Determinants of Care Burden of Caregiver in Patients with Dementia.
- Author:
Jae Min KIM
1
;
Il Seon SHIN
;
Jin Sang YOON
Author Information
1. Kwangju City Mental Hospital, Kwangju, Korea.
- Publication Type:Original Article
- Keywords:
Dementia;
Caregiver;
Care burden;
Determinant
- MeSH:
Anxiety;
Caregivers*;
Dementia*;
Depression;
Family Characteristics;
Humans;
Linear Models;
Motivation;
Philosophy;
Risk Factors
- From:Journal of Korean Neuropsychiatric Association
2001;40(6):1106-1113
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: This study was done to explore the determinants of care burden of Korean caregiver in patients with dementia. METHODS: For the seventy-nine patients with dementia and their caregivers, data on Caregiver Burden Inventory Korean version, and various patient- and caregiver related factors potentially related to care burden were investigated. Uni- or bi-variate analyses were performed to measure the relationships between individual factors and care burden, and then stepwise multiple linear regression tests were used to determine the independent risk factors. RESULTS: Two determinants of care burden were identified: 'severer depressive symptoms in patient' and 'lower spontaneous care motivation in caregiver'. Of the patient related factors, 'shorter disease duration', 'severer behavioral and psychotic symptoms' and'severer anxiety symptoms', and of the caregiver related factors,'women','having household responsibility', 'shorter free time' and'worse subjective health state' were related to care burden, although these were not identified as independent risk factors. CONCLUSION: To mitigate the care burden of Korean caregivers in patients with dementia, therapeutic interventions focused on the behavioral and psychological symptoms of patients would be essential in terms of patient related factors. With respect to caregiver related factors, in addition to the succession of the philosophy of filial piety, establishment of multi-modal services and facilities suitable for the caregivers vulnerable to care burden would be needed.
