アブストラクト
Title | 家族介護者が強く介護負担感を感じる認知症者の臨床的特徴 |
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Subtitle | 原著論文 |
Authors | 遠田大輔*1, 塚崎恵子*2, 日野昌力*3, 北村立*3 |
Authors (kana) | |
Organization | *1富山県立大学看護学部, *2金沢大学医薬保健研究域保健学系看護科学領域, *3石川県立高松病院 |
Journal | 老年精神医学雑誌 |
Volume | 31 |
Number | 5 |
Page | 525-533 |
Year/Month | 2020 / 5 |
Article | 原著 |
Publisher | ワールドプランニング |
Abstract | 「抄録」認知症者の行動・心理症状(BPSD)と介護負担感との関連性について, 症状別に検討したものは少ない. 本研究では, BPSDを主訴に精神科外来を受診した認知症者を対象に症状を分類し, これらを含む臨床的特徴と介護負担感との関連性を検討した. 調査方法は, 質問紙調査と診療録からの情報収集を行った. 介護負担感はZarit介護負担尺度日本語版短縮版(J-ZBI-8)を用いて評価し, 13点以上の者を高負担群とした. 有効回答120人のうち, 高負担群は62人(51.7%)だった. 多変量解析の結果, 介護負担感には認知症者の「攻撃的態度」(オッズ比2.07, 95%信頼区間:1.22-3.51), 「夜間せん妄」(オッズ比1.74, 95%信頼区間:1.04-2.90)と, 「聴覚障害」(オッズ比3.01, 95%信頼区間:1.27-7.18)が関連していた. 介護負担感を軽減させるためには, これらの症状をもつ患者とその介護者への双方向的な支援が重要と考える. |
Practice | 臨床医学:内科系 |
Keywords | 認知症, 行動・心理症状(BPSD), 介護負担感, dementia, behavioral and psychological symptoms of dementia(BPSD), caregiver burden |
- 全文ダウンロード: 従量制、基本料金制の方共に968円(税込) です。
参考文献
- 1) American Psychiatric Association:Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision(DSM-IV-TR). American Psychiatric Association, Washington, D.C. (2000).
- 2) 荒井由美子, 田宮菜奈子, 矢野栄二:Zarit介護負担尺度日本語版の短縮版(J-ZBI_8)の作成;その信頼性と妥当性に関する検討. 日老医誌, 40(5):497-503(2003).
- 3) Arai Y, Zarit SH:Determining a cutoff score of caregiver burden for predicting depression among family caregivers in a large population-based sample. Int J Geriatr Psychiatry, 29(12):1313-1315(2014).
- 4) Chiao CY, Wu HS, Hsiao CY:Caregiver burden for informal caregivers of patients with dementia;A systematic review. Int Murs Rev, 62(3):340-350(2015).
- 5) Cooper C, Selwood A, Blanchard M, Walker Z, et al.:The determinants of family carers' abusive behaviour to people with dementia;Results of the CARD study. J Affect Disord, 121(1-2):136-142(2010).
残りの25件を表示する
- 6) Cummings JL, Mega M, Gray K, Rosenberg-Thompson S, et al.:The Neuropsychiatric Inventory;Comprehensive assessment of psychopathology in dementia. Neurology, 44(12):2308-2014(1994).
- 7) Cummings JL, McPherson S:Neuropsychiatric assessment of Alzheimer's disease and related dementias. Aging(Milano), 13(3):240-246(2001).
- 8) Folstein MF, Folstein SE, McHugh PR:"Mini-mental state";A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res, 12(3):189-198(1975).
- 9) Fong TG, Racine AM, Fick DM, Tabloski P, et al.:The Caregiver Burden of Delirium in Older Adults With Alzheimer Disease and Related Disorders. J Am Geriatr Soc, 67(12):2587-2592(2019).
- 10) Gehrman P, Gooneratne NS, Brewster GS, Richards KC, et al.:Impact of Alzheimer disease patients' sleep disturbances on their caregivers. Geriatr Nurs, 39(1):60-65(2018).
- 11) Hsu TJ, Tsai HT, Hwang AC, Chen LY, et al.:Predictors of non-pharmacological intervention effect on cognitive function and behavioral and psychological symptoms of older people with dementia. Geriatr Gerontol Int, 17〔Suppl. 1〕:28-35(2017).
- 12) Joling KJ, van Hout HP, Schellevis FG, van der Horst HE, et al.:Incidence of depression and anxiety in the spouses of patients with dementia;A naturalistic cohort study of recorded morbidity with a 6-year follow-up. Am J Geriatr Psychiatry, 18(2):146-153(2010).
