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지역사회거주 치매노인 부양자를 대상으로 한 ‘한국어판 부양자 활동 조사(CAS-K)'의 개발

Development of ‘Korean Version of Caregiver Activity Survey (CAS-K)' in Caregivers of Community Dwelling Elderly with Dementia

김성완|양수진|정슬기|윤진상|김재민|심일선
대한신경과학회 (Korean Neurological Association)|2004.08|대한신경과학회지 (Journal of the Korean Neurological Association)|제22권 제4호|pp. 322-327

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참고문헌

주제분류신경과학

초록

Abstract

Background: The Caregiver Activity Survey (CAS) has been designed to collect information about the time caregivers spend providing care during a typical 24-hour period. This study aimed to develop the Korean version of the CAS (CAS-K) in caregivers of community dwelling elderly with dementia. Methods: The study sample consisted of 61 elderly with dementia and their caregivers. For the elderly with dementia, the data on demographic characteristics, cognitive function, activities of daily living, global severity of dementia, depressive symptoms, and physical illness were investigated. For the caregivers, CAS-K was administered, and data on demographic characteristics, care burden, and general psychopathology were assessed. Using the data above, analyses on reliabilities and validities of CAS-K were carried out. Results: In the elderly with dementia, the global severity was classified into mild (N=44; 72%), moderate (N=12; 20%), and severe (N=5; 8%). The mean caregiving time per day measured by the CAS-K was seven hours across all dementia elders. However, the time was increased according to the global severity of dementia. Test-retest reliability of the CAS-K was good. Times on the CAS-K was significantly correlated with scores on cognitive function, activities of daily living, and the global severity of the elderly with dementia; and with care burden and general psychopathology of the caregivers. Conclusions: Our results suggest that the CAS-K might be a reliable and valid instrument for investigating the caregiving time required by Korean caregivers. It could be used as an outcome measure of drug trials or an indirect index of costs in the management of dementia patients.

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