Chai Nee, Ng
(2015)
Associated factors of caregivers burden in dementia patient attending memory clinic in Hospital Pulau Pinang.
Masters thesis, Universiti Sains Malaysia.
Abstract
Background: Dementia is a chronic neurodegenerative disease characterized by
memory impairment associated with loss of functional disabilities in the presence of
consciousness. As the disease progresses, patient will become more dependent on
their informal caregivers This study result showed that about 43% experiencing mild to
moderate burden while caring for dementia patient.
Objectives: This study was to determine the associated factors that contributed to the
burden of care in our local settings.
Methodology: A cross sectional study involving a total of 121 patients informal
caregivers dyad which were recruited at memory clinic in Hospital Pulau Pinang. The
outcome measure was Zarit Burden Interview and associated factors of burden were
measured using Mini Mental Status Examination (MMSE), Disability Assessment of
Dementia (DAD), Multidimensional Perceived Social Burden Scale (MPSS) and Malay
Version Neuropsychiatry Inventory (MvNPI).
Results: We managed to find an association between behavioral and psychological
symptoms of dementia namely; delusion (p<0.001), apathy (p=0.052), wandering
tendency (p=0.022), dyslipidemia (p<0.001), hours of caregiving (p=0.011) and
perceived social support from significant others (p<0.001) associated with burden of
care.
Conclusion: Burden of care cannot be underestimate due to the risk of premature
institutionalization and an increased in the health care cost. Therefore, early detection
and prevention are mandatory to prevent deleterious effects on the caregiver.
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