RESUMO
: The psychological impact of care giving responsibility for dementia patients is significant regardless of the cultural background. Most of the current advanced caregivers’ interventions, originating from developed western countries, do not necessarily apply to local settings. Hence, there is a need for an effective culturally competent psychological intervention for these caregivers. The aim of the study is to assess the effectiveness of the cultural-based support group for Malay caregivers of dementia patients in Kelantan towards their burden, anxiety and depression level, and quality of life. Methods: This was an experimental study, without control, investigating pre and post support group intervention effectiveness in reducing caregiver burden, anxiety and depression, and improving the quality of life. Sixteen caregivers completed the program, which involved seven fortnightly support group sessions with duration of 2 hours each, conducted over twelve weeks. Caregivers’ burden was assessed using Caregiver Strain Index (CSI) while their psychological well-being was objectively assessed using Hospital Anxiety and Depression Scale (HADS). WHO Quality of Life questionnaire (WHOQOL-BREF) was used to measure the quality of life. The validated Malay versions of the questionnaires were used. Results: There was a statistically significant reduction in the level of caregiver burden (p = or < 0.001). Measurement of both scores of anxiety and depression comparing pre and post intervention also showed improvement, but statistically were not significant. Assessment of caregivers’ quality of life showed statistically significant improvement in the domains of social, psychological and physical (all with the p-value <0.05). Discussion: Our cultural-based support group is an effective intervention to improve burden, psychological well-being and quality of life among local caregivers of dementia patients. ASEAN Journal of Psychiatry, Vol. 18 (1): January – June 2017: XX XX.
RESUMO
Objective To explore the effects of cluster nursing intervention on cognitive improvement in the caregivers of senile dementia.Methods Totally 95 caregivers of senile dementia selected from a grade 3 A hospital in Chongqing City were employed the cluster nursing intervention.The Alzheimer's disease knowledge assessment (ADKS) scale was used to conduct the assessment before and after intervention.Results The ADKS total score before intervention in the caregivers of senile dementia was (19.970±2.216) points,which after intervention was (23.400± 1.270) points,the difference was statistically significant (P=0.000).The ADKS scores at high,middle and low score segmentations after intervention were significantly higher than those before intervention(P＜0.05),in which the difference between the low score segmentation and middle score segmentation was more significant.Conclusion The cluster nursing intervention has obvious improvement effect on the cognitive situation in the caregivers of senile dementia,especially for the group of lower ADKS scores.
RESUMO
Objective To explore the effects of cluster nursing intervention on cognitive improvement in the caregivers of senile dementia.Methods Totally 95 caregivers of senile dementia selected from a grade 3 A hospital in Chongqing City were employed the cluster nursing intervention.The Alzheimer's disease knowledge assessment (ADKS) scale was used to conduct the assessment before and after intervention.Results The ADKS total score before intervention in the caregivers of senile dementia was (19.970±2.216) points,which after intervention was (23.400± 1.270) points,the difference was statistically significant (P=0.000).The ADKS scores at high,middle and low score segmentations after intervention were significantly higher than those before intervention(P＜0.05),in which the difference between the low score segmentation and middle score segmentation was more significant.Conclusion The cluster nursing intervention has obvious improvement effect on the cognitive situation in the caregivers of senile dementia,especially for the group of lower ADKS scores.
RESUMO
Dementia caregivers are at risk for stress, depression, and a multitude of negative health outcomes, yet little research has examined the extent of these issues in caregivers from Latin America. The purpose of this study was to compare the mental health and health-related quality of life (HRQOL) of dementia caregivers to healthy controls in Cali, Colombia. Ninety dementia caregivers and 51 healthy controls completed measures of depression, satisfaction with life, stress, and HRQOL. Although it was hypothesized that dementia caregivers would report lower levels of mental health and HRQOL than controls, caregivers only reported higher depression levels. This finding suggests that dementia caregivers in this region, even when they have access to health care, are in need of mental health services and other caregiving resources. Such interventions would likely improve the mental health of caregivers and quality of care that caregivers are able to provide for individuals facing dementia...
