| 알쯔하이머병과 혈관성치매 환자의 부양부담 차이 |
| 김태유, 김수영a 김재우b 김응규c 박경원b 성상민d 손태홍e 유봉구f 윤수진g
윤성민g 이상찬i 최문성j 홍태용 부산?경남치매학회 |
| 김해한솔요양병원, 경성대학교 사회복지학과a, 동아대학교 의료원b, 인제대학교 부산백병원c, 부산의료원d,
동아대학교 동아시아연구원e, 고신대학교 복음병원f, 성균관대학교 의과대학 마산삼성병원g, 마산태봉병원h,
동의의료원i, 메리놀병원j |
| The Difference of Caregiver Burden in Patients with Alzheimer's Disease and Vascular Dementia |
| Tae-You Kim |
| Department of Neurology, Gimhae Hansol Hospital, Gimhae; Department of Social Welfare, Kyung Sung Universitya, Busan; Department of Neurology, Dong-A University College of Medicineb, Busan; Department of Neurology, Inje University College of Medicinec, Busan; Department of Neurology, Busan Medical Centerd, Busan; The Institute for East Asian Studies in Don-A Universitye, Busan; Department of Neurology, Kosin University College of Medicinef, Busan; Department of Neurology, Masan Samsung Hospital, Sungkyunkwan University School of Medicineg, Masan; Department of Neurology, Masan Taebong Hansol Hospitalh, Masan; Department of Neurology, Dong-eui Medical Centeri, Busan; Department of Neurology, Maryknoll Hospitalj, Busan, Korea |
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| Abstract |
Background: The burden on caregivers of patients with dementia has an impact on medical, economic, and social areas. However, not enough attention is given to this burden in Korea. There are also very few reports comparing the burden experienced by caregivers of patients with Alzheimer's disease (AD) and vascular dementia (VD).
Methods: One hundred and forty four Alzheimer's and vascular dementia patients were recruited by nine medical centers in the metropolitan city of Busan and the Gyeongnam province. We evaluated the global dementia state of patients in terms of cognitive functions, behavioral and psychological symptoms of dementia, and the activity of daily living along with caregiver burden with the length of care time per day. The Burden Interview, Caregiver Burden Inventory (CBI), Life Satisfaction Index-Z, Beck Depression Inventory, and Beck Anxiety Inventory were conducted by face-to-face interviews with the caregivers. We compared the differences of caregiver burden related to the cause of dementia and according to dementia severity.
Results: There were 98 AD patients (68.1%) and 46 VD patients (31.9%). There were 89 females (61.8%) and 55 males (38.2%). Most of the global dementia states did not differ between AD and VD except for the Barthel index (p<0.05). Most of the caregiver burden tests were scored worse in VD. The differences of CBI-time dependent burden and CBI-developmental burden were statistically significant in all the patients (p<0.05).
Conclusions: Our study suggests that VD patients have more caregiver burden than AD patients and that the physical activity of daily living influences caregiver burden. KeyWords:Alzheimer's disease, Vascular dementia, Caregiver, Burden |
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