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Factors inﬂuencing the employed caregiver burden for patients with dementia residing in nursing homes:A cross-sectional study from China

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International Journal of Nursing Sciences 2024年第4期11卷 457-464页

作者： Caixia Liu Huiling Zheng Baiyu Li Shijia He Rongrong Hu Feifei Li Yao Zheng Weimin Lou Biyan Jiang Department of Nursing Zhejiang HospitalHangzhouZhejiangChina General Ward Hangzhou Seventh People’HospitalHangzhouZhejiangChina Department of Emergency Zhejiang HospitalHangzhouZhejiangChina School of Nursing Zhejiang Chinese Medical UniversityHangzhouZhejiangChina Department of Cadre Health Care Zhejiang HospitalHangzhouZhejiangChina

Objective:The institutionalization of care for patients with dementia is becoming a *** the burden on employed caregivers and exploring associated factors are of great importance in ***,this study aimed to examine the relationship between basic attributes,caring ability,and caregiver burden in employed caregivers practicing in nursing ***:This cross-sectional study included 541 employed caregivers in 11 four-star nursing homes in Zhejiang Province from April to December *** burden was assessed using the Zarit burden Interview(ZBI).Demographic characteristics of participants,characteristics of the older patients with dementia,caring characteristics,training in dementia care,and caring abilities were collected for analysis of inﬂuencing factors.A hierarchical multiple regression analysis was conducted to explore the factors inﬂuencing the burden on employed caregivers in nursing ***:The ZBI score of employed caregivers in nursing homes was 40.42±10.18,representing a moderate caregiver *** such as age(U=27.82,Pcaregiver *** ability was negatively associated with caregiver burden(r=-0.22,Pcaregiver burden,***:The burden of employed caregivers on patients with dementia in nursing homes can be attributed to various *** recommend tailored interventions,such as dementia care training and reviewing the number and duration of hours worked to reduce th

关键词： caregiver burden Caring ability Dementia Employed caregivers Nursing homes

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Eiehavioral Symptoms in Motor Neuron Disease and Their Negative Impact on caregiver burden

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Chinese Medical Journal 2015年第17期128卷 2295-2300页

作者： Bo Cui Li-Ying Cui Ming-Sheng Liu Xiao-Guang Li Jun-Fang Ma Jia Fang Oino-Yun Ding Department of Neurology Peking Union Medical College Hospital Chinese Academy of Medical Sciences Beijing 100730 China Neurosciences Center Chinese Academy of Medical Sciences Beijing 100730 China

Background： The spectrum of abnormal behaviors in amyotrophic lateral sclerosis/motor neuron disease （ALS/MND） has been described, but its practical meaning, namely its impact on caregiver burden, has not been clearly documented in Chinese population. This study aimed to assess the distribution of abnormal behaviors in Chinese population, and to analyze the relationship between behavior changes and caregivcr burden. Methods： Sixty-five patients with ALS/MND have been consecutively enrolled into registry platform of Peking Union Medical College Hospital. An investigation was performed to these patients and their caregivers using the revised ALS function rating scale, Frontal Behavioral Inventory-ALS version, the Frontal Assessment Battery, and the caregiver burden Inventory. Results： Twenty-eight （43.1%） patients displayed abnormal behaviors of varying degrees, with one fulfilling the diagnostic criteria of frontotemporal lobe degeneration. Irritability, logopenia, and inflexibility ranked top 3 of abnormal behavior list. Correlation analysis revealed that the degree of behavioral change and frontal cognitive status were significantly associated with caregiver burden, with more extensive impact from disinhibitive behaviors. Analysis of covariance analysis showed that after associated factors were corrected, caregivers of patients with moderate to severe behavior change reported significantly heavier developmental burden, physical burden, and total burden than those with no behavioral change. Conclusions： Nettrobehavioral symptoms could present in around 40% of Chinese patients with ALS/MND, and the distribution of these behaviors was also unique. Besides, abnormal behaviors were highly related to caregivers＇ burden.

