Caregiving relatives of people with dementia: Which factors influence the transfer from home-care to nursing home? [Pflegende Angeh?rige von demenziell Erkrankten: Welche Faktoren beeinflussen den Transfer von der h?uslichen in die station?re Pflege?]

摘要

Recent research on institutionalization of family members with dementia has shown caregiving-need, caregivers burden and role conflicts as important influence factors. However, current knowledge is still superficial because most studies used highly aggregated indicators. Logistic regression was used to explore whether differentiated measures of caregiving-needs, caregiver-burden and role conflicts were risk factors for institutionalization of demented elderly people (N=373). A greater distance between households, increased need in housekeeping, a higher income, increased caregiver-burden and low self-evaluation of caregiving-quality are related to an increase in chance for institutionalization. A constant need for supervision and lack of social appreciation are associated with a smaller chance. The results illustrate the dilemma of many caregiving relatives. A future enhancement of the given regression model by including prior decline in caregiving-burden is discussed.