{"id":2321,"date":"2023-04-10T11:45:55","date_gmt":"2023-04-10T02:45:55","guid":{"rendered":"https:\/\/www.hcfm.jp\/journal\/?p=2321"},"modified":"2023-04-10T11:45:55","modified_gmt":"2023-04-10T02:45:55","slug":"%e5%9c%a8%e5%ae%85%e7%99%82%e9%a4%8a%e4%b8%ad%e3%81%aeals%e6%82%a3%e8%80%85%e3%81%ae%e4%b8%bb%e4%bb%8b%e8%ad%b7%e8%80%85%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b%e4%bb%8b%e8%ad%b7%e8%b2%a0%e6%8b%85","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=2321","title":{"rendered":"\u5728\u5b85\u7642\u990a\u4e2d\u306eALS\u60a3\u8005\u306e\u4e3b\u4ecb\u8b77\u8005\u306b\u304a\u3051\u308b\u4ecb\u8b77\u8ca0\u62c5\u3068\u95a2\u9023\u8981\u56e0\uff1a\u6a2a\u65ad\u7814\u7a76"},"content":{"rendered":"<p>-\u6587\u732e\u540d-<br \/>\nTang S, Li L, Xue H, et al. Caregiver burden and associated factors among primary caregivers of patients with ALS in home care: a cross-sectional survey study. BMJ Open. 2021;11(9):e050185. <\/p>\n<p>-\u8981\u7d04-<br \/>\nIntroduction\uff1a1\u4eba\u306eALS\u60a3\u8005\u306b\u5bfe\u3057\u3066\u5e73\u57472\u4eba\u306e\u4ecb\u8b77\u8005\u304c\u5fc5\u8981\u3067\u3042\u308a\u30011\u65e5\u306e\u5e73\u5747\u4ecb\u8b77\u6642\u9593\u306f9.5\u6642\u9593\u3067\u3001\u305d\u306e\u307b\u3068\u3093\u3069\u306f\u5bb6\u4e8b\u3084\u98df\u4e8b\u3001\u8eab\u3060\u3057\u306a\u307f\u306a\u3069\u306b\u8cbb\u3084\u3055\u308c\u3066\u3044\u308b\u3002\u75c5\u6c17\u306e\u9032\u884c\u306b\u4f34\u3063\u3066\u4ecb\u8b77\u8005\u306e\u8ca0\u62c5\u306f\u91cd\u304f\u306a\u308a\u3001\u663c\u591c\u305d\u308c\u305e\u308c\u5e73\u574714.4\u6642\u9593\u306e\u4ecb\u8b77\u30682.4\u56de\u306e\u8d77\u5e8a\u3092\u8981\u3059\u308b\u3002\u4ecb\u8b77\u8005\u306e30%\u304c\u300c\u81ea\u5206\u306e\u751f\u6d3b\u306e\u8cea\u306f\u60a3\u8005\u306e\u305d\u308c\u3068\u6bd4\u3079\u3066\u52a3\u3063\u3066\u3044\u308b\u300d\u3068\u8003\u3048\u3066\u3044\u308b\u3002ALS\u60a3\u8005\u306e\u4e3b\u4ecb\u8b77\u8005\u306e\u4ecb\u8b77\u8ca0\u62c5\u3068\u305d\u306e\u5f71\u97ff\u56e0\u5b50\u306b\u95a2\u3059\u308b\u7814\u7a76\u306f\u9650\u3089\u308c\u3066\u304a\u308a\u3001\u591a\u304f\u306f\u5358\u5909\u91cf\u89e3\u6790\u3092\u7528\u3044\u3066\u3001\u8a73\u7d30\u306a\u5206\u6790\u306f\u4e0d\u8db3\u3057\u3066\u3044\u308b\u3002<br \/>\nAim\uff1a\u4e2d\u56fd\u3067\u5728\u5b85\u4ecb\u8b77\u3092\u53d7\u3051\u3066\u3044\u308bALS\u60a3\u8005\u306e\u4e00\u6b21\u4ecb\u8b77\u8005\u306e\u4ecb\u8b77\u8ca0\u62c5\u3068\u305d\u306e\u5f71\u97ff\u56e0\u5b50\u306b\u3064\u3044\u3066\u8abf\u67fb\u3057\u305f\u3002<br \/>\nMethod\uff1a<br \/>\n\u30c7\u30b6\u30a4\u30f3\uff1a\u6a2a\u65ad\u7684\u7814\u7a76<br \/>\n\u671f\u9593\uff1a2019\u5e741\u6708\u304b\u30892020\u5e745\u6708<br \/>\n\u30bb\u30c3\u30c6\u30a3\u30f3\u30b0\uff1a\u4e2d\u56fd\u5c71\u897f\u7701\u592a\u539f\u5e02\uff08\u4e0b\u56f3\u53c2\u7167\uff09\u306e\u4e09\u6b21\u7dcf\u5408\u75c5\u9662\u306e\u795e\u7d4c\u79d1<br \/>\n\u5bfe\u8c61\u8005\uff1aALS\u60a3\u8005(\u5165\u9662\u60a3\u8005\u304a\u3088\u3073\u7d4c\u904e\u89b3\u5bdf\u4e2d\u306e\u5916\u6765\u60a3\u8005)\u3068\u305d\u306e\u4ecb\u8b77\u8005\uff08N=124\u7d44\uff09<br \/>\n\u53ce\u96c6\u65b9\u6cd5\uff1a\u5bfe\u9762\u5f0f\u30a4\u30f3\u30bf\u30d3\u30e5\u30fc\u3067\u4ee5\u4e0b\u3092\u53ce\u96c6<br \/>\n\u4e00\u822c\u60c5\u5831\u8cea\u554f\u7968\u3001ALSFRS-R\uff08ALS Functional Rating Scale-Revised\uff09\u3001Zarit Burden Interview\uff08ZBI\uff09\u3001SF-36\u3001\u81ea\u5df1\u8a55\u4fa1\u5f0f\u4e0d\u5b89\u5c3a\u5ea6\uff08SAS\uff09\u3001\u81ea\u5df1\u8a55\u4fa1\u5f0f\u6291\u3046\u3064\u5c3a\u5ea6\uff08SDS\uff09<br \/>\n\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\uff1aZarit Burden Interview\u30b9\u30b3\u30a2\u3068\u500b\u4eba\u30fb\u5f79\u5272\u8ca0\u62c5\u30b9\u30b3\u30a2\u3002<br \/>\n\u526f\u6b21\u7684\u8a55\u4fa1\u9805\u76ee\uff1a\u306a\u3057<\/p>\n<p> <a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/f70187a630f3be37bed5477ad826a746.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/f70187a630f3be37bed5477ad826a746.jpg\" alt=\"\" width=\"250\" height=\"213\" class=\"aligncenter size-full wp-image-2322\" \/><\/a><\/p>\n<p>Results\uff1a<br \/>\n120\/124\u679a\u304c\u56de\u53ce\uff0897\uff05\uff09\u3002\u4ecb\u8b77\u8005\u306e\u7537\u5973\u6bd4\u306f1:1.4\u3001\u5e73\u5747\u5e74\u9f62\u306f50.23 \u00b1 8.45\u6b73\u3001\u307b\u3068\u3093\u3069\u304c\u65e2\u5a5a\u8005\uff0883.3\uff05\uff09\u300166.7\uff05\u304c\u60a3\u8005\u306e\u914d\u5076\u8005\u300195\uff05\u4ee5\u4e0a\u304c\u5e73\u5747\u301c\u826f\u597d\u306a\u5065\u5eb7\u72b6\u614b\u3002 7%\u304c\u4ecb\u8b77\u58eb\u3084\u4e73\u6bcd\u3092\u96c7\u3063\u3066\u3044\u306a\u3044\u3002\u307b\u3068\u3093\u3069\u304c\u6708\u53ce3000\u5143\u672a\u6e80(55,000\u5186)\u300162.5%\u304c\u90fd\u5e02\u90e8\u306b\u4f4f\u307f\u3001\u5e73\u5747\u4ecb\u8b77\u306f1\u65e54\u301c8\u6642\u9593\u3001\u4ecb\u8b77\u3057\u305f\u5e74\u6570\u304c\u6bd4\u8f03\u7684\u5206\u6563\u3057\u3066\u3044\u308b.