Analysis of the difference between self-rated and caregiver-rated quality of life in the elderly with Alzheimer's disease
10.3760/cma.j.cn115682-20200926-05550
- VernacularTitle:阿尔茨海默病老年患者自评和代评生活质量差异性分析
- Author:
Xiaoman ZHANG
1
;
Jie SONG
;
Susu ZHENG
;
Kai LIU
;
Yanyan WANG
Author Information
1. 济宁医学院附属医院护理部，济宁 2720029
- Keywords:
Alzheimer's disease;
Quality of life;
Aged;
Self-rated;
Caregiver-rated
- From:
Chinese Journal of Modern Nursing
2021;27(12):1596-1602
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the differences between the self-rated quality of life (QOL) and caregiver-rated QOL in elderly patients with Alzheimer's disease, and to provide basis for clinical nursing staff to correctly evaluate their QOL.Methods:From May to August in 2019, a total of 150 pairs of elderly patients with Alzheimer's disease and their main caregivers were selected from Department of Neurology of Shandong Provincial Qianfoshan Hospital and Shandong Provincial Hospital as the subjects by convenient sampling method. A face-to-face survey was conducted with the self-designed general information questionnaire for the elderly and their main caregivers, QOL-Alzheimer's Disease Scale (QOL-AD) , Chinese version of the Disability Assessment for Dementia (CDAD) , Montreal Cognitive Assessment (MoCA) , Short version of Geriatric Depression Scale, Geriatric Depression Scale-15 (GDS-15) , Neuropsychiatric Inventory Questionnaire (NPI-Q) , Zarit Burden Interview (ZBI) .Results:150 valid questionnaires were collected.The total score of QOL-AD was (33.40±2.84) , and the total score of caregiver-rated QOL-AD was (31.45±3.44) , the difference was statistically significant ( P< 0.01) ; Age, education level, types of comorbid diseases, cognitive function, depression and burden of care were the main influencing factors of self-rated quality of life ( P< 0.05) ; the relationship between caregivers and the elderly, education level, self-rated health status, daily living ability, neuropsychiatric symptoms and burden of care were the main influencing factors of self-rated quality of life ( P< 0.05) . Conclusions:There are differences between self-rated QOL and caregiver-rated QOL in the elderly patients with Alzheimer's disease. It is suggested to reduce the differences through improving the accuracy of self-assessment and caregiver assessment, so as to improve QOL of the elderly patients with Alzheimer's disease.
