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Association between patients with dementia and high caregiving burden for caregivers from a medical center in Taiwan

Authors Yan GJ, Wang WF, Jhang KM, Lin CW, Wu HH

Received 15 September 2018

Accepted for publication 4 December 2018

Published 17 January 2019 Volume 2019:12 Pages 55—65

DOI https://doi.org/10.2147/PRBM.S187676

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Amy Norman

Peer reviewer comments 2

Editor who approved publication: Professor Mei-chun Cheung


Guei-Jhen Yan,1 Wen-Fu Wang,2,3 Kai-Ming Jhang,4 Che-Wei Lin,5 Hsin-Hung Wu6,7

1Secretary Office, Chuanghua Christian Hospital, Changhua, Taiwan; 2Department of Neurology, Changhua Christian Hospital, Changhua, Taiwan; 3Department of Holistic Wellness, Ming Dao University, Changhua, Taiwan; 4Department of Neurology, Changhua Christian Hospital, Changhua, Taiwan; 5Medical Divisions of Performance Center, Changhua Christian Hospital, Changhua, Taiwan; 6Department of Business Administration, National Changhua University of Education, Changhua, Taiwan; 7Department of M-Commerce and Multimedia Applications, Asia University, Taichung City, Taiwan

Background: Based on a person-centered care, the relationships between people with dementia and caregivers should be interconnected. There is a need to study what attributes would contribute a higher caregiving burden from a comprehensive viewpoint of care recipients and caregivers.
Methods: Apriori algorithm is performed with 12 variables for antecedents and caregiving burden for the consequent from the self-built database of a medical center in Taiwan. The minimum support, minimum confidence, and lift of Apriori algorithm are set to 5%, 90%, and > 1, respectively.
Results: Thirty-two rules that satisfy the threshold values are found. Our findings show that clinical dementia rating of care recipients, type of dementia of care recipients, and age of caregivers are not the attributing variables to affect the caregiving burden. In contrast, the highest burden results from a female spouse or a sole caregiver. Moreover, the burden is associated with the type of primary care, frequency of care, and help of key activities.

Keywords: Long-Term Care 2.0, help of key activities, type of primary care, frequency of care, association rule, person-centered care


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