关键词: Dementia burden care partner hospital discharge mental Health

来  源:   DOI:10.1080/13607863.2024.2370441

Abstract:
UNASSIGNED: This study examined the mediating role of care partner burden on the relationship between patient clinical factors (i.e. cognition, physical function, and behavioral and psychological symptoms of dementia [BPSD]) and care partner mental health (i.e. anxiety and depression) among dementia care partners at hospital discharge.
UNASSIGNED: The sample consisted of 431 patient and care partner dyads enrolled in the Family centered Function-focused Care (Fam-FFC) study; ClinicalTrials.gov identifier NCT03046121. Mediation analyses were conducted to test the role of care partner burden on the associations between patient clinical factors, and care partner anxiety and depression.
UNASSIGNED: Mediation models demonstrated that care partner burden partially mediated the relationship between patient physical function and care partner anxiety and depression, as well as patient BPSD and care partner anxiety and depression.
UNASSIGNED: Findings highlight the need for clinicians and service providers to implement comprehensive strategies that address both patient clinical factors (i.e. physical function and BPSD) and care partner burden, to optimize care partner mental health outcomes during post-hospital transition.
摘要:
这项研究检查了护理伙伴负担对患者临床因素(即认知,物理功能,以及痴呆症的行为和心理症状[BPSD])和出院时痴呆症护理伙伴的心理健康(即焦虑和抑郁)。
样本由431名患者和护理伴侣组成,他们参加了以家庭为中心的功能聚焦护理(Fam-FFC)研究;ClinicalTrials.gov标识符NCT03046121。进行了中介分析,以测试护理伙伴负担对患者临床因素之间的关联的作用。并关心伴侣的焦虑和抑郁。
中介模型表明,护理伴侣负担部分介导了患者身体功能与护理伴侣焦虑和抑郁之间的关系,以及患者BPSD和护理伴侣焦虑和抑郁。
研究结果强调,临床医生和服务提供者需要实施全面的策略,以解决患者的临床因素(即身体功能和BPSD)和护理伙伴的负担。优化护理伙伴在住院后过渡期间的心理健康结果。
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