【摘要】 目的探讨痴呆患者的认知和精神行为症状对其照料者负性情绪的影响,为更好地提供卫生服务提供依据。方法调查101例痴呆伴精神行为症状(BPSD)的患者及其照料者,采用蒙特卡利认知评估量表(MoCA)和神经精神评估量表(NPI)对痴呆患者评估,同时对照料者使用抑郁自评量表(SDS)和焦虑自评量表(SAS)进行评估,并作相关性分析。结果照料者的抑郁情绪和焦虑情绪与痴呆患者的精神行为症状总分呈正相关(P<0.05)。其中,照料者的抑郁情绪与痴呆患者的焦虑症状呈正相关(P<0.05),照料者的焦虑情绪与痴呆患者的妄想症状、异常运动行为、睡眠/夜间行为呈正相关(P<0.05)。多重线性回归分析显示,痴呆患者的焦虑情绪以及异常行为是照料者抑郁情绪的影响因素(P<0.01);照料者的年龄、痴呆患者的异常运动行为、睡眠异常是照料者焦虑情绪的影响因素(P<0.05)。结论痴呆患者的焦虑情绪会影响照料者的抑郁情绪;痴呆患者的异常运动行为和睡眠异常可影响照料者的焦虑情绪。识别并且对痴呆患者的焦虑和异常行为等症状重点干预,有利于照料者对痴呆患者的长期照护。更多还原

【Abstract】 Objective To explore the influence of cognitive and mental behavior symptoms of dementia patients on the negative emotions of their caregivers, so as to provide a basis for better health services. Methods A total of 101 dementia patients with mental behavioral symptoms(BPSD) and their caregivers were investigated. The patients with dementia were assessed with Montreal Cognitive Assessment(MOCA) and Neuropsychiatric Inventory questionnaire(NPI). At the same time, the caregivers were evaluated by Self-Assessment Scale for Anxiety(SDS) and Self-Assessment Scale for Depression(SAS). Results Depression and anxiety of caregivers were positively correlated with the total scores of dementia patients’ mental behavior symptoms(P<0.05). Among them, caregivers’ depression was positively correlated with anxiety symptoms of dementia patients(P<0.05); caregivers’ anxiety was positively correlated with symptoms of delusions, abnormal motor behavior, and sleep/nighttime behaviors associated with dementia(P<0.05). The multiple linear regression analysis showed, anxiety and abnormal behaviors of dementia patients were the influencing factors of caregivers’ depression(P<0.01); caregivers’ age, dementia patients’ abnormal motor behavior, and sleep abnormalities were the influencing factors of caregivers’ anxiety(P<0.05). Conclusion The anxiety of dementia patients will affect the depression of caregivers, and the abnormal motor behavior and sleep disorder of dementia patients can affect the anxiety of caregivers. The recognition and intervention of symptoms such as anxiety and abnormal behavior of dementia patients will benefit the long-term care of dementia patients.更多还原