A pesar de que los cuidadores de personas con demencia están en riesgo de sufrir estrés, depresión y múltiples consecuencias negativas para la salud, en América Latina se han realizado pocos estudios que hayan investigado el alcance de estos problemas. El propósito de este estudio fue comparar la salud mental y la calidad de vida relacionada con la salud (CVRS) de un grupo de cuidadores de personas con demencia con un grupo de personas sanas de Cali (Colombia). Noventa cuidadores de personas con demencia y 51 personas sanas completaron una serie de cuestionarios que medía depresión, satisfacción con la vida, estrés y CVRS. A pesar de que se planteó la hipótesis de que los cuidadores de personas con demencia obtendrían niveles más bajos de salud mental y CVRS en comparación con el grupo de personas sanas, los cuidadores sólo reportaron mayores índices de depresión. Estos resultados sugieren que los cuidadores de demencia de esta región, a pesar tener acceso a los servicios de salud, necesitan servicios de salud mental y otros recursos de cuidado. Este tipo de ayudas e intervenciones probablemente ayudarían a mejorar su salud mental y la calidad de cuidado que pueden ofrecer a las personas que sufren demencia...
RESUMO
Objective To investigate the quality of life and its influencing factors of families primary caregivers of dementia patients .Methods The typically self made questionnaire ,WHO quality of life measurement profile (WHOQOL‐BREF) ,zarit bur‐den of care scale(ZBI) ,social support rating scale (SSRS) et al were adopted to investigate 64 caregivers of AD patients .Results (1) The overall quality of life of family caregivers of total subjective feelings were significantly lower than the general health status of subjective feeling score (t= -2 .217 ,P=0 .030) .The field of physiological and psychology points have no statistically significant difference in comparison with Chinese norm (t= -0 .252 ,-1 .994 ,P=0 .801 ,0 .050);the field of social and environment points have statistically significant difference compared with norm(t= -3 .830 ,3 .658 ,P=0 .000 ,0 .001) .(2) caregiver who have spouse , poor parent child relationship and patients with somatic diseases and mental behavior symptoms have lower quality of life(P<0 .05) .(3)Total score of Quality of life was negatively associated with total score of care burden (r= -0 .433 ,P=0 .000) ,while was significant positive associated with total score of the social support (r=0 .346 ,P=0 .005) .(4)Marital status ,parent‐child rela‐tionship ,physical illness and social support were the main factors affecting the quality of life(r2 =0 .409) .Conclusion Strengthen the social support and psychological intervention of dementia caregivers who has a spouse ,poor parent-child relationship and poor physical condition may help to improve the quality of life .
RESUMO
@#ObjectiveTo analyze burden and tolerance of caregivers of elders with dementia in Shanghai.MethodsOn the basis of surveyed before, total 1271 caregivers of elders with dementia were investigated with the questionnaire that concerned the demographic characteristics, influence on body, psychology, life and tolerance.ResultsNearly 60% of the caregivers felt stress, nearly 40% of the caregivers thought that mental pressure had a negative impact on their health as a result of caring patients. Most of the caregivers responded with tolerance to non-adaptive behavior.ConclusionDementia caregivers are old, the burden is heavy. It is necessary to establish a social support system for elderly with dementia as soon as possible.
RESUMO
Objective: To explore the burden of spouse caregivers of patients with dementia at home and factors having influence.Methods:Forty-two patients with dementia were collected from psychiatric out-clinic consecutively. Trained investigators did home visit to collect data on severity of the disease (CDR, MMSE), pathological behavior (BEHAVE-AD), activity of daily living (ADCS-ADL) and burdens of their spouse as caregiver (CBI). The caregivers' anxiety, depression (Zung's Anxiety Scale and Depression Scale) and knowledge about dementia were also collected.Results:The caregivers felt big burden (BDI total score: 30.7?15.1). Nearly half of them (42.9%) were in depression and one quarter (23.8%) were anxious. They were lack of knowledge about dementia and unskillful in care-giving. 26.2% caregivers thought dementia is curable or equal to normal aging, 57.1% of them did not believe it is an improving disease. The burden of caregivers was correlated positively with pathological behavior of patients (r=0.40, P