关键词： Amyotrophic Lateral Sclerosis Behavioral Symptoms caregiver burden Motor Neuron Disease

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The status of caregiver burden and influencing factors among family caregivers in maintenance hemodialysis patients

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Nursing Communications 2022年第1期6卷 90-96页

作者： Fu-Hai Xia Guo-Qing Wang Xue-Fen Wang Health Science Center Yangtze UniversityJinzhou 434023China Nursing Department Renmin Hospital of Wuhan UniversityWuhan 430060China

Objective: To investigate the status of caregiver burden and influencing factors among family caregivers in maintenance hemodialysis (MHD) patients under the background of coronavirus disease 2019, and to provide references for nursing intervention. Methods: From May to August 2020, 237 convenient samples were recruited from the Hemodialysis Centers of The Renmin Hospital of Wuhan University and Zhongnan Hospital of Wuhan University. Questionnaires were conducted with the General Information Questionnaire, Zarit burden Interview (ZBI), Sense of Coherence-13 (SOC-13) and Perceived Social Support Scale (PSSS). Multiple linear regression was used to analyze the influencing factors of caregiver burden. Results: The score of ZBI among the caregivers was (36.05 ± 14.09). The ZBI of family caregivers was negatively correlated with SOC-13 and PSSS (P caregiver burden (P caregiver burden among family caregivers of MHD patients was above average under the background of COVID-19, which indicated that they felt more burden in the process of caring. Medical staff could give targeted support and guidance in combination with their influencing factors to reduce their caregiver burden further.

关键词： maintenance hemodialysis family caregivers caregiver burden sense of coherence social support

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Depression among caregivers of patients with dementia:Associative factors and management approaches

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World Journal of Psychiatry 2022年第1期12卷 59-76页

作者： Si-Sheng Huang Division of Geriatric Psychiatry Department of PsychiatryChanghua Christian HospitalChanghua 500Taiwan

As elderly people increasingly come to represent a higher proportion of the world’s population,various forms of dementia are becoming a significant chronic disease *** World Health Organization emphasizes dementia care as a public health priority and calls for more support for family caregivers who commonly play a significant,central role in dementia *** care of someone with dementia is a long-term responsibility that can be stressful and may lead to depression among family *** and related behavioral and cognitive changes among caregivers could in turn affect the status and prognosis of the dementia *** review article explores depression in dementia caregivers and summarizes proposed mechanisms,associated factors,management and research findings,and proposes future research directions.

关键词： Dementia Depression caregiver caregiver burden Activities of daily living Functional status

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burden among caregivers for children with asthma:A mixed-method study in Guangzhou,China

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International Journal of Nursing Sciences 2015年第4期2卷 394-401页

作者： Miaolan Guo Guozhen Gao Jinlan Guo Litao Wen Liting Zeng School of Nursing Guangzhou Medical UniversityGuangzhouChina Department of Nursing The First Affiliated Hospital of Guangzhou Medical UniversityGuangzhouChina School of Nursing Guangdong Medical CollegeScience and Technology DistrictDongguanChina

Objective:Research suggests that caregivers of children with asthma experience a substantial amount of stress,though no comprehensive study examines this *** we both quantitatively and qualitatively examined the burden on caregivers of children with ***:Surveys were administered to 138 caregivers of asthmatic children by convenience *** Zarit caregiver burden Interview(ZBI)was used to assess the degree of caregiver *** addition,13 qualitative semi-structured interviews were carried out via purposive sampling and were used to explore the perception of *** and content analysis were used to analyze quantitative and qualitative data,***:We found that caregiver burden(mean=31.56±14.19)ranged from 24%with no or mild burden,52%with mild to moderate burden,22%with moderate to severe burden and 2%with very severe *** burden was also assessed as 5 different *** ranked most burdensome(2.09±1.05),followed by sacrifice(1.57±0.94),embarrassment/anger(1.30±0.80),dependency(1.21±0.77),and lastly,loss of control(1.20±0.84).The highest individually scored item on the ZBI was“fear of the future of the relative”(mean=3.04).Interviews of caregiver burden were summarized into three main themes,namely:1)life is too chaotic;2)negative emotions;and 3)gaps in themedical support ***:These findings expand our understanding about the burden caregivers of children with asthma face,and may help to propose targeted strategies to help caregivers adapt to their roles,and maintain and promote the health of themselves and their families.

