摘要
目的:探讨痴呆患者的经济负担及其相关因素。方法:自行设计痴呆患者经济负担调查表,对46例患者家属进行调查。结果:①痴呆患者与痴呆相关的总花费平均1296±736元/月,其中非医疗费用600±502元/月(47.07%),医疗费用703±533元/月(52.93%)。②经济负担大小与简明精神症状检查表(MMSE)得分呈负相关。③不同MMSE 得分者的总费用、非医疗费用、每天需照顾的时间有显著差异,而医疗费用差异不明显。④伴有痴呆相关的行为及精神症状的患者总费用、医疗费用、非医疗费用、照顾时间均与不伴这些症状者有显著差异。结论:痴呆患者的经济负担大小与认知损害的程度及有无伴发精神行为障碍有关。
Objective： To measure the economic burden of patients with dementia and investigate related factors. Methods： Using the pre-tested self-compiled questionnaire to investigate 46 caregivers of people with dementia.Results： OThe mean total cost was 1296±736 yuan （RMB） per month, including non-medical cost 600±502 yuan （47.07%） per month, medical cost 703±533 yuan （52.93%） per month .②The lower MMSE total score of the people with dementia, the higher cost of economical burden. ③The total cost, non-medical cost and hours of taking care per day have significant difference between high MMSE group and low MMSE group （the sample was splitted into two groups by MMSE〈11.5 and MMSE〉11.5）, but the medical cost had no difference between the two groups. ④The total cost ,medical cost, non-medical cost, hours of taking care per day all demonstrate significant difference in patients with BPSD （behavioral and psychological symptoms of dementia） and patients without BPSD. Conclusion： The investigation suggests that the economic burden of dementia is significantly correlated with its level of cognitive impairment and the association with BPSD.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2005年第9期592-594,共3页
Chinese Mental Health Journal
