KMID : 1197720240170010030
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´ëÇÑÆÄŲ½¼º´ ¹× ÀÌ»ó¿îµ¿Áúȯ ÇÐȸÁö 2024 Volume.17 No. 1 p.30 ~ p.37
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Caregiver burden of patients with Huntington¡¯s disease in South Korea
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Lee Chan-Young
Shin Chae-Won Hwang Yun-Su Oh Eung-Seok Kim Man-Ho Kim Hyun-Sook Chung Sun-Ju Sung Young-Hee Yoon Won-Tae Cho Jin-Whan Lee Jae-Hyeok Kim Han-Joon Chang Hee-Jin Jeon Beom-Seok Woo Kyung-Ah Koh Seong-Beom Kwon Kyum-Yil Moon Jang-Sup Kim Young-Eun Lee Jee-Young
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Abstract
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Objective This is the first prospective cohort study of Huntington¡¯s disease (HD) in Korea. This study aimed to investigate the caregiver burden in relation to the characteristics of patients and caregivers.
Methods From August 2020 to February 2022, we enrolled patients with HD from 13 university hospitals in Korea. We used the 12-item Zarit Burden Interview (ZBI-12) to evaluate the caregiver burden. We evaluated the clinical associations of the ZBI-12 scores by linear regression analysis and investigated the differences between the low- and high-burden groups.
Results Sixty-five patients with HD and 45 caregivers were enrolled in this cohort study. The average age at onset of motor symptoms was 49.3 ¡¾ 12.3 years, with an average cytosine-adenine-guanine (CAG)n of 42.9 ¡¾ 4.0 (38?65). The median ZBI-12 score among our caregivers was 17.6 ¡¾ 14.2. A higher caregiver burden was associated with a more severe Shoulson?Fahn stage (p = 0.038) of the patients. A higher ZBI-12 score was also associated with lower independence scale (B = -0.154, p = 0.006) and functional capacity (B = -1.082, p = 0.002) scores of patients. The caregiving duration was longer in the high- than in the low-burden group. Caregivers¡¯ demographics, blood relation, and marital and social status did not affect the burden significantly.
Conclusion HD patients¡¯ neurological status exerts an enormous impact on the caregiver burden regardless of the demographic or social status of the caregiver. This study emphasizes the need to establish an optimal support system for families dealing with HD in Korea. A future longitudinal analysis could help us understand how disease progression aggravates the caregiver burden throughout the entire disease course.
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KEYWORD
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Huntington¡¯s disease, Caregiver burden, Prospective cohort, Independency, Functional capacity
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