Predictors of Change in Caregiver Burden and Depressive Symptoms Following Nursing Home Admission

被引:83
作者
Gaugler, Joseph E. [1 ]
Mittelman, Mary S. [2 ]
Hepburn, Kenneth [3 ]
Newcomer, Robert [4 ]
机构
[1] Univ Minnesota, Ctr Aging, Sch Nursing, Minneapolis, MN 55455 USA
[2] NYU, Langone Med Ctr, New York, NY 10003 USA
[3] Emory Univ, Sch Nursing, Atlanta, GA 30322 USA
[4] Univ Calif San Francisco, Dept Social & Behav Sci, San Francisco, CA 94143 USA
关键词
caregiving; Alzheimer's disease; long-term care; institutionalization; nursing home entry; ALZHEIMERS-DISEASE DEMONSTRATION; LONG-TERM-CARE; QUALITY-OF-LIFE; FAMILY INVOLVEMENT; PHYSICAL HEALTH; DEMENTIA CARE; OLDER-PEOPLE; INSTITUTIONALIZATION; PLACEMENT; MORTALITY;
D O I
10.1037/a0016052
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Prior research has yielded discrepant findings regarding change in caregiver burden or depressive symptoms after institutionalization of persons with dementia. However, earlier studies often included small postplacement samples. In samples of 1,610 and 1,116 dementia caregivers with up to 6 months' and 12 months' postplacement data, respectively, this study identified predictors of change in caregiver burden and depressive symptoms following nursing home admission. Descriptive analyses found that caregivers reported significant and considerable decreases in burden in the 6- and 12-month postplacement panels. A number of variables predicted increased burden and depressive symptoms in the 6- and 12-month postplacement panels. Preplacement measures of burden and depressive symptoms, site (Florida), overnight hospital use, and spousal relationship appear to result in impaired caregiver well-being following nursing home admission. Incorporating more specific measures of stress, considering the influence of health-related transitions, and coordinating clinical strategies that balance caregivers' needs for placement with sustainability of at-home care are important challenges for future research.
引用
收藏
页码:385 / 396
页数:12
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