치매 환자 간병인의 부담

• 영문명: Caregiver Burden for Dementia Patients
• 발행기관: 대한노인정신의학회
• 저자명: 전진숙(Jin Sook Cheon) 조성곤(Sung Gohn Jo) 송혜란(Hae Ran Song) 오병훈(Byoung Hoon Oh)
• 간행물 정보: 『노인정신의학』노인정신의학 제7권 제2호, 154~162쪽, 전체 9쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2003.12.30

영문 초록

Objectives : The caregiver burden means emotional, social, financial, psyc-hological physical problems which could be experienced occupational caregivers or families who cared disable patients. The caregiver burden affected by primary stressors (severity of disa-bility in dementia patients) and secondary stressors (withdrawal from society, conflict between job and caregiving, loss of personal identify) may result in physical ill-health, depression, anxiety for the caregiving. The aims of this study were to assess caregiver burden in dementia, and to identify affecting factors. Methods : 30 caregivers for dementia patients who had been treated at the "Dementia-Geriatric Mental Health Clinic" in the Kosin University Gospel Hospital and 44 healthy volunteers were sel-edcted. Using the screen for CaregIver Burden (SCB), the degree of caregiver burden was measu-red. The demographic data was obtained by structured interview. Primary and secondary stressors were also analyzed. The severity of depression and anxiety was assessed by the Hamilton Depre-ssion Scale (HDS) and Hamilton Anxiety Scale (HAS). The severity of cognitive dysfunction (MMSE, CDR, GDS), behavioral symptoms (Revised Memory and Behavior Problems Checklist, PMBPC), daily functional disability (ADL, IADL) for the dementia patients were evaluated. Results : 1) The SCB scores were significantly (p<0.001) higher in dementia caregivers (8.71±4.90) than in controls (0.23±0.48).2) The SCB scores were not correlated with age of care-givers (γ=0.081), education (γ=-0.613), duration of caregiving (γ=0.275). The RMBPC scores had statistically significant positive correlation with SCB scores (γ=0.545, p<0.01), while age if dementia patients (γ=-0.234), onset age of dementia (γ=-0.280), duration of dementia (γ=0.029), CDR (γ=0.080), GDS (γ=-0.125), MMSE (γ=-0.212), ADL (γ=-0.315), IADL (γ=0.155) had not. 3) The SCB scores had statistically significant po-sitive correlation with degree of secondary stress (γ=0.581, p<0.01) and anxiety (γ=0.376, p<0.05). The degree of secondary stress had statistically significant positive correlation with degree of emotional stress (γ=0.757, p<0.01), depression (γ=0.482, p<0.01), anxiety (γ=0.376, p<0.01). Conclusion : The caregiver burden in dementia seemed to be originated from primary stressors related to the behavioral symptoms as well as secondary stressors (degree of emotional stress, depression, anxiety, etc.). Therefore, active intervention by the geriatric specialists might be helpful to reduce their strain.

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치매 간병인 부담 일차적 스트레스 행동증상 이차적 스트레스 정신적 스트레스 정도 우울증 불안증 Dementia Caregiver burden Primary stressor Behavior symptoms Seco-ndary stressor Degree of emotional stress Depression Anxiety