Patient- and Caregiver-Related Factors Associated with Caregiver Assessed Global Deterioration Scale Scoring in Demented Patients.

Q2 Medicine

Current Gerontology and Geriatrics Research Pub Date : 2018-06-04 eCollection Date: 2018-01-01 DOI:10.1155/2018/9396160

Antonios A Mougias, Foteini Christidi, Evaggelia Kontogianni, Elena Skaltsounaki, Anastasios Politis, Antonios Politis

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引用次数: 6

Abstract

Background: Informant-based rating scales are widely used in dementia but patients' and caregivers' features influence the final scoring. We aimed to evaluate the role of patient- and caregiver-related factors in a caregiver rated Global Deterioration Scale (GDS) score in a sample of Greek patients with dementia.

Methods: We included 194 patients with dementia and 194 caregivers/family relatives; Mini-Mental State Examination (MMSE); Neuropsychiatric Inventory (NPI); Katz Index of Activities of Daily Living (K-IADL) were administered to (a) patients and Center for Epidemiologic Studies-Depression (CES-D) Scale; Zarit Burden Interview (ZBI) to (b) caregivers. Participants' demographics and patients' and caregivers' characteristics were entered into a 3-block regression analysis.

Results: The final model explained 55% of the total variance of the caregiver assessed GDS score. The following variables significantly contributed to the final model: MMSE (β=-0.524); K-IADL (β=-0.264); ZBI (β=0.145).

Conclusion: We herein confirm the contribution of patients' cognitive and functional status and caregivers' burden in caregiver rated GDS scoring irrespective of demographic-related characteristics.

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与照顾者评估的痴呆患者整体恶化量表评分相关的患者和照顾者相关因素。

背景:基于信息的评分量表广泛用于痴呆，但患者和护理者的特征影响最终评分。我们的目的是评估患者和护理者相关因素在希腊痴呆症患者样本中护理者评定的全球恶化量表(GDS)评分中的作用。方法:纳入194例痴呆患者和194例照护者/家属;简易精神状态检查(MMSE);神经精神量表;(a)患者采用卡茨日常生活活动指数(K-IADL)和美国流行病学研究中心抑郁量表(CES-D);对(b)照顾者进行ZBI访谈。参与者的人口统计数据以及患者和护理人员的特征被输入到3块回归分析中。结果:最终模型解释了护理人员GDS评分总方差的55%。以下变量对最终模型有显著贡献:MMSE (β=-0.524);K-IADL(β= -0.264);ZBI(β= 0.145)。结论:我们在此证实了患者的认知和功能状态以及照顾者的负担对照顾者评定的GDS评分的贡献，而不考虑人口统计学相关特征。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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