Portal de Periódicos da CAPES

P2‐515: WHY DO CAREGIVERS DO INAPPROPRIATE NURSING CARE?

2019; Wiley; Volume: 15; Issue: 7S_Part_15 Linguagem: Inglês

10.1016/j.jalz.2019.06.2923

1552-5279

Miyuki Matsumura,

Family Caregiving in Mental Illness

Even with education, the caregiver may deteriorate the patient's condition by not taking appropriate care. The present study aimed to identify the factors associated with factors that caregivers conduct inadequate nursing care. The subjects were thirty seven AD patients with a mean age of 83 years and mean disease duration of 9 years. Twenty of the patients had stable and long-lasting home lives (home living group) and 17of patients stay at nursing home(nursing home group). All of them had been treated with cholinesterase inhibitor. Both groups were matched for age, duration of disease and cognitive function. The patients were evaluated with the Mental Function Impairment Scale (MENFIS), BDI-II and Behavioural Assessment of the Dysexecutive Syndrome (BADS). Statistical analysis of each score was performed. Student's independent t test was used for the statistical analysis. The nursing home group showed statistically significant more depressive, unstable emotion and a decrease in motivation than the home living group. On the other hand, ZARIT scores did not show any significant difference between the two groups. However, in ZARIT sub-items 20 and 21, there was a tendency for a lower score compared to disease severity. We thought that caregivers in the nursing home group mildly evaluated the functional deterioration as compared with the severity of the disease, and as a result, recognized that their care was adequate. Because the caregiver could not understand the difficulty of the patient, it was thought that the mental state of the patient became unstable, and the home life could not be continued because the care was wrong. In order for the caregiver to correctly evaluate the function, further ingenuity of the caregiver education is necessary.