\u307b\u3068\u3093\u3069\u304c\u60a3\u8005\u306e\u75c5\u6c17\u306b\u3064\u3044\u3066\u5c11\u306a\u304f\u3068\u3082\u3042\u308b\u7a0b\u5ea6\u306e\u77e5\u8b58\u3092\u6301\u3063\u3066\u3044\u308b\u3002<br \/>\n\u60a3\u8005\u306e\u7537\u5973\u6bd4\u306f1\uff1a1\u3001\u5e73\u5747\u5e74\u9f62\u306f52.21\u00b15.58\u6b73\u3001\u6559\u80b2\u30ec\u30d9\u30eb\u306f\u307b\u3068\u3093\u3069\u304c\u5c0f\u4e2d\u5b66\u6821\u300187.5\uff05\u304c\u65e2\u5a5a\u300162.5\uff05\u304c\u533b\u7642\u4fdd\u967a\u52a0\u5165\u3001\u5e73\u5747\u75be\u60a3\u671f\u9593\u306f2.5\u5e74\uff08\u7bc4\u56f2\uff1a1\u301c3\u5e74\uff09\u3002<\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/9c261976cce2fb5426f59506e30c1bc8.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/9c261976cce2fb5426f59506e30c1bc8.jpg\" alt=\"\" width=\"1373\" height=\"916\" class=\"aligncenter size-full wp-image-2323\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/9c261976cce2fb5426f59506e30c1bc8.jpg 1373w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/9c261976cce2fb5426f59506e30c1bc8-300x200.jpg 300w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/9c261976cce2fb5426f59506e30c1bc8-1024x683.jpg 1024w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/9c261976cce2fb5426f59506e30c1bc8-768x512.jpg 768w\" sizes=\"auto, (max-width: 1373px) 100vw, 1373px\" \/><\/a><\/p>\n<p>\u4ecb\u8b77\u8ca0\u62c5\u5ea6\u5206\u985e\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u8981\u56e0\u306e\u5206\u6790\uff08\u30ed\u30b8\u30b9\u30c6\u30a3\u30c3\u30af\u56de\u5e30\u5206\u6790\uff09<br \/>\nAI\u30b9\u30b3\u30a2\u304c\u9ad8\u3044\u307b\u3069\u4ecb\u8b77\u8005\u306e\u8ca0\u62c5\u306f\u5927\u304d\u304f\uff08OR=1.351\u300195%CI: 1.038\uff5e1.759\uff09<br \/>\n\u60a3\u8005\u306e\u75be\u60a3\u306b\u95a2\u3059\u308b\u77e5\u8b58\u304c\u306a\u3044\u4eba\u306e\u4ecb\u8b77\u8005\u8ca0\u62c5\u306f\u3001\u77e5\u8b58\u304c\u3042\u308b\u4eba\u306e0.305\u500d\uff0895%CI 0.107\uff5e0.593 \uff09\u3067\u3042\u3063\u305f\u3002\uff08Table 4\uff09<\/p>\n<p><a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/874417b9957834556645446c29a4ceb5.jpg\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/874417b9957834556645446c29a4ceb5.jpg\" alt=\"\" width=\"1018\" height=\"251\" class=\"aligncenter size-full wp-image-2324\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/874417b9957834556645446c29a4ceb5.jpg 1018w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/874417b9957834556645446c29a4ceb5-300x74.jpg 300w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2023\/04\/874417b9957834556645446c29a4ceb5-768x189.jpg 768w\" sizes=\"auto, (max-width: 1018px) 100vw, 1018px\" \/><\/a><br \/>\nDiscussion\uff1a<br \/>\n\u672c\u7d50\u679c\u306f\u3001\u4ecb\u8b77\u8005\u306e\u8ca0\u62c5\u306e\u5408\u8a08\u304c 63.63\u00b116.36 \u70b9\u3067\u3042\u308a\u3001\u4e2d\u7a0b\u5ea6\u304b\u3089\u91cd\u5ea6\u306e\u8ca0\u62c5\u306b\u5206\u985e\u3055\u308c\u3001\u7c73\u56fd27\u3001\u30a4\u30bf\u30ea\u30a211\u3001\u30a4\u30f3\u30c928 \u306e\u5831\u544a\u3088\u308a\u9ad8\u304b\u3063\u305f\u3002\u7406\u7531\u3068\u3057\u3066\u3001\u2460\u672c\u7814\u7a76\u3067\u60a3\u8005\u306e66.67%\u306f\u4e2d\u7b49\u5ea6\u304b\u3089\u91cd\u5ea6\u3067\u3001\u4ecb\u8b77\u8005\u306e\u8ca0\u62c5\u304c\u9ad8\u304b\u3063\u305f\u3002\u2461\u7f79\u75c5\u671f\u9593\u306f1\u301c3\u5e74\u3067\u3042\u3063\u305f\u3002\u3053\u308c\u306f\u75be\u60a3\u306e\u6025\u901f\u306a\u9032\u884c\u306e\u671f\u9593\u306b\u76f8\u5f53\u3057\u3001\u4ecb\u8b77\u5fc5\u8981\u6027\u304c\u6025\u5897\u52a0\u3059\u308b\u6642\u671f\u3068\u8003\u3048\u3089\u308c\u308b\u3002\u2462\u4e2d\u56fd\u306e\u5728\u5b85\u6cbb\u7642\u3084\u30b1\u30a2\u3092\u63d0\u4f9b\u3059\u308b\u80fd\u529b\u306f\u9650\u3089\u308c\u3066\u304a\u308a\u3001\u307e\u3060\u533b\u7642\u4fdd\u967a\u511f\u9084\u306b\u542b\u307e\u308c\u3066\u3044\u306a\u3044\u3002<\/p>\n<p>\u4ecb\u8b77\u8005\u306e\u75c5\u6c17\u306b\u95a2\u3059\u308b\u77e5\u8b58\u306f\u3001\u4ecb\u8b77\u8005\u306e\u8ca0\u62c5\u3068\u6b63\u306e\u76f8\u95a2\u3092\u6301\u3064\u5f71\u97ff\u56e0\u5b50\u3067\u3042\u3063\u305f\u3002<br \/>\n\u3053\u308c\u306f\u5927\u5207\u306a\u4eba\u3092\u5931\u3046\u82e6\u75db\u306b\u3064\u3044\u3066\u3088\u308a\u660e\u78ba\u306b\u7406\u89e3\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u3001\u4ecb\u8b77\u8005\u306e\u8ca0\u62c5\u3092\u5897\u52a0\u3055\u305b\u308b\u3053\u3068\u306b\u306a\u308b\u3068\u8003\u3048\u3089\u308c\u308b\u3002<br \/>\n\u60a3\u8005\u306e\u4e0d\u5b89\u3084\u6291\u3046\u3064\u306a\u3069\u306e\u5fc3\u7406\u7684\u969c\u5bb3\u306f\u3001\u4ecb\u8b77\u8005\u306e\u4e0d\u5b89\u3084\u6291\u3046\u3064\u306e\u91cd\u75c7\u5ea6\u3068\u5f37\u3044\u76f8\u95a2\u304c\u3042\u308b\u3002\u793e\u4f1a\u304a\u3088\u3073\u5730\u57df\u306f\u3001\u60a3\u8005\u304a\u3088\u3073\u305d\u306e\u5bb6\u65cf\u306eQOL\u3092\u5411\u4e0a\u3055\u305b\u308b\u305f\u3081\u306b\u3001\u533b\u7642\u4fdd\u967a\u3001\u6c11\u9593\u4fdd\u967a\u3001\u5730\u57df\u533b\u7642\u30b5\u30fc\u30d3\u30b9\u306a\u3069\u306e\u3055\u307e\u3056\u307e\u306a\u624b\u6bb5\u306b\u3088\u308a\u3001\u60a3\u8005\u3068\u305d\u306e\u5bb6\u65cf\u306b\u5bfe\u3057\u3066\u53ef\u80fd\u306a\u9650\u308a\u306e\u653f\u7b56\u7684\u652f\u63f4\u3092\u884c\u3044\u3001\u7d4c\u6e08\u7684\u8ca0\u62c5\u3092\u8efd\u6e1b\u3059\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002<\/p>\n<p>\u9650\u754c\uff1a\u2460\u30b5\u30f3\u30d7\u30eb\u6570\u2461\u81ea\u5df1\u8a55\u4fa1\u5c3a\u5ea6\u306e\u305f\u3081\u3001\u60f3\u8d77\u30d0\u30a4\u30a2\u30b9 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