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J Korean Gerontol Nurs > Volume 16(3):2014 > Article

Original Article

J Korean Gerontol Nurs. 2014 Dec;16(3):276-287. Korean.
Published online Dec 31, 2014.  http://dx.doi.org/10.17079/jkgn.2014.16.3.276
© 2014 Korean Gerontological Nursing Society
Feelings of Guilt and Depression in Family Caregivers after Nursing Home Placement of Older Adults
Sun Young Youand Young Ran Tak*
College of Nursing, Hanyang University, Seoul, Korea.

*Corresponding author: Tak, Young Ran. College of Nursing, Hanyang University, 17 Haendang-dong, Seongdong-gu, Seoul 133-791, Korea. Tel: +82-2-2220-0700, Fax: +82-2-2295-2074, Email: yrtak@hanyang.ac.kr
Received September 24, 2014; Revised November 01, 2014; Accepted November 30, 2014.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.


Abstract

Purpose

The purpose of this study was to investigate family caregivers' feelings of guilt and depression and identify factors predicting depression after nursing home placement of older adult family members.

Methods

Data were collected using questionnaires completed by 112 family caregivers of older adults in nursing homes in Seoul and Gyonggi Province. Feelings of guilt in family caregivers were measure using the Caregiver Guilt Questionnaire (CGQ) and depression, using the Center for Epidemiological Studies-Depression scale (CES-D). Data were analyzed using t-test, ANOVA, Pearson's correlation, and multiple regression analysis.

Results

Average score for depression was 22.3 indicating depression status in family members. Factors predicting depression were feelings of guilt (β=.39, p<.001) and older adults' participation in the decision-making process for nursing home admission (β=.28, p=.001), which together accounted for 28.7% of the variance in depression.

Conclusion

Findings show that families of elders in nursing homes experience depression, which can be reduced by a family intervention program designed to decrease feelings of guilt and provide guidance on older adults' participation in decision-making. The nursing home placement process should include help in understanding the importance of the role of family in promoting positive relationships between the elder and their family.

Keywords: Nursing home, Aged, Family caregiver, Guilt, Depression.

Tables


Table 1
General Characteristics of Residents and their Family Caregivers (N=112)


Table 2
Level of Feelings of Guilt and Depression in Family Caregivers (N=112)


Table 3
Difference in Depression in Family Caregivers by General Characteristics (N=112)


Table 4
Correlations among Variables (N=112)


Table 5
Predictive Factors for Depression in Family Caregivers of Older Adults in Nursing Home (N=112)

Notes

This article is a condensed from the first author's master thesis from Hanyang University.

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