ПОКАЗНИКИ ЯКОСТІ ЖИТТЯ ОСІБ, ЩО ДОГЛЯДАЮТЬ ЗА ПАЦІЄНТАМИ З ДЕМЕНЦІЄЮ

О. В. Орлова, Лілія Валентинівна Животовська, Дмитро Іванович Бойко, Леся Анатоліївна Боднар
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Abstract

Dementia is associated with decreased memory, impaired thinking, behavior and ability to perform daily functions. This condition mainly affects the elderly and is one of the main causes of disability. Dementia affects not only patients, their families and caregivers, but society as a whole. The number of people with dementia is on the rise worldwide, and prognosis generally indicates a significant increase in overall prevalence associated with population aging. A large number of patients with dementia are at home, where their family members perform the function of caring for them. With the progression of the disease, patients lose the ability to care for themselves on their own, so the question of outside care arises for their relatives. The aim of this study is to analyze the quality of life indicators in persons performing the function of caring for patients with dementia. It has been found that almost 80% of patients with dementia are cared for by their relatives. Caregivers are at risk of depression, anxiety and psychological stress. In this study, the authors identified factors influencing the mental health of caregivers, among which the degree of dementia and the patient's ability to perform daily activities were significant. In caregivers with a low level of mental tension, manifestations of social maladaptation were less common. Depending on the level of psychological stress, individuals with a high level of tension had lower indicators of quality of life on the scales "physical functioning" (p=0.003), "role functioning due to physical condition" (p<0.001), "social functioning" (p=0.04), "role functioning due to emotional state" (p=0.003), "mental health" (p=0,004). For this category of people, it is recommended to use counseling, psycho-educational activities aimed at understanding the improvement of quality of life.
如何生活照顾病人
痴呆症与记忆力下降、思维、行为和日常功能受损有关。这种情况主要影响老年人,是导致残疾的主要原因之一。痴呆症不仅影响患者、他们的家人和照顾者,而且影响整个社会。痴呆症患者的数量在全球范围内呈上升趋势,预后通常表明与人口老龄化相关的总体患病率显著增加。大量痴呆症患者都在家里,他们的家人在家里履行照顾他们的职责。随着疾病的发展,患者失去了独自照顾自己的能力,因此出现了为亲属提供外部护理的问题。本研究的目的是分析具有照顾痴呆症患者功能的人的生活质量指标。研究发现,近80%的痴呆症患者由其亲属照顾。护理人员有患抑郁症、焦虑症和心理压力的风险。在这项研究中,作者确定了影响照顾者心理健康的因素,其中痴呆症的程度和患者进行日常活动的能力是显著的。在精神紧张程度较低的照顾者中,社会适应不良的表现不太常见。根据心理压力的程度,高度紧张的个体在“身体功能”(p=0.003)、“因身体状况而产生的角色功能”(p<0.001)、“社会功能”(p=0.04)、“由于情绪状态而产生的作用功能”(=0.003)和“心理健康”(p=0.004)等量表上的生活质量指标较低。对于这类人,建议使用咨询、心理教育活动,旨在了解生活质量的提高。
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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