&lt;p&gt;Care Needs of Community-Residing Male Patients with Vascular Cognitive Impairment&lt;/p&gt;

Jhang, Kai-Ming; Wang, Wenfu; Chang, Hao-Fang; Liu, Yu-Huei; Chang, Ming-Hong; Wu, Hsin-Hung

doi:10.2147/ndt.s277303

Cited by 13 publications

(20 citation statements)

References 38 publications

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“…27,28 The Apriori algorithm, which has been applied in dementia-related studies, was employed in this study to find statistical associations between any of the attributes by satisfying both minimum support and confidence threshold values along with lift >1. 6,7,[29][30][31][32][33] The definitions of support, confidence, and lift are depicted as below. 6,29,32,33 The support of A ⇒ B calculates the percentage of transactions containing both A and B in the database depicted in Equation ( 1…”

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confidence: 99%

Using the Apriori Algorithm to Explore Caregivers’ Depression by the Combination of the Patients with Dementia and Their Caregivers

Chang¹,

Wang²,

Li³

et al. 2021

RMHP

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Purpose The purpose of this study was to identify the caring scenarios that result in severe depression in caregivers caring for dementia patients. Patients and Methods A cross-sectional study with 1111 dementia patients and their caregivers in Taiwan from October 2015 to January 2020 was conducted. Gender, age, type of dementia, clinical dementia rating, walking ability, mood symptoms, behavioral symptoms, and psychological symptoms were the variables from the dementia patients. Age, relation to the patient, employment, type of primary care, frequency of care, mood symptoms, and the score from the Center for Epidemiologic Studies Depression Scale were the variables from the caregivers. A comprehensive viewpoint of both dementia patients and their caregivers was evaluated by the Apriori algorithm to find the attributes resulting in different caregiving depressions. Results Forty-seven rules were found with 18 rules of mild depressive symptomatology, 17 rules of moderate depressive symptomatology, and 12 rules of severe depressive symptomatology. A total of 7 general rules were summarized to be the severe depressive symptomatology. The results showed that an unemployed or retired caregiver with the mood symptoms such as helplessness, anger, emotional liability, or anxiety who took care of AD patients or AD patients with a moderate severity would have severe depression. Increased care frequencies (≥6 days per week) and multiple mood problems from caregivers result in severe depression. The composition of adult children, patients’ aggression, and caregivers’ helplessness as well as the combinations of male patients aged 75–84 years with the caregiver’s mood of helplessness or nervousness and hopelessness were highly associated with severe depression. Conclusion For those caring for AD patients, severe depression was associated with the combination of different parameters to constitute each of these seven scenarios. Unlike previous studies which often evaluated one or two variables related to caregiver’s depression, this study provided a more comprehensive viewpoint that enabled the collaborative team to efficiently identify and manage different scenarios by summarizing the rules of caregivers with severe depression from a systematic viewpoint.

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confidence: 99%

Using the Apriori Algorithm to Explore Caregivers’ Depression by the Combination of the Patients with Dementia and Their Caregivers

Chang¹,

Wang²,

Li³

et al. 2021

RMHP

Self Cite

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“…The Apriori algorithm was applied to reveal statistical correlations from a multidimensional viewpoint when each attribute was viewed as a dimension by setting up support, confidence, and lift. 12 , 13 , 22 , 23 Yan et al 11 reported that the Apriori algorithm was very effective for identifying caregiving burden levels when patients with dementia and their caregivers were taken into account simultaneously. Therefore, the Apriori algorithm was employed in this study.…”

Section: Methodsmentioning

confidence: 99%

“…The definitions of support, confidence, and lift are as follows. 11 , 22 , 23 The support of an association rule A ⇒ B is used to compute the percentage of transactions containing both A and B in the database, as shown in Equation (1 ).…”

Section: Methodsmentioning

confidence: 99%

“… 14 When compared with all dementia subtypes, care for the mood of the caregiver was an important and frequent care need for the caregivers of male patients with VCI. 22 , 23 Patients with VCI may have specific factors associated with the caregiver burden other than those observed in neurodegenerative dementia. More importantly, identifying caregivers who are at a high risk of increased levels of burden in a particular patient population is an important strategy for targeting clinical interventions.…”

Section: Introductionmentioning

confidence: 99%

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Characteristics Predicting a High Caregiver Burden in Patients with Vascular Cognitive Impairment: Using the Apriori Algorithm to Delineate the Caring Scenario

