IMPACT OF CARE CONDITIONS ON THE CAREGIVER'S QUALITY OF LIFE IN CASES WITH ALZHEIMER’S DISEASE

Yıl 2020, , 1 - 5, 30.04.2020

Nilgün Çinar Sevki Sahin , Miruna Florentina Ateş , Sibel Karşıdağ

https://doi.org/10.35514/mtd.2020.20

Öz

Background and objectives: The quality of life (QoL) of caregivers of Alzheimer’s Disease (AD) patients shows individual variability. In this study, we aimed to demonstrate the variability of caregiver burden under differing cases of AD care conditions.
Materials and methods: In this cross-sectional study, 321 AD caregivers were selected. The primary caregivers of the patient - who were volunteers in our study - are divided into three groups as; Group I: home care (n:111), Group II: day-care center (n:99), Group III: nursing home care (n:111). Patients were classified according to the clinical dementia rating scale (CDR) and evaluated by and Cohen-Mansfield Agitation Inventory (CMAI). Beck anxiety scale (BAS), Beck depression scale (BDS), World Health Organization Quality of Life Assessment short version (WHOQOL-BREF), Zarit Caregiver Burden Interview (ZCBI) and a sociodemographic questionnaire were applied to all caregivers.
Results: According to average age, group III was significantly older than others. There was no statistically significant difference between the groups in terms of duration of patient care. BDS was significantly higher in group III. WHOQOL-BREF score was significantly lower in group III and CMAI score was significantly higher in group III. There was no statistically significant difference between the groups in terms of ZCBI.
Conclusion: Our results revealed that day-care centers play a meaningful role in reducing the stress of caregivers and increasing their QoL. Low-income, chronic diseases of the caregivers, and aggressiveness their patients are the most important factors affecting the caregiver’s QoL.

Anahtar Kelimeler

Quality of life, burden, caring, Alzheimer's

Teşekkür

Dear Editor, We are sending you an ‘Original Article’ for evaluation, titled as ‘Impact of Care Conditions on the Caregiver's Quality of Life in Cases with Alzheimer’s Disease’. The past years Alzheimer’s disease is most often seen and the burden of their care is affecting not only their relatives, but also the society. This disease lately is getting more popular and because treatment is not yet possible, we need to get all our research to prevent and care support of those patients. We hope our article find a chance to be published in your valuable journal. This study has not been, nor will be, published in whole or in part in any other journal. All co-authors have seen and approved the final version of the paper and accept responsibility for the data presented. There are no conflict of interest. Yours Sincerely, Miruna Florentina Ates, Assistant Prof. M.D. Maltepe University, Faculty of Medicine, Department of Neurology, Tel: [phone] E- Mail: [e-mail]

ALZHEİMER HASTALARINDA BAKIM KOŞULLARININ BAKIM VERENİN YAŞAM KALİTESİNE ETKİSİ

Öz

Giriş ve Amaç: Alzheimer Hastalığı (AH) bakımverenlerinin yaşam kalitesi (YK) bireysel değişkenlik göstermektedir. Bu çalışmada, bakım koşulları farklı AH olgularında bakımveren yükünün değişkenliğini göstermeyi amaçladık.
Gereç ve yöntem: Kesitsel tipteki bu çalışmada 321 AH bakımvereni seçildi. Çalışmamızda gönüllü olan hastanın birincil bakımverenleri üç gruba ayrılmıştır; Grup I: evde bakım (n: 111), Grup II: gündüz bakım merkezi (n: 99), Grup III: huzurevi (n: 111). Hastalar Klinik demans derecelendirme ölçeği (KDDÖ)’ne göre sınıflandırıldı ve Cohen-Mansfield Ajitasyon İnvanteri (CMAI) ile değerlendirildi. Beck anksiyete ölçeği (BAÖ), Beck depresyon ölçeği (BDÖ), Dünya Sağlık Örgütü-Yaşam Kalitesi Değerlendirmesi-kısa versiyonu (WHOQOL-BREF), Zarit Bakım verme yükü ölçeği (ZBVYÖ) ve sosyodemografik bir anket tüm bakımverenlere uygulandı.
Bulgular: Ortalama yaşa göre, grup III diğerlerinden anlamlı olarak daha yaşlıydı. Gruplar arasında hasta bakım süresi açısından istatistiksel olarak anlamlı fark yoktu. BDÖ grup III'de anlamlı olarak yüksekti. WHOQOL-BREF skoru grup III'de anlamlı olarak daha düşük ve CMAI skoru grup III'de anlamlı olarak daha yüksekti. Bakım yükü puanları açısından gruplar arasında istatistiksel olarak anlamlı fark yoktu.
Sonuç: Sonuçlarımız, gündüz bakım merkezlerinin bakım verenlerin stresini azaltmada ve yaşam kalitesini arttırmada anlamlı bir rol oynadığını ortaya koymuştur. Bakıcıların düşük geliri, kronik hastalıkları olması ve hastalarının agressifliği, bakımverenin yaşam kalitesini etkileyen en önemli faktörlerdir.

Anahtar Kelimeler

yaşam kalitesi, yük, bakım, Alzheimer

Kaynakça

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