关键词： Child with asthma caregiver burden Qualitative study Quantitative study

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体弱老人虚弱程度与其亲属照顾者精神健康的关系：照顾者负担的中介效应研究

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社会工作 2016年第3期

作者：吕楠苏新帆刘金玉楼玮群

本文建构了体弱老人虚弱指数，并基于2010年和2013年“上海市高龄体弱老人状况及其主要照顾者需求调查”探讨了虚弱指数、照顾者负担以及照顾者精神健康的关系。研究发现体弱老人的虚弱指数是其死亡率的显著预测变量，体弱老人的虚弱指... 详细信息

本文建构了体弱老人虚弱指数，并基于2010年和2013年“上海市高龄体弱老人状况及其主要照顾者需求调查”探讨了虚弱指数、照顾者负担以及照顾者精神健康的关系。研究发现体弱老人的虚弱指数是其死亡率的显著预测变量，体弱老人的虚弱指数对其亲属照顾者的精神健康有着显著影响，照顾者负担在虚弱指数与精神健康的关系中起到部分中介效应。虚弱程度较高的老年人不但自身的健康面临着较大的风险，其家庭照顾者也会面临更重的负担以及更差的精神健康状况。我国急需建立一个全国范围的长期照顾体系，为这些有着特殊需求提供支持性资源、专业化的培训以及相关照料服务。

关键词：虚弱指数精神健康照顾者负担 frailty index psychological well-being caregiver burden

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Factors Affecting Catecholamines in caregivers of Patients with Dementia

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Journal of Geriatric Medicine 2021年第1期3卷 32-37页

作者： Akemi Hirano Yusuke Suzuki Toshio Hayashi Koichiro Ina Joji Onishi Department of Adult Nursing Shubun University6 Nikko-choIchinomiyaAichi 491-0938Japan Centre for Community Liaison and Patient Consultations Nagoya University Hospital65 TsurumaShowaNagoyaAichi 466-8550Japan Department of Community and In-Home Nursing Nagoya University Graduate School of MedicineSchool of Health SciencesDaiko-MinamiHigashi-kuNagoyaAichi 461-8673Japan Department of Internal Medicine Ina Clinic3-111 HirabariTenpakuNagoyaAichi 468-0011Japan Department of Community Healthcare&Geriatrics Nagoya University Graduate School of Medicine65 TsurumaShowaNagoyaAichi 466-8550Japan

Background:caregivers of dementia patients have significantly higher levels of serum IL-6 and CRP compared to non-caregivers,and the accumulation of everyday stressors reportedly promotes the induction of inflammatory ***,few studies have identified factors that affect catecholamine levels in caregivers who experience a combination of physical and mental stress from ***:This study aimed to identify physical factors that impact catecholamine levels in caregivers of dementia ***:Participants were elderly caregivers living together with elderly Alzheimer’s-type dementia *** performed logistic regression analysis,with levels of adrenaline,noradrenaline,and dopamine(indicators of catecholamine)as dependent ***:caregiver BMI had a significant impact on adrenaline levels(OR:0.792;95%CI:0.654-0.960)and noradrenaline levels(OR:1.210;95%CI:1.009-1.451),whereas age had a significant impact on dopamine levels(OR:1.162;95%CI:1.019-1.324).Discussion:While caregiver BMI significantly impacted adrenaline and noradrenaline levels,the mechanism underlying these relationships is *** possibility is that obesity(BMI)and a rise in sympathetic nerve activity contributed to *** findings suggest that chronic stress in elderly caregivers may potentially impair the dopaminergic activation system in the ***:There is a need to identify factors which increase BMI in *** studies aimed at gaining a better understanding of the lifestyle habits of caregivers and intervention studies aimed at reducing their BMI are warranted.

关键词： Age BMI caregiver burden Catecholamine Dementia

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