.227~231 (1996)
- "A validity study on the Korean Mini-Mental State Examination(K-MMSE)in dementia patients", 15, pp.300~307 (1997)
- "Estimating the validity of the Korean Version of Expanded Clinical Dementia Rating Scale CDR", 19, pp.585~591 (2001)
- "The Korean version of the neuropsychiatric inventory:a scoring tool for neuropsychiatric disturbance in dementia patients", 15 suppl, pp.609~615 (2000)
- "Introduction of dementia questionnaire activity of daily living", pp.14~20
- "The reliability and validity of the Korean instrumental activity of daily living(K-IADL)", 20, pp.8~14 (2002)
- "Relatives of the impaired elderly:correlates of feelings of burden", 20, pp.649~655 (1980)
- "Application of a multidimensional caregiver burden inventory", 29, pp.798~803 (1989)
- "An analysis of a short self-report measure of life satisfaction:correlation with rater judgments", 24, pp.465~469 (1969)
- "An inventory for measuring depression", 4, pp.561~571 (1961)
- "An inventory for measuring clinical anxiety:psychometric properties", 56, pp.893~897 (1988)
- "Relationship of severity of dementia to caregiving stressors", 4, pp.389~392 (1989)
- "A comparison of caregivers for elderly stroke and dementia victims", 40, pp.896~901 (1992)
- "Factors affecting on the QOL of the demented elderly caregivers:Suggestions of political alternatives", 17, pp.77~150 (2003)
- "Economic analysis of Alzheimer's disease in outpatients:impact of symptom severity", 7, pp.115~122 (1995)
- "The Comprehensive Psychopathological Rating Scale in patients with dementia of Alzheimer type and multiinfarct dementia", 68, pp.263~270 (1983)
- "Relationship between behavioral problems and cognitive status in Alzheimer type and mixed Alzheimer and vascular dementia", 31, pp.860~864 (1994)
- "A comparison of psychiatric symptoms in vascular dementia and Alzheimer's disease further evidence for a multidimensional view of burden", pp.21~34
- "Practice guideline for the treatment of patients with Alzheimer's disease and other dementias of late life", 154 suppl 5, pp.1~38 (1997)
- "The association between objective and subjective caregiver burden", 10, pp.77~84 (1996)
- "The association between objective and subjective caregiver burden", 10, pp.77~84 (1996)