Jhang¹,

Wang²,

Chang³

et al. 2021

RMHP

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The aim of this study was to elucidate the factors and caring scenarios associated with a moderate to severe care burden in the caregivers of patients with vascular cognitive impairment (VCI). Patients and Methods: This cross-sectional study included 158 patients with VCI and their caregivers who were managed by the dementia collaborative care team at Changhua Christian Hospital, Taiwan. Gender, age, clinical dementia rating, walking ability, behavioral symptoms, and psychological symptoms were the variables from the patients with VCI. Age, marital status, relation to the VCI patient, education, employment status, help of key activities, type of primary care, frequency of care, ZBI (Zarit burden interview) caregiving burden, and caregiver's mood were the evaluated variables for the caregivers. The Apriori algorithm was used to identify the attributes that resulted in different caregiving burdens from a comprehensive viewpoint of both VCI patients and their caregivers. Results: A total of 1193 rules were identified with 1134 rules belonging to caregivers with a mild to moderate burden and 59 rules belonging to caregivers with a moderate to severe burden. Seven general rules were created based on a summary of these 59 rules. The results showed that an employed female caregiver who was taking care of her husband alone for ≥6 days per week, and who was helping with all key activities was likely to experience a moderate to severe burden when the patient had VCI. Moreover, if the caregiver had a relatively low education level and expressed an abnormal mood during the assessment, this increased the likelihood of the caregiver having a moderate to severe burden. Conclusion:The caregiver's gender, relation to the care recipient, education level, mood status, employment status, and care loading were associated with a higher burden of care for caregivers of patients with VCI. Therefore, a dementia care team should provide personalized training for caregivers about the disease, care skills for specific behaviors and psychological symptoms of dementia (BPSD), and strategies to cope with their own feelings. Caregivers should also be referred to appropriate social resources, such as support groups or respite care.

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“…The definitions are as follows. 16,19,20 The support of A ⇒ B is evaluated by calculating the percentage of transactions in the database containing both A and B: Support ðA ) BÞ ¼ P A\B ð Þ ¼ number of transactions containing both A and B total number of transactions (1)…”

Section: Methodsmentioning

confidence: 99%

Association Between Caregivers’ Burden and Neuropsychiatric Symptoms in Female Patients with Alzheimer’s Disease with Varying Dementia Severity

Chen¹,

Chang²,

Wang³

et al. 2021

JMDH

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Purpose This study examined the attributes causing higher burdens for caregivers caring for female patients with Alzheimer’s disease by analyzing a combination of various variables, including demographic data, dementia severity, and neuropsychiatric symptoms. Patients and Methods This study included 99 female patients with Alzheimer’s disease who were cared for by the dementia collaborative care team at Changhua Christian Hospital, Taiwan. Neuropsychiatric symptoms used in this study included affections (9 types), behavior symptoms (9 symptoms), and psychological symptoms (3 symptoms). The Apriori algorithm was employed to identify association rules that reveal the relationships among demographic data, dementia severity, neuropsychiatric symptoms, and caregivers’ burden. Results A total of 185 rules were determined, including 51 rules with little or no burden, 108 rules with mild to moderate burden, and 26 rules with moderate to severe burden. The major findings are as follows. Neuropsychiatric symptoms were associated with varying degrees of caregivers’ burden among female patients aged 75 to 84 years with mild dementia. Crying spells and aggression were specifically associated with a moderate to severe burden. Delusion was associated with a mild to moderate and moderate to severe burden. Dysthymia and depression were associated with little or no burden to moderate to severe burden. Conclusion Clinicians can provide early interventions to reduce the burden of caregivers caring for female patients with Alzheimer’s disease and can refer caregivers for timely assistance to reduce their burden.

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<p>Care Needs of Community-Residing Male Patients with Vascular Cognitive Impairment</p>

Cited by 13 publications

References 38 publications

Using the Apriori Algorithm to Explore Caregivers’ Depression by the Combination of the Patients with Dementia and Their Caregivers

Using the Apriori Algorithm to Explore Caregivers’ Depression by the Combination of the Patients with Dementia and Their Caregivers

Characteristics Predicting a High Caregiver Burden in Patients with Vascular Cognitive Impairment: Using the Apriori Algorithm to Delineate the Caring Scenario

Association Between Caregivers’ Burden and Neuropsychiatric Symptoms in Female Patients with Alzheimer’s Disease with Varying Dementia Severity

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