요양시설 치매노인의 치매유형에 따른 행동심리증상 특성과 간호제공자의 업무 부담감

Abstract

Abstract The purpose of this study was to examine different patterns of behavioral and psychological symptoms ofdementia (BPSD) and caregiver burden according to dementia type. Data were collected from June 2014 to December2014 from five nursing homes. In all, 214 patients [131 patients with Alzheimer's disease (AD) and 83 patients withVascular dementia (VD)] were included in the study. BPSD and caregiver burden data were examined using NPI-NH (Neuropsychiatric Inventory Nursing Home Version). According to the results, both the AD and VD group showed the highest frequency in apathy/indifference and the frequency of anxiety, elation/euphoria, and irritability/lability wassignificantly higher in the AD group than in the VD group. The difference in total BPSD composite scores between the AD and VD groups was not significant but agitation/aggression was significantly higher in the AD group thanin the VD group. The mean score for caregiver burden was significantly higher in the AD group than in the VD group,particularly in agitation/aggression. In conclusion, BPSD differed according to dementia type, and nurses should provide specific interventions to control BPSD; a program to reduce caregiver burden according to dementia type is also needed.