Zhyvotovska L. V., Skrypnikov A. M., Orlova O. V., Shkidchenko O. A.

PECULIARITIES OF THE EMOTION-PERSONAL SPHERE OF MEMBERS OF THE FAMILY CARING FOR DEMENTIA PATIENTS


About the author:

Zhyvotovska L. V., Skrypnikov A. M., Orlova O. V., Shkidchenko O. A.

Heading:

LITERATURE REVIEWS

Type of article:

Scentific article

Annotation:

There are approximately 10 million new cases of various types of dementia every year. The places where professional assistance is provided in Ukraine for the treatment and care of patients with dementia are limited by the number of beds and may not always satisfy the need to provide these services. A theoretical study found that nearly 80% of dementia patients are cared for by their relatives. The reasons why people care for patients are obvious: family relationships, close affinity with the patient, marital relationships. The high level of caregiver burden has been found to be significantly related to both the family relationships and problems of dementia patients themselves and the availability of a care network for such patients. Physical, emotional and economic stress leads to stress and an increase in cases of depressive disorders and emotional exhaustion in caregivers. If you are depressed for an extended period of time, there is a risk of emotional exhaustion. Current scientific studies show that caregivers with dementia were 46% more likely to visit a general practitioner and 71% more likely to use medications than noncaregivers of the same age. More than 90% of people providing care for a loved one do not get enough rest at night. The results of theoretical studies of contemporary literature have shown the need for a detailed study of the clinical and psychological maladaptation of persons whose relatives are ill with dementia and ways of its psychocorrection. Professional health care tips related to the care of the problem, emotional support are necessary measures to prevent neurotic disorders. Individually designed complex interventions reduce the burden, improve the quality of life of the patient and caregiver. The article presents the relevance of the problem of accompanying patients with dementia and their relatives

Tags:

patients with dementia, caregivers, peculiarities of psycho-emotional state, clinical and psychological maladaptation, psychosocial interventions.

Bibliography:

