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首页> 外文期刊>Journal of geriatric psychiatry and neurology >Caregiver burden in parkinson disease with dementia compared to Alzheimer disease in Korea
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Caregiver burden in parkinson disease with dementia compared to Alzheimer disease in Korea

机译：与韩国的阿尔茨海默氏病相比，痴呆的帕金森病患者的照护者负担

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We compared caregiver burden in Parkinson disease with dementia (PDD) to that in Alzheimer disease (AD) and examined the factors contributing to the burden in PDD. Totally, 42 patients with PDD and 109 patients with AD and their caregivers participated in this study. The caregiver burden was measured using the Burden Interview (BI). Scores of Barthel activities of daily living (BADLs), Mini-Mental State Examination, Clinical Dementia Rating of patients, and score of Center for Epidemiologic Studies Depression scale, and Euro-quality of life of the caregivers were examined. The Unified Parkinson's Disease Rating Scale (UPDRS) and Hoehn and Yahr stage of the patients were administered to assess burden relating to parkinsonism on PDD. We used multiple linear regression to assess the predictors. The BI of caregivers was higher in PDD (47.9, Standard deviation [SD]: 3.8) than in AD (36.3, SD:2.1). In the AD group, the BI was predicted by cognitive function ((β ± SE: -0.8 ± 0.4, P value =.04) and basic ADL status of patients (β ± SE: -1.3 ± 0.1, P <.001), depressive symptoms (β ± SE: 1.1 ± 0.1, P <.001), and poor quality of life (β ± SE: -0.2 ± 0.1, P =.017) in caregivers. In PDD group, BI was predicted only by scores of Part 1 on the UPDRS (β ± SE: 2.9 ± 1.3, P =.03) of patients and depressive symptoms (β ± SE: 1.1 ± 0.2, P <.001) of the caregivers. We concluded the caregiver burden is higher in PDD than in AD and factors predicting burden are different in AD and PDD. In patients with PDD, the neuropsychiatric problems are the major contributor to caregiver burden.
机译：我们比较了帕金森病和痴呆症（PDD）与阿尔茨海默病（AD）的照料者负担，并检查了造成PDD负担的因素。共有42位PDD患者和109位AD及其护理人员参加了这项研究。使用“负担调查”（BI）来衡量看护人的负担。检查了Barthel日常生活活动（BADLs）得分，小精神状态检查，患者临床痴呆评分，流行病学研究中心抑郁量表得分以及看护者的欧洲生活质量。对患者进行统一帕金森氏病评分量表（UPDRS）以及Hoehn和Yahr分期，以评估与PDD相关的帕金森氏症负担。我们使用多元线性回归来评估预测变量。 PDD（47.9，标准差[SD]：3.8）中的看护者BI高于AD（36.3，SD：2.1）。在AD组中，BI是通过认知功能（（β±SE：-0.8±0.4，P值= .04）和患者的基本ADL状态（β±SE：-1.3±0.1，P <.001）预测的，护理者的抑郁症状（β±SE：1.1±0.1，P <.001）和生活质量较差（β±SE：-0.2±0.1，P = .017）;在PDD组中，BI仅通过患者的UPDRS的第1部分得分（β±SE：2.9±1.3，P = .03）和照顾者的抑郁症状（β±SE：1.1±0.2，P <.001）。我们得出结论，照顾者的负担是PDD高于AD，并且预测负担的因素在AD和PDD中有所不同在PDD患者中，神经精神病学问题是照料者负担的主要原因。

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