贝宁老年痴呆症患者的生活质量和照顾者压力

IF 1.4 Q3 HEALTH CARE SCIENCES & SERVICES

Value in health regional issues Pub Date : 2025-02-26 DOI:10.1016/j.vhri.2025.101080

Angeladine Kenne Malaha MPH, PhD , Clémence Thébaut PhD , Sem Harris Ahouantchede MSc , Dismand Stephan Houinato MD, PhD , Dieu donné Gnonlonfoun MD, PhD , Thierry Adoukonou MD, PhD , Grégoire Magloire Gansou MD , Pierre-Marie Preux MD, PhD , Maëlenn Guerchet PhD

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引用次数: 0

摘要

本研究旨在评估西非国家贝宁老年痴呆症患者的生活质量（QoL）。方法于2021年10月至11月进行横断面研究，从贝宁的卫生机构和农村社区招募60岁及以上的参与者及其护理人员。采用标准化的工具，即世界卫生组织的痴呆生活质量和Zarit负担访谈，收集老年人的生活质量和照顾者负担。结果共114名老年人（平均年龄73±10岁，女性占51%）及其主要照顾者（平均年龄49±16岁，女性占70%）参与调查，其中73人来自卫生机构，41人来自农村社区。50%的老年人被诊断患有轻度到重度痴呆症。总体生活质量良好，农村参与者在日常生活方面得分较高，城市参与者在情感方面得分较高。与生活质量下降相关的因素是更高的残疾水平和更大的照顾者负担。平均照顾者负担得分为17±13分，照顾老年男性的负担得分较高。老年人残疾的增加和较低的社会经济地位与较高的照顾者压力有关，而老年人较好的生活质量和较高的社会经济地位可减少照顾者负担。结论提高医疗服务可及性，加强社会支持系统，提供护理人员培训和支持，对于改善贝宁痴呆症患者的福祉和护理至关重要。

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Quality of Life of Older Adults Living With Dementia and Caregiver Strain in Benin

Objectives

This study aimed at assessing the quality of life (QoL) of older adults living with dementia and caregiver strain in Benin, a West African country.

Methods

A cross-sectional study was conducted from October to November 2021, recruiting participants aged 60 and over and their caregivers from health facilities and a rural community in Benin. QoL of older adults and caregiver burden were collected using standardized instruments, namely the World Health Organization’s dementia QoL and Zarit Burden Interview, respectively.

Results

A total of 114 older adults (mean age 73 ± 10 years, 51% female) and their primary caregivers (mean age 49 ± 16 years, 70% female) participated, of whom 73 were recruited from health facilities and 41 from rural communities. Fifty percent of older adults were diagnosed with mild to severe dementia. The overall QoL was good, with rural participants scoring higher in daily life and urban participants scoring higher in emotion. Factors associated with decreased QoL were higher disability levels and greater caregiver burden. The mean caregiver burden score was 17 ± 13, with higher scores among those caring for older men. Increased disability in older adults and lower socioeconomic status were linked to higher caregiver strain, whereas better QoL in older adults and higher socioeconomic status reduced caregiver burden.

Conclusion

Enhancing access to healthcare, strengthening social support systems, and providing caregiver training and support are crucial for improving the well-being and care of individuals living with dementia in Benin.

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来源期刊

Value in health regional issues Pharmacology, Toxicology and Pharmaceutics-Pharmacology, Toxicology and Pharmaceutics (miscellaneous)

CiteScore

2.60

自引率

5.00%

发文量

127