Family involvement in nursing homes: effects on stress and well-being
Family involvement in nursing homes: effects on stress and well-being
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DOI：
10.1080/13607860310001613356
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发表时间：
2004-01-01
影响因子：
3.4
通讯作者：
Pearlin, LI
中科院分区：
文献类型：
--
作者：
Gaugler, JE;Anderson, KA;Pearlin, LI
虽然很明显，家庭在被安置在养老院后仍然参与所爱的人的生活，但很少有研究审查探视和提供护理是否对家庭成员的情绪压力和心理健康产生影响。利用护理人员压力和应对研究（n = 185）的安置前和安置后数据以及理论框架来描述护理人员压力的表现（即，压力过程模型），本分析的目的是确定机构安置后探视频率和提供个人和工具性日常生活援助活动是否与安置后的情绪困扰、家庭冲突和家庭成员的心理健康有关。在控制了大量的安置前和安置后的协变量后，多元回归模型发现，访问与安置后的角色过载呈负相关;此外，提供日常生活帮助的工具性活动与安置后的亲密交流损失呈负相关。结果表明，家庭参与机构化后可能会运作不同，比在社区，并添加到文献强调家庭参与住宅长期护理的积极影响。
While it is clear that families remain involved in the lives of loved ones following placement in a nursing home, little research has examined whether visiting and the provision of care has effects on the emotional stress and psychological well-being of family members. Utilizing pre-placement and post-placement data from the Caregiver Stress and Coping Study (n = 185) as well as a theoretical framework to delineate the manifestation of caregiver stress (i.e., the stress process model), the goal of this analysis was to determine whether frequency of visits and provision of personal and instrumental activities of daily living assistance following institutionalization were related to post-placement emotional distress, family conflict, and psychological well-being among family members. Following control of a wide array of pre-placement and post-placement covariates, multiple regression models found that visiting was negatively associated with post-placement role overload; moreover, the provision of instrumental activities of daily living help was negatively related to loss of intimate exchange at post-placement. The results suggest that family involvement following institutionalization may operate differently than when in the community, and add to the literature emphasizing the positive implications of family involvement in residential long-term care.