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Depression in nursing home residents and its correlation with meaning of family involvement and depression of family

Published online by Cambridge University Press:  11 March 2022

Chia-Chun Wu
Affiliation:
New Taipei City Zhi Jie Nursing Home, New Taipei City, Taiwan
Hsiu-Hsin Tsai*
Affiliation:
Department of Nursing, Chang Gung University, Taoyuan, Taiwan Department of Psychiatry, Chang Gung Memorial Hospital Linkou Main Branch, Taoyuan, Taiwan
Hsiu-Li Huang
Affiliation:
Department of Long-Term Care, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan
Yi-Wen Wang
Affiliation:
Department of Nursing, Chang Gung University, Taoyuan, Taiwan
Chun-Hsia Huang
Affiliation:
Department of Nursing, Chang Gung University, Taoyuan, Taiwan
Chia-Yih Liu
Affiliation:
Department of Psychiatry, Chang Gung Memorial Hospital Linkou Main Branch, Taoyuan, Taiwan Department of Medicine, Chang Gung University, Taoyuan, Taiwan
*
Correspondence should be addressed to: Hsiu-Hsin Tsai, Department of Nursing, Chang Gung University, Taoyuan, Taiwan. Phone: 886-3-2118800 ext.5075; Fax: 886-3-2118868. Email: kitty@mail.cgu.edu.tw.

Abstract

Objectives:

This study aimed to investigate the relationship between depression in older nursing home residents and family caregivers’ (FCGs) depressive status and reasons for involvement with residents.

Design:

This study employed a cross-sectional design.

Setting:

Eight nursing homes in northern Taiwan.

Participants:

A total of 139 older resident–FCG pairs were recruited.

Measurements:

Depression was measured with the Geriatric Depression Scale-Short Form for nursing home residents and the Center for Epidemiologic Studies Depression Scale-Short Form for family members. Depression and demographic data were collected with face-to-face interviews. The meaning ascribed to caregivers’ nursing home visits was calibrated using the Family Meaning of Nursing-Home Visits scale. Multiple logistic regression was used to understand the factors related to residents’ depressive symptoms.

Results:

Depressive symptoms were present in 58.3% of the nursing home residents (n = 81). Depressive status of family members (Chi-square = 1.46, p = 0.23) or family’s visiting frequency (Chi-square = 1.64, p = 0.44) did not differ between residents with or without depressive symptoms. Factors associated with an increased risk of residents having depressive symptoms were age, self-perceived health status, and having a caregiver motivated to visit to assuage their guilt.

Conclusions:

Visiting a family member to assuage their guilt was the only caregiver variable associated with depressive symptoms for nursing home residents. This finding suggests that developing interventions to improve personal relationships between nursing home residents and family members might facilitate the emotional support of caregivers and psychological support for older nursing home residents in Taiwan.

Type
Original Research Article
Copyright
© International Psychogeriatric Association 2022

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