25. 探索FTD洞察调查中护理人员报告的生活质量影响

IF 3.8 2区 医学 Q1 GERIATRICS & GERONTOLOGY
Devon Chenette , Stella McCaughey , Robert Reinecker , Carrie Milliard , Penny Dacks , Tiffany Chow
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引用次数: 0

摘要

作为影响60岁以下人群的最常见的痴呆形式,额颞叶变性(FTD)会给照顾者带来经济、职业和家庭方面的挑战,这是迟发性痴呆所特有的。此外,FTD会导致洞察力丧失,从而使患者对自己的疾病负担产生不同的印象。为了进一步了解FTD患者和护理人员的经验,分析了FTD见解调查中收集的数据子集。方法FTD洞察调查由额颞叶变性协会(AFTD)和FTD疾病登记处开发和执行。报告对生活质量(QoL)的影响,特别是对FTD“影响与他人活动的症状”的影响,在那些确定“我是或曾经是FTD患者的主要或次要照顾者”与被诊断为FTD的应答者之间进行评估。采用Pearson卡方检验评估变量间的相关性。Cramer 's V用于评估关联强度,报告名义p值。结果更多的照护者认为“失去经济保障”和“失去重要的家庭关系”是影响生活质量的指标。观察到的最强效应量是经济安全损失(名义p小于0.001,V=0.358)。更多比例的护理人员报告对所有“影响与他人一起活动的症状”指标产生了影响。观察到的最强效应量是对与配偶或伴侣的亲密关系的影响(名义p小于0.001,V=0.365)。结论与被诊断为FTD的个体相比,评分者更频繁地承认某些生活质量影响指标,特别是“与他人一起活动困难”。这些数据与报告的洞察力丧失相一致,并支持通过照护者报告来评估疾病负担的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
25. EXPLORING QUALITY OF LIFE IMPACT REPORTED BY CAREGIVERS IN THE FTD INSIGHTS SURVEY

Introduction

As the most common form of dementia affecting persons under age 60, frontotemporal degeneration (FTD) can cause financial, career, and household challenges for caregivers that are unique from late-onset dementia. Additionally, FTD causes loss of insight that can give patients a different impression of their burden of disease. To further understand FTD patient and caregiver experiences, a subset of data collected in the FTD Insights Survey was analyzed.

Methods

The FTD Insights Survey was developed and executed by the Association for Frontotemporal Degeneration (AFTD) and the FTD Disorders Registry. Reported impact to quality of life (QoL), especially with respect to FTD “symptoms affecting activities with others” were assessed in those who identified “I am or was a primary or secondary caregiver for someone with FTD” vs. responders who were diagnosed with FTD. Pearson’s chi-square test was used to assess association among variables. Cramer’s V was used to assess association strength, nominal p-values were reported.

Results

A greater percentage of caregivers reported “loss of financial security” and “loss of important family relationships” as impacted QoL indicators. The strongest effect size observed was loss of financial security (nominal p LESS THAN 0.001, V=0.358). A greater percentage of caregivers reported impact to all “symptoms affecting activities with others” indicators. The strongest effect size observed was impact to intimacy with a spouse or partner (nominal p LESS THAN 0.001, V=0.365).

Conclusions

Caregivers more frequently acknowledged certain QoL impact indicators, especially “difficulty doing activities with others”, compared to individuals diagnosed with FTD. These data are consistent with reported loss of insight and support the importance of assessing the burden of disease through caregiver reporting.
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来源期刊
CiteScore
13.00
自引率
4.20%
发文量
381
审稿时长
26 days
期刊介绍: The American Journal of Geriatric Psychiatry is the leading source of information in the rapidly evolving field of geriatric psychiatry. This esteemed journal features peer-reviewed articles covering topics such as the diagnosis and classification of psychiatric disorders in older adults, epidemiological and biological correlates of mental health in the elderly, and psychopharmacology and other somatic treatments. Published twelve times a year, the journal serves as an authoritative resource for professionals in the field.
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