- 13) 梶原弘平, 辰巳俊見, 山本洋子:認知症高齢者を在宅介護する介護者の介護負担感に影響する要因. 老年精神医学雑誌, 23(2):221-226(2012).
- 14) 梶原弘平, 荒井由美子, 津留英智, 坂崎 剛ほか:認知症高齢者の家族介護者の介護負担感に着目した簡便な支援とその効果. 日本認知症ケア学会誌, 17(4):718-725(2019).
- 15) Kajiwara K, Nakatani H, Ono M, Miyakoshi Y:Positive appraisal of in-home family caregivers of dementia patients as an influence on the continuation of caregiving. PSYCHOGERIATRICS, 15(1):26-31(2015).
- 16) Kiely KM, Mortby ME, Anstey KJ:Differential associations between sensory loss and neuropsychiatric symptoms in adults with and without a neurocognitive disorder. Int Psychogeriatr, 30(2):261-272(2018).
- 17) 厚生労働省:要介護認定 認定調査員テキスト2009(改訂版). 平成30年4月. Available at:https://www.mhlw.go.jp/file/06-Seisakujouhou-12300000-Roukenkyoku/0000077237.pdf
- 18) Kunik ME, Snow AL, Davila JA, Steele AB, et al.:Causes of aggressive behavior in patients with dementia. J Clin Psychiatry, 71(9):1145-1152(2010).
- 19) Maust DT, Kales HC, McCammon RJ, Blow FC, et al.:Distress Associated with Dementia-Related Psychosis and Agitation in Relation to Healthcare Utilization and Costs. Am J Geriatr Psychiatry, 25(10):1074-1082(2017).
- 20) McKeith IG, Dickson DW, Lowe J, Emre M, et al.;Consortium on DLB:Diagnosis and management of dementia with Lewy bodies;Third report of the DLB Consortium. Neurology, 65(12):1863-1872(2005).
- 21) Nishimura T, Kobayashi T, Hariguchi S, Takeda M, et al.:Scales for mental state and daily living activities for the elderly;Clinical behavioral scales for assessing demented patients. Int Psychogeriatr, 5(2):117-134(1993).
- 22) 扇澤史子, 吉田 光, 岡本一枝, 白取絹恵ほか:認知症家族介護者の介護負担感の特徴とその関連要因;地域包括ケアシステムにおける認知症アセスメントシート(DASC)による検討. 生存科学, 25(1):187-194(2014).
- 23) Rosas-Carrasco O, Guerra-Silla Mde G, Torres-Arreola Ldel P, Garcia-Pena C, et al.:Caregiver burden of Mexican dementia patients;The role of dysexecutive syndrome, sleep disorders, schooling and caregiver depression. Geriatr Gerontol Int, 14(1):146-152(2014).
- 24) Schneider LS, Tariot PN, Lyketsos CG, Dagerman KS, et al.:National Institute of Mental Health Clinical Antipsychotic Trials of Intervention Effectiveness(CATIE):Alzheimer disease trial methodology. Am. J Geriatr Psychiatry, 9(4):346-360(2001).
- 25) Shiota S, Sugimoto Y, Murai C, Kitamura M, et al.:Classification of the Behavioral and Psychological Symptoms of Dementia and Associated Factors in Inpatients in Psychiatric Hospitals;With Special Reference to Rehabilitation. J ALzheimers Dis Parkinsonism, 6(4):258(2016).
- 26) 武地 一, 山田裕子, 杉原百合子, 北 徹:もの忘れ外来通院中のアルツハイマー型痴呆症患者における行動・心理学的症候と認知機能障害, 介護負担感の関連について. 日老医誌, 43(2):207-216(2006).
- 27) Terayama H, Sakurai H, Namioka N, Jaime R, et al.:Caregivers' education decreases depression symptoms and burden in caregivers of patients with dementia, RSYCHOGERIATRICS, 18(5):327-333(2018).
- 28) Tochimoto S, Kitamura M, Hino S, Kitamura T:Predictors of home discharge among patients hospitalized for behavioural and psychological symptoms of dementia. PSYCHOGERIATRICS, 15(4):248-254(2015).
- 29) Torrisi M, De Cola MC, Marra A, De Luca R, et al.:Neuropsychiatric symptoms in dementia may predict caregiver burden;A Sicilian exploratory study. PSYCHOGERIATRICS, 17(2):103-107(2017).
- 30) Zarit SH, Reever KE, Bach-Peterson J:Relatives of the impaired elderly;Correlates of feelings of burden. Gerontologist, 20(6):649-655(1980).