Relationship Between The Pleasant Events In Patients With Dementia And Psychological Status In Caregivers

ObjectiveThe study aimed to investigate the level of pleasant events of people with dementia and the psychological status of caregivers;To analyze the influencing factors of pleasant events of people with dementia;To explore the correlation of pleasant events in people with dementia and psychological status in caregivers;To provide a theoretical basis for improving the level of the pleasant events,the physical and mental state of caregivers,and improving the quality of life of people with dementia and their caregivers.MethodsA convenient sampling method was used.Totally 157 patients with moderate to severe dementia and their main caregivers were investigated from October 2017 to September 2018 in a tertiary hospital in Dalian.The questionnaires consist of the General Questionnaire,the Pleasant Events Schedule-AD(PES-AD),Self-rating Depression Scale(SDS),Simplified Coping Style Questionnaire(SCSQ)and Caregiver Reaction Assessment(CRA).The date was double-inputed using SPSS21.0,and then SPSS21.0 and AMOS21.0 were used for statistical analysis.The analysis methods include descriptive statistical analysis,t test,one-way analysis of variance,Pearson correlation analysis,multiple stepwise regression analysis and path analysis.Results1 The total score of PES-AD was(18.01±8.80),The dimension score from low to high were autonomy activities(0.84±0.67),family activities(0.92±0.67),sensory activities(1.09 ± 0.57),emotional stimulation activities(1.15 ± 0.68).The total score ofSDS was(43.49±10.75),which was higher than the domestic norm,but there was no statistically significant.The total score of positive coping style was(24.59 ± 6.13),which was higher than the domestic norm and the difference was statistically significant.The total score of the negative coping style was(6.19±3.00),which was lower than the domestic norm and the difference was statistically significant.Among the negative effects dimensions of CRA,time interrupted dimension has the highest score(4.01 ± 0.93);the lacking family support dimension has the lowest score(1.91±0.71)and the scole of self-esteem dimension was(3.55±0.94).2 Multiple stepwise regression analysis showed that the type of dementia,the severity of dementia,the depression of caregivers,the economic problems dimension of CRA,the self-esteem dimension of CRA entered the regression equation(P<0.01),which explained 49.3% of the variation.3 Bootstrap test showed that positive coping style and depression in caregivers played a chain mediating role between self-esteem of caregivers and pleasant events of people with dementia.The 95% confidence interval of direct and indirect effect respectively were(0.317 ~ 0.564)and(0.061 ~ 0.249)and there were statistical significance.Conclusion1 Among the pleasant events of people with dementia,the score of autonomy activities was the lowest,followed by family activities,and the score of emonotional stimulation activities was the highest.The level of the caregiver's depression was at a high level.The positive coping style of the caregiver was at a high level,and the negative response score was at a low level.Among the negative effects dimensions of CRA,time interrupted dimension has the highest level and the lacking family support dimension has the lowest level.2 The type of dementia,the severity of dementia,the depression of caregivers,the economic problems dimension of CRA,the self-esteem dimension of CRA were the influencing factors of the PES-AD.3 Self-esteem of caregivers could directly affect pleasant events of people withdementia,also indirectly affect pleasant events through both positive coping style and depression of caregivers.