Managing accommodating responsive behaviors dementia care
Caregivers were assessed at baseline for sociodemographic information, depression, caregiver burden, caregiver reward, and caregiving tasks they provide.; Results: Burden and reward were significantly inversely correlated, but differentially associated with distinct patient and caregiver variables.Patients whose caregivers reported higher baseline levels of caregiver reward were more likely to have lower depression scores at follow-up.; Discussion: Given that different aspects of patients and caregivers influence reward and burden, assessing caregivers for both burden and reward may better target caregiver interventions at the individual and family levels, particularly for older adult depression.
Background: In recent years, an increasing number of dementia caregiving interventions have been developed for Chinese older adults living in Asia that aim to reduce caregivers' burden, depression and distress, and enhance quality of life.Objectives/methods: We used multivariate hierarchical linear modeling to simultaneously evaluate associations between five distinct patterns of conjoint symptom distress and functional impairment (symptom-functional states) and subjective caregiving burden, QOL, and depressive symptoms in a convenience sample of 215 family caregiver-patient dyads.Data were collected every 2 to 4 weeks over patients' last 6 months.Results: Caregiver burden decreased from T1 to T3 significantly.The physical function, depression of stroke survivors, and self‐rated burden of caregivers were the most important determinants for overall caregiver burden.Results: Caregivers of patients in the worst symptom-functional states (States 3-5) reported worse subjective caregiving burden and depressive symptoms than those in the best two states, but the three outcomes did not differ between caregivers of patients in State 3 and States 4-5.
Caregivers of patients in State 5 endured worse subjective caregiving burden and QOL than those in State 4.
Little is known, however, on the nature and the efficacy of these interventions. Data sources: We searched four databases for studies published in English between 1 January 1994–30 December 2017.
Nineteen studies reported in 23 articles were included in the final analysis.
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Aim: The aim of this study was to assess the caregiver burden over time of patients with haemorrhagic stroke and the determinants of this.
More professional caregivers are needed to support informal carers.