《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (05): 461-463.

• 临床研究 • 上一篇    下一篇

居家与养老院阿尔茨海默病患者精神行为症状对家庭负担的影响

符霞1;张美芬2;张俊娥2;刘可2   

  1. 1. 广东省人民医院，广东省医学科学院肾内科血液净化中心，广东广州市 510080;2. 中山大学护理学院，广东广州市 510080
  • 收稿日期:2009-02-01 出版日期:2009-05-01 发布日期:2009-05-01
  • 通讯作者: 张美芬

Family Burden from Behavioral and Psychological Symptoms in Patients with Alzheimer Disease Living at Home and in Nursing Home

FU Xia, ZHANG Mei-fen, ZHANG Jun-e, et al   

  1. The Blood Purification Center of Nephrology Department, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510080, Guangdong, China
  • Received:2009-02-01 Published:2009-05-01 Online:2009-05-01

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摘要： 目的 探讨居家与养老院阿尔茨海默病（AD）患者精神行为症状对家庭负担的影响。方法 采用居家/养老院神经精神量表（NPI）及家庭负担量表对200例AD患者进行问卷调查，对数据进行统计分析。结果 居家AD患者的家庭负担总分及其家庭日常活动、家庭娱乐活动、家庭关系、家庭成员心理健康、家庭成员躯体健康的维度得分均高于养老院AD患者（ P<0.05），而其经济负担的维度得分明显低于养老院AD患者（ P<0.01）；患者的NPI总均分与家庭负担总分及经济负担、家庭娱乐活动、家庭关系、家庭成员的心理及躯体健康维度的得分呈明显正相关（ P<0.01）；NPI各症状维度得分均与家庭负担总分呈正相关（ P<0.05）；NPI总均分及其各症状维度得分均与家庭日常生活得分无相关关系（ P>0.05）。结论 AD患者的各种精神行为症状使家庭负担较重，且居家AD患者的家庭负担高于养老院AD患者。

关键词: 阿尔茨海默病, 痴呆, 精神行为症状, 家庭负担

Abstract: Objective To investigate the family burden from behavioral and psychological symptoms of dementia (BPSD) in patients with Alzheimer disease (AD) living at home and in nursing home.Methods Neuropsychiatric Inventory/Neuropsychiatric Inventory-Nursing Home (NPI) and Family Burden Interview Scale (FBIS) were used to measure the occurrence of BPSD in 200 AD patients. The data were analyzed.Results In-home patients' total score and family daily activities, family entertainment, family relationships, family members' mental health and the body healthy dimension scores of FBIS were significantly higher （ P<0.05）, and the dimension scores of economic burden were significantly lower ( P<0.01) than those of patients in nursing home. Patients' total score of NPI was positively correlated with the economic burden, family entertainment, family relationships, family members' mental health and the body healthy dimension scores of FBIS （ P<0.01）. Every dimension score of NPI and total score of FBIS positively related ( P<0.05). Dimension score of family daily activities of FBIS was not related to all of the dimension scores and total score of NPI ( P>0.05).Conclusion The family burden from BPSD should not be ignored, especially the patients living at home, which suggests that AD patients should be sent to nursing home to spend their rest life.

Key words: Alzheimer disease, dementia, behavioral and psychological symptoms, family burden