Objective To investigate the caregiver burden of dementia patients in elderly care institutions in Heilongjiang Province and analyze the influencing factors on caregiver burden from the perspectives of patients and their caregivers.Methods Using the overall convenience random sampling method,a total of 157 dementia patients and their nursing staff were selected from 4 elderly care institutions in Harbin and Suihua from March to September 2023.The self-made elderly general reality survey scale,clinical dementia rating scale(CDR),quality of life-Alzheimer's disease(QOL-AD),geriatric depression scale-15(GDS-15),and Zarit caregiver burden interview(ZBI)were used for the survey,and meta regression analysis was conducted to identify influencing factors.Results The caregivers had a ZBI score of(28.25±12.55)points.The caregiver burden is negatively correlated with QOL-AD score(r=-0.191,P<0.05)The sleep duration of dementia patients,the severity of dementia,the presence of depression,the gender of the caregivers,and whether caregivers received formal training are independent influencing factors of caregiver burden for dementia pa-tients.These factors accounted for a total contribution rate of 32.5%to the control group(F=12.541,P<0.001).Conclusion Caregivers of dementia patients in elderly care institutions generally face protection burdens,with severe burdens accounting for the highest proportion(52.23%).Elderly care institutions should pay more attention to the care-giver gender,provide additional care to female caregivers,organize training to improve caregiving skills,explore new models of medical care and elder care,increase the sleep duration of dementia patients,and address the severity of their condition and depression to alleviate caregiver burden.
Elderly care institutionsDementiaCaregiversBurdenInfluencing factor