  1. Dementia: a public health priority. World Health Organization. 2012. 112 р.
  2. Sutterlin S, Hossmann I. Demenz-Report. Berlin-Institut fur Bevolkerung und Entwicklung. 2011. 83 р.
  3. Myshakivska OM. Svitova praktyka nadannia dopomohy khvorym na dementsiiu, paliatyvna dopomoha. Arkhiv psykhiatrii. 2013;19(4):42- 3. [in Ukrainian].
  4. Pinchuk IIa, Myshakivska OM. Aktualni pytannia nadannia psykhiatrychnoi dopomohy khvorym na dementsiiu. NeiroNEWS. 2014;3(58):20- 5. [in Ukrainian].
  5. De Vugt ME, Stevens F, Aalten P, Lousberg R, Jaspers N, Winkens I, et al. Do caregiver management strategies influence patient behaviour in dementia? Int. J. Geriatr. Psychiatry. 2004 Jan;19(1):85-92.
  6. Skrypnikov AM, Herasymenko LO, Isakov RI. Diahnostychnyi protses u psykhiatrii. Poltava: 2012. 19 s. [in Ukrainian].
  7. Nakaz MOZ Ukrainy vid 19.07.2016 r. № 736. Pro vprovadzhennia medyko-tekhnolohichnykh dokumentiv zi standartyzatsii medychnoi dopomohy pry dementsii. 2016. 18 s. [in Ukrainian].
  8. Mudrenko IH. Suchasni pohliady na sotsialno-psykholohichni, kliniko-psykhopatolohichni zakonomirnosti suitsydogenezu pry dementsiiakh ta metody sotsialnoi dopomohy. Psykhiatriia, nevrolohiia ta medychna psykholohiia. 2017;4(8):33-9. [in Ukrainian].
  9. Kostiuchenko S. Sosudystaia dementsyia: podkhody` y perspektyvy` farmakolohycheskoho lechenyia. NeiroNews. 2015;5:27-32. [in Russiаn].
  10. Sutcliffe C, Giebel C, Bleijlevens M, Lethin C, Stolt M, Saks K, et al. Caring for a Person With Dementia on the Margins of Long-Term care: A Perspective on Burden From 8 European Countries.J. Am. Med. Dir. Assoc. 2017 Nov;18(11):967-73.
  11. Schultz R, O’Brien A, Bookwala. Psychiatric and physical morbidity effects of dementia care giving: prevalence, correlates and causes. Ger. Soc. Gerontologist. 2015;35(6):771-91.
  12. Von Känel R, Mausbach BT, Dimsdale JE, Mills PJ, Patterson TL, Аncoli‑Israel S, et al. Cardiometabolic effect in care givers of nursing home placement and death of theirs pouse with Alzheimer’s disease. JAGS. 2011;59(11):2037-44.
  13. Huckle PL. Families аnd Dementia. Int J Geriatr Psychiatry. 2014;9:735-41.
  14. Hantman MV. Depressyvny`e y kohnytyvny`e rasstroistva u lyts pozhyloho vozrasta, ukhazhyvaiushchykh za patsyentamy s bolezniu Altsheimera. Moskva. [dysertatsiia]. Nauchn. tsentr psykhycheskoho zdorovia. 2015. 207 s. [in Russiаn].
  15. Hsi-Ling Peng, Rebecca A, Lorenz, Yu-Ping Chang. Factors associated with sleep in family caregivers of individuals with dementia. Perspectives in Psychiatric Care [Internet]. 2018. DOI: 10.1111/ppc.12307
  16. Dr. Peter Vitaliano P, Maria C. Norton Phd. Greater Risk of Dementia When Spouse Has Dementia? The Cache Cunty Study. 2010. p. 976-8.
  17. Sydenkova AP. Osobennosty psykhosotsyalnoho funktsyonyrovanyia lyts, ukhazhyvaiushchykh za bolnymy s dementsyei. Obozrenye psykhyatryy y medytsynskoi psykholohyy. 2018;1:306-7. [in Russiаn].
  18. Aimedov KV. Osoblyvosti porushen psykhoemotsiinoho stanu u rodychiv khvorykh na sudynnu dementsiiu. Aktualni problemy suchasnoi medytsyny. 2016;16(2):56-60. [in Ukrainian].
  19. Herasymenko LO. Psykhosotsialna dezadaptatsiia osib, yaki dohliadaiut patsiientiv iz khvoroboiu Altsheimera. Medychna psykholohiia. 2017;1:10-2. [in Ukrainian].
  20. Forstner J, Wensing M, Koetsenruijter J, Wronski P. Claims data-based analysis of the influence of individual and regional characteristics on the utilisation of long-term care by people with dementia in Baden-Wurttemberg, Germany. BMC Geriatr. 2019 Dec;19(1):358.
  21. Voloshchuk DA. Orhanizatsiia psykhokorektsiinoi roboty z rodychamy patsiientiv z sudynnoiu dementsiieiu. Visnyk morskoi medytsyny. 2016;2:10-6. [in Ukrainian].
  22. Etters L, Goodall D, Harrison BE. Caregiver burden among dementia patient caregivers: a review of the literature. J. Am. Acad. Nurse Pract. 2008 Aug;20(8):423-8.
  23. Maruta NA, Kozhyna AM, Koliadko SP. Rol psykhoobrazovanyia v kompleksnom lechenyy bolnykh s rekurrentnym depressyvnym rasstroistvom. Diahnostyka i likuvannia psykhichnykh ta narkolohichnykh rozladiv. 2015. 57 s. [in Russiаn].
  24. Varik M, Randver R, Kuur K, Normet I, E`llermaa K, Tuur M, et al. Proekt: Razrabotka princzipov I zapusk sistemy` podderzhki lyudej s sindromom demenczii I ikh rodstvennikov. Opisanie sistemy` podderzhki ukhazhivayushhikh za blizkimi. 2018. 10 s. [in Russiаn].
  25. Geschke K, Scheurich A, Schermul I, Laux N, Böttcher A, Fellgiebel A. Effect of early psychosocial coun selling for family care giversin general practioner based dementia care. Deutsche medizinische Wochenschrift. 2012;137(43):2201-6. DOI: 10.1055/s-0032-1305320
  26. Goy E, Freeman M, Kandagara D. A Systematic Evidence Review of Interventions for Non professional Caregivers of Individuals with Dementia. VA Evidence Synthesis Programme USA. 2010.
  27. Reid LD, Avens FE. Cognitive behavioural therapy for prevent. Alzheimer’s disease. Behav Brain Res. 2017;334:163-77.
  28. Rausch A, van der Ploeg ES. Keeping the person with dementia and the informal caregiver together: a systematic review of psychosocial interventions. Int Psychogeriatr. 2017 Apr;29(4):583-93.
  29. Thyrian JR, Hertel J, Wucherer D, Eichler T, Michalowsky B, Dreier-Wolfgramm A, et al. Effectiveness and Safety of Dementia Care Management in Primary Care: A Randomized Clinical Trial. JAMA Psychiatry. 2017 Oct;74(10):996-1004.

Publication of the article:

«Bulletin of problems biology and medicine» Issue 2 (156), 2020 year, 26-30 pages, index UDK 616.899-053.9:616-083-055.5/7:159.9

DOI: