关键词: Behavioral and psychological symptoms caregiver distress clinical dementia rating dementia neuropsychiatric inventory

来  源:   DOI:10.4103/ipj.ipj_137_23   PDF(Pubmed)

Abstract:
UNASSIGNED: Behavioral and psychological symptoms of dementia (BPSD) influence dementia care significantly. BPSD can be affected by factors related to the patient\'s illness and socio-cultural background.
UNASSIGNED: This study aimed to find a relationship between BPSD with patients\' socio-demographic and clinical profiles and their caregivers\' distress in a tertiary care center.
UNASSIGNED: In this hospital-based cross-sectional study, the purposive sampling technique was used to select 100 dementia patients. A comprehensive record of socio-demographic and clinical details was made on a self-prepared semi-structured data sheet. The Neuropsychiatric Inventory Questionnaire was the principal tool to find the BPSD and related caregivers\' distress.
UNASSIGNED: The sample comprised predominantly Hindu (91%) male patients (66%) with Alzheimer\'s dementia (76%) coming from rural backgrounds (74%) and joint familial systems (96%), with a mean age of 71.77 ± 7.41 years. Patients\' main caregivers were their children/children-in-law (65%). The severity of an overall BPSD and its variable individual domains were directly related to the duration of dementia, patients\' age, their cognitive decline, and related decline in activities of living, as well as their caregivers\' distress. In comparison to Alzheimer\'s disease patients, those with other dementia types had more impairment in cognitive functions and activities of daily living and they had a higher number and severity of BPSD.
UNASSIGNED: The advancing age, increased duration of dementia, and decline in cognition and related activities of daily living of the patients, as well as their caregivers\' distress, are important correlates of BPSD. The findings are essential for the better management of dementia patients.
摘要:
痴呆的行为和心理症状(BPSD)对痴呆护理有显著影响。BPSD可能受患者疾病和社会文化背景相关因素的影响。
本研究旨在发现三级护理中心BPSD与患者的社会人口统计学和临床特征及其护理人员的困扰之间的关系。
在这项基于医院的横断面研究中,目的抽样技术用于选择100例痴呆患者。在自我准备的半结构化数据表上对社会人口统计学和临床细节进行了全面记录。神经精神调查问卷是发现BPSD和相关护理人员痛苦的主要工具。
样本主要包括印度(91%)男性患者(66%)患有阿尔茨海默氏症痴呆(76%),来自农村背景(74%)和联合家族系统(96%)。平均年龄71.77±7.41岁。患者的主要照顾者是他们的子女/岳父(65%)。总体BPSD的严重程度及其可变的单个结构域与痴呆的持续时间直接相关,患者年龄,他们的认知能力下降,以及相关的生活活动下降,以及他们的照顾者的痛苦。与阿尔茨海默病患者相比,其他类型痴呆患者的认知功能和日常生活活动受损更多,BPSD的数量和严重程度更高.
年龄的增长,痴呆症的持续时间增加,以及患者日常生活的认知和相关活动的下降,以及他们的照顾者的痛苦,是BPSD的重要相关因素。这些发现对于更好地管理痴呆症患者至关重要。
公众号