韩国肌萎缩侧索硬化症患者居家护理伙伴的负担和准备情况:护理伙伴调查。

IF 2.8 3区 医学 Q2 CLINICAL NEUROLOGY
Muscle & Nerve Pub Date : 2024-09-01 Epub Date: 2024-05-18 DOI:10.1002/mus.28115
Sun Young Lee, Shin Hye Yoo, Belong Cho, Kye Hyung Kim, Min Seoul Jang, Jeongmi Shin, Inyoung Hwang, Seok-Jin Choi, Jung-Joon Sung, Min Sun Kim
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引用次数: 0

摘要

导言/目的:肌萎缩性脊髓侧索硬化症(pALS)患者的护理负担会随着病情的发展而加重。本研究旨在调查韩国肌萎缩侧索硬化症患者(cALS)护理伙伴的家庭护理状况和准备情况:方法:对 2022 年确诊为 ALS 一年以上患者的家庭护理伙伴进行了在线调查。收集的数据包括护理时间、使用患者健康问卷-9(PHQ-9)评估的抑郁情况、护理准备量表(PCS)和护理者能力量表(CCS)。根据 pALS 是否接受气管造口术对结果进行比较:98 名 pALS 中的 98 名 cALS 参与了研究,其中 59 名 pALS 接受了气管切开术。在 cALS 中,60.2% 是配偶,34.7% 是子女。CALS 平日照顾患者的时间为 13(8-20)小时(中位数,四分位数间距 [IQR]),周末为 15(10-24)小时(中位数,四分位数间距 [IQR])。在 cALS 中,91.8% 患有抑郁症,28.6% 患有重度抑郁症。PCS 和 CCS 评分的中位数(IQR)较低(分别为 11/32 (8-15) 和 8/20 (8-11)),在护理未做气管切开术的患者时,这两项评分都比护理做了气管切开术的患者低(P 讨论):pALS 的家庭护理伙伴每天要花费一半以上的时间照顾病人,而且常常情绪低落。大多数 cALS 更愿意在家中提供护理,但感到准备不足。要让 pALS 在家中茁壮成长,就必须设计以家庭为基础的医疗护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Burden and preparedness of care partners of people living with amyotrophic lateral sclerosis at home in Korea: A care partner survey.

Introduction/aims: The care burden of people living with amyotrophic lateral sclerosis (pALS) increases with disease progression. This study aimed to investigate the home care status and preparedness of care partners of pALS (cALS) in Korea.

Methods: An online survey was conducted with family care partners of patients diagnosed with ALS for over 1 year in 2022. The data collected included care time, depression evaluated using the patient health questionnaire-9 (PHQ-9), preparedness for caregiving scale (PCS), and caregiver competence scale (CCS). Results were compared based on whether the pALS underwent a tracheostomy or not.

Results: Ninety-eight cALS of 98 pALS participated in the study, of whom 59 pALS had undergone tracheostomy. Among the cALS, 60.2% were spouses, and 34.7% were children. The cALS took care of the patients for 13 (8-20) hours/day (median, interquartile range [IQR]) on weekdays and 15 (10-24) h/day on weekends. Among the cALS, 91.8% were depressed, and 28.6% had severe depression. The median (IQR) PCS and CCS scores were low (11/32 (8-15) and 8/20 (8-11), respectively), and both were lower in those caring for patients without than with tracheostomy (p < .001 and p < .02, respectively). Most cALS (77.6%) wished to continue caring for their pALS at home.

Discussion: Family care partners of pALS spend more than half of each day caring for patients and are often depressed. Most cALS preferred providing care at home, but felt ill-prepared. Designing home-based medical care is necessary for pALS to thrive at home.

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来源期刊
Muscle & Nerve
Muscle & Nerve 医学-临床神经学
CiteScore
6.40
自引率
5.90%
发文量
287
审稿时长
3-6 weeks
期刊介绍: Muscle & Nerve is an international and interdisciplinary publication of original contributions, in both health and disease, concerning studies of the muscle, the neuromuscular junction, the peripheral motor, sensory and autonomic neurons, and the central nervous system where the behavior of the peripheral nervous system is clarified. Appearing monthly, Muscle & Nerve publishes clinical studies and clinically relevant research reports in the fields of anatomy, biochemistry, cell biology, electrophysiology and electrodiagnosis, epidemiology, genetics, immunology, pathology, pharmacology, physiology, toxicology, and virology. The Journal welcomes articles and reports on basic clinical electrophysiology and electrodiagnosis. We expedite some papers dealing with timely topics to keep up with the fast-moving pace of science, based on the referees'' recommendation.
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