期刊
SOCIAL WORK IN HEALTH CARE
卷 49, 期 8, 页码 734-752出版社
ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/00981381003635296
关键词
caregiver burden; nursing home placement; dementia; trajectories
类别
资金
- NIA NIH HHS [R21 AG026525-02, R21 AG025625, R21 AG026525] Funding Source: Medline
- NATIONAL INSTITUTE ON AGING [R21AG026525] Funding Source: NIH RePORTER
Transitioning to the nursing home setting is a complex process for family caregivers of older adults with dementia. While nursing home placement (NHP) can alleviate certain caregiving responsibilities, new stressors can also emerge. In the present study, the researchers examined how care-related factors can change leading up to NHP and how these factors influence caregiver outcomes following NHP. A sample of 634 family dementia caregivers (n = 634) were surveyed at three six-month intervals prior to NHP and once during the 12 month period following institutionalization. Growth curve modeling revealed dynamic changes in certain factors leading up to NHP (e.g., caregivers' perceived health), while other factors remained stable (e.g., caregiver burden). Several factors emerged as significant predictors of caregiver burden following NHP, including pre-placement burden and adult day service utilization. For geriatric social workers, these findings may be useful in assessing family caregivers, and in the development and utilization of appropriate interventions.
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