Mental Health of Dementia Patient’s Caregivers in Hua Hin Hospital
Keywords:
mental health, caregiver, dementia, activities of daily living, neuropsychiatric symptomsAbstract
Abstract
Background: At present, Thailand has entered an aging society. Dementia is one of the major problems for the elderly that affects not only the physical, mental, social, and economic but also the patients includes caregivers, family and society.
Objective: To study mental health and factors associated with mental health of Dementia patients’ caregivers in Hua Hin Hospital.
Material and Method: Cross-sectional descriptive study was done. The sample size consisted 72 caregivers of patients diagnosed with dementia under ICD 10 who attended a psychiatric clinic at Hua Hin Hospital and were recruited by simple random sampling. The tool was used as a questionnaire for dementia patients’ caregivers. The statistics used to analyze data were frequency, percentage, mean, standard deviation, Chi-square test and Fisher’s exact test.
Results: 65.4% of Dementia patients’ caregivers had no risk for mental health problems. Statistically significant factors associated with mental health of dementia patients’ caregivers were activities of daily living and some neuropsychiatric symptoms such as hallucination, disinhibition and sleep problems (p<0.05) but other factors were not associated.
Conclusion: From this study, additional assistance should be provided to caregivers of dementia with partially dependent patients including patients with hallucination, disinhibition and sleep problems.
Keywords: mental health, caregiver, dementia, activities of daily living, neuropsychiatric symptoms
References
สถาบันประสาทวิทยา กรมการแพทย์. แนวทาง เวชปฏิบัติภาวะสมองเสื่อม (ฉบับสมบูรณ์ 2563). กระทรวงสาธารณสุข; 2563
WHO. Dementia. Available at: https://www.who.int/news- room/fact-sheets/detail/dementia. Accessed September 2 2021.
Zarit SH, Reever KE, Bach-Peterson J. Relatives of the impaired elderly: correlates of feelings of burden. The Gerontologist. 1980;20(6):649-55.
Schoenmakers B, Buntinx F, Delepeleire J. Factors determining the impact of care-giving on caregivers of elderly patients with dementia. A systematic literature review. Maturitas. 2010;66(2):191–200.
Cuijpers P. Depressive disorders in caregivers of dementia patients: A systematic review. Aging & Mental Health. 2005;9(4):325–330.
Bruce DG, Paley GA, Nichols P, Roberts D, Underwood PJ, Schaper F. Physical disability contributes to caregiver stress in dementia caregivers. The journals of gerontology. Series A, Biological sciences and medical sciences. 2005;60(3):345–349.
Joling KJ, van Marwijk HW, Veldhuijzen AE, van der Horst HE, Scheltens P, Smit F, et al. The two-year incidence of depression and anxiety disorders in spousal caregivers of persons with dementia: who is at the greatest risk?. The American journal of geriatric psychiatry, 2015;23(3):293– 303.
ชาลินี สุวรรณยศ, ดาราวรรณ ต๊ะปินตา. การลด ความเครียดในผู้ดูแลผู้ที่เป็นโรคสมองเสื่อม. วารสารการพยาบาลจิตเวชและสุขภาพจิต. 2563;34(2):1-17.
Brodaty H, Donkin M. Family caregivers of people with dementia. Dialogues in clinical neuroscience. 2009;11(2):217–228.
กรมสุขภาพจิต. ประเทศไทยได้เข้าสู่สังคม ผู้สูงอายุ. กระทรวงสาธารณสุข; 2563
Schulz R. Sherwood PR. Physical and mental health effects of family caregiving. The American journal of nursing. 2008;108(9 Suppl):23–27.
Shikimoto R, Sado M, Ninomiya A, Yoshimura K, Ikeda B, Baba T, et al. Predictive factors associated with psychological distress of caregivers of people with dementia in Japan: a cross-sectional study. International Psychogeriatrics. 2017;30:1-10.
Van den Kieboom R, Snaphaan L, Mark R, Bongers I. The Trajectory of Caregiver Burden and Risk Factors in Dementia Progression: A Systematic Review. Journal of Alzheimer's disease : JAD. 2020;77(3):1107–1115.
Quinn C, Toms G. Influence of Positive Aspects of Dementia Caregiving on Caregivers' Well-Being: A Systematic Review. The Gerontologist. 2019;59(5):584–596.
Cheng ST, Mak EPM, Lau RWL, Ng NSS, Lam LCW. Voices of Alzheimer Caregivers on Positive Aspects of Caregiving. The Gerontologist. 2015;56(3):451-460.
Jitapunkul S. Disability Among Thai Elderly Living in Klong Toey Slum. J Med assoc Thai. 1994;77:231-238.
Kaufer DI, Cummings JL, Ketchel P, et al. Validation of the NPI-Q, a Brief Clinical Form of the Neuropsychiatric Inventory. J Neuropsychiatry Clin Neurosci. 2000;12:233-239.
Mongkol A, Vongpiromsan Y, Tangseree T, Huttapanom W, Romsai P, Chutha W. The Development and Testing of Thai Mental Health Indicator Version 2007. Journal of the Psychiatric Association of Thailand. 2013;54(3):299–316.
Sihapark S, Cheungsatiansup K. The effects and caregiving burdens of older persons in long-term care based on Thai culture. Nonthaburi: Health System Research Institute; 2014.
Schulz R, O'Brien AT, Bookwala J, Fleissner K. Psychiatric and physical morbidity effects of dementia caregiving: prevalence, correlates, and causes. The Gerontologist. 1995;35(6):771–791.
Farina N, Page TE, Daley S, Brown A, Bowling A, Basset T, Livingston G, Knapp M, Murray J, Banerjee S. Factors associated with the quality of life of family carers of people with dementia: A systematic review. Alzheimer's & dementia : the journal of the Alzheimer's Association. 2017;13(5):572–581.
พาวุฒิ เมฆวิชัย, สุรินทร์ แซ่ตัง. ผลกระทบจาก การดูแลผู้ป่วยภาวะสมองเสื่อมในประเทศไทย. วารสารสมาคมจิตแพทย์แห่งประเทศไทย. 2556;58(1):101-110.
Ondee P, Panitrat R, Pongthavornkamol K, Senanarong V, Harvath TA, Nittayasudhi D. Factors Predicting Depression among Caregivers of Persons with Dementia. Pacific Rim International Journal of Nursing Research. 2013;17(2):167–180.
De Labra C, Millán CJ, Buján A, Núñez- Naveira L, Jensen A, Peersen M, Mojs E, Samborski W, Maseda A. Predictors of caregiving satisfaction in informal caregivers of people with dementia, Archives of Gerontology and Geriatrics. 2015;60(3):380-388.
Cheng ST. Dementia Caregiver Burden: a Research Update and Critical Analysis. Current psychiatry reports. 2017;19(9):64.
Allegri RF, Sarasola D, Serrano CM, Taragano FE, Arizaga RL, Butman J, Loñ L. Neuropsychiatric symptoms as a predictor of caregiver burden in Alzheimer's disease. Neuropsychiatric disease and treatment. 2006;2(1):105–110.
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