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Correlates of nursing care burden among institutionalized patients with dementia

Published online by Cambridge University Press:  04 April 2018

Meng Sun ,
Brian J. Mainland ,
Tisha J. Ornstein ,
Gwen Li Sin  and
Nathan Herrmann
Meng Sun*
Affiliation:
Department of Psychiatry, The Second Xianga Hospital, Central South University; China National Clinical Research Center on Mental Health Disorders (Xiangya); China National Technology Institute on Mental Disorders; Hunan Technology Institute of Psychiatry; Hunan Key Laboratory of Psychiatry and Mental Health; Mental Health Institute of Central South University, Changsha, Hunan, China Division of Geriatric Psychiatry, Department of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Canada Department of Psychiatry, University of Toronto, Toronto, Canada
Brian J. Mainland
Affiliation:
Private Practice in Neuropsychology, Waterloo, Canada
Tisha J. Ornstein
Affiliation:
Department of Psychology, Ryerson University, Toronto, Canada
Gwen Li Sin
Affiliation:
Department of Psychiatry, Singapore General Hospital, Singapore
Nathan Herrmann
Affiliation:
Division of Geriatric Psychiatry, Department of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Canada Department of Psychiatry, University of Toronto, Toronto, Canada
*
Correspondence should be addressed to: Meng Sun, MD, PhD, Department of Psychiatry, The Second Xianga Hospital, Central South University, 139 Middle Renmin Road, Changsha, Hunan 410011, China. Phone: +86-731-85292136; Fax: +86-731-85292470. Email: [email protected].
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Abstract

Background:

The stress associated with care of patients with dementia has led to high nursing staff turnover. This study aims to explore patient factors that are related to nursing burden.

Methods:

The present study examined nursing care burden related to 55 institutionalized dementia patients using the Modified Nursing Care Assessment Scale (M-NCAS). Cognition was assessed with the Severe Impairment Battery (SIB), activities of daily living (ADLs) were measured with the Alzheimer's Disease Functional Assessment of Change Scale (ADFACS), aggression was measured with the Aggressive Behavior Scale (ABS), and the Charlson Comorbidity Index (CCI) was used to assess medical comorbidity. Finally, the Dementia Cognitive Fluctuation Scale (DCFS) was used to assess the presence and severity of cognitive fluctuations (CFs). Linear regression models were used to assess their relationships with nursing care burden.

Results:

The mean age of the patients was 90.41 years (SD=2.84) and 89.10% were males. ADFACS total score (B = 0.36, β = 0.42, p = 0.002) and ABS score (B = 2.933, β = 0.37, p = 0.002) significantly predicted the M-NCAS Attitude score. ABS score was the only significant predictor of M-NCAS Strain score (B = 2.57, β = 0.35, p = 0.009).

Conclusions:

In the long-term care setting, aggressive behavior plays an important role in both subjective and objective nursing burden, while impaired ADLs increase the objective burden for nursing staff.

Keywords

dementianursing burdencognitive fluctuationsaggressive behavioractivities of daily living
Type
Original Research Article
Information
International Psychogeriatrics , Volume 30 , Issue 10: Issue Theme: Mild Cognitive Impairment , October 2018 , pp. 1549 - 1555
Copyright
Copyright © International Psychogeriatric Association 2018 

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