PDF(Pubmed)
Abstract：
The purpose of this study was to assess the relationship between quality of life and dementia caregivers. The 2019 Korean Community Health Survey participants were assessed using the Patient Health Questionnaire-9, subjective cognitive decline (SCD) and SCD-related functional limitation, and EuroQol 5-dimension (EQ-5D). Sociodemographic and psychosocial variables were evaluated and compared between participants with dementia caregivers (n = 37,614) and non-dementia caregivers (n = 140,518). The dementia caregivers group reported significantly higher rates of depression, SCD, SCD-related functional restriction, and mean EQ-5D compared to the non-dementia caregivers group (P < .001). After adjusting for multiple confoundings, the odds ratio (OR) for depression (Patient Health Questionnaire-9 ≥ 10), SCD, SCD-related functional limitation, and lowest quartile of the EQ-5D index scores in the dementia caregivers group were 1.43 (95% confidence interval [CI], 1.29-1.59), 1.30 (95% CI: 1.24-1.36), 1.26 (95% CI: 1.20-1.32), and 1.22 (95% CI: 1.16-1.29), respectively. Physical activity (OR: 1.47; 95% CI: 1.43-1.52), self-control (OR: 1.41; 95% CI: 1.35-1.47), daily activity (OR: 1.55; 95% CI: 1.50-1.60), pain (OR: 1.62; 95% CI: 1.58-1.67), and anxiety/depression (OR: 2.17; 95% CI: 2.10-2.24) were all more common among participants in the dementia caregivers group than in the non-dementia family caregivers group. Depression, SCD, and a lower quality of life are linked to dementia caregivers, especially if there is moderate to severe anxiety or depression.
摘要：
这项研究的目的是评估生活质量与痴呆症护理人员之间的关系。2019年韩国社区健康调查参与者使用患者健康问卷-9，主观认知下降（SCD）和SCD相关的功能限制进行评估，和EuroQol5维（EQ-5D）。评估并比较了有痴呆症照顾者（n=37,614）和非痴呆症照顾者（n=140,518）的参与者之间的社会人口统计学和心理社会变量。痴呆症照顾者组报告的抑郁症发生率明显更高，SCD,SCD相关功能限制,和平均EQ-5D与非痴呆照顾者组相比(P<.001)。调整多个混淆后，抑郁症的比值比（OR）（患者健康问卷-9≥10），SCD,与SCD相关的功能限制，痴呆照顾者组EQ-5D指数得分的最低四分位数为1.43(95%置信区间[CI]，1.29-1.59),1.30（95%CI：1.24-1.36），1.26（95%CI：1.20-1.32），和1.22（95%CI：1.16-1.29），分别。体力活动（OR：1.47；95%CI：1.43-1.52），自我控制（OR：1.41；95%CI：1.35-1.47），日常活动（OR：1.55；95%CI：1.50-1.60），疼痛（OR：1.62；95%CI：1.58-1.67），和焦虑/抑郁(OR:2.17;95%CI:2.10-2.24)在痴呆照顾者组中比非痴呆家庭照顾者组中更常见.抑郁症,SCD,生活质量较低与痴呆症护理人员有关，特别是如果有中度到重度的焦虑或抑郁。
