Factors That Determine Nursing Home Preference Among Alzheimer Diseases’ Relatives

Year 2008, Volume: 16 Issue: 2, 11 - 24, 01.06.2008

A. Yılmaz E. Turan

https://doi.org/10.1501/Kriz_0000000273

Abstract

Aim; The aim of this study is to determine
factors which predicate nursing home preference
of the Alzheimer diseases’ caregivers.
Material-Method; Sample of the study has
been elected from subjects who had Alzheimer
disease diagnosis and their primary caregiver
relatives, who refered to Ankara University
School of Medicine Psychiatry Department,
Geropsychiatry Policlinic. After constructed
questionnaire and demographic data were collected,
Alzheimer patients were evaluated by
using Mini Mental State Examination (MMSE),
Brief Psychiatric Rating Scale (BPRS), Personal
Self-Maintaining Scale (PSMS) and Geriatric
Depression Scale (GDS), while caregivers were
administrated Maslach Burn-Out Inventory
(MBI), Hamilton Anxiety (HAS) and Hamilton
Depression Scale (HDS). Results; 44 Alzheimer
disease patients and their relatives were
included in the study. 37 caregiver (84%) preferred
nursing their patients at home and 7
(16%) caregiver preferred nursing homes. Caregivers
of Alzheimer patients’ preference of
nursing home is significantly correlated with
cognitive states (MMSE), behavioral and psychological
symptoms (BPRS), personal selfmaintaining
(PSMS), sleep deprivation of
patients and maslach emotional exhaustion
subscale of caregivers (p<0.05). Not any significant
relationship was observed between nursing
home preference and patients’ depression
levels and caregivers’ maslach depersonalization
and personal accomplishment subscale
scores and depression and anxiety levels
(p>0.05). Discussion; Factors which predicate
nursing home preference among caregivers,
cognitive functions, personal self maintaining,
psychological and behavioral symptoms, as a
symptom sleep disorder, and emotional exhaustion
of caregiver were the most saliency factors.
Psychological and behavioral symptoms’ and
sleep deprivations’ being amendable and manegable
factors were important. In previous studies,
it was signified that with appropriate interventions,
caregivers would rather prefer nursing
home later.

Keywords

Alzheimer disease, caregiver, nursing home

Alzheimer Hastalarının Yakınlarında Bakımevi Tercihini Belirleyen Faktörler

Abstract

Keywords

Alzheimer hastalığı, bakım veren, bakımevi

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