Abstract：
OBJECTIVE: The experience of family caregivers after nursing home admission has received much less attention, probably because many caregivers experience an initial sense of initial emotional relief. However, for some caregivers nursing home admission is a stressor despite the reduced physical burden of caregiving. Caregiver distress following institutionalization has been related to the new burdens and challenges encountered in the nursing home. Ambivalence and guilt related to the institutionalization decision have been identified as sources of stress. Therefore, this study examined the effect of guilt and well-being on the perceived stress of family caregivers of institutionalized dependent persons.
METHODS: Two hundred and one family caregivers of institutionalized persons in a nursing home (La Rioja, Spain) participated. Perceived stress, caregiving guilt and subjective well-being, sociodemographic and caregiving-related variables were assessed. Linear regression analyses and correlations between variables were performed.
RESULTS: Guilt and five dimensions of well-being (anxiety, vitality, self-control and depression, except general health) significantly predicted stress (R2adj=.552 (F (6, 198)=41.71, P<.001)). The effect size was large (95% CI=.461).
CONCLUSIONS: Paying attention to family caregivers\' feelings of guilt during institutionalization is important. This will enable the design and implementation of psychosocial interventions that improve caregiver adjustment immediately after institutionalization.
METHODS: Two hundred and one family caregivers of institutionalized persons in a nursing home (La Rioja, Spain) participated. Perceived stress, caregiving guilt and subjective well-being, sociodemographic and caregiving-related variables were assessed. Linear regression analyses and correlations between variables were performed.
RESULTS: Guilt and five dimensions of well-being (anxiety, vitality, self-control and depression, except general health) significantly predicted stress (R2adj=.552 (F (6, 198)=41.71, P<.001)). The effect size was large (95% CI=.461).
CONCLUSIONS: Paying attention to family caregivers\' feelings of guilt during institutionalization is important. This will enable the design and implementation of psychosocial interventions that improve caregiver adjustment immediately after institutionalization.
摘要：
目的：入住养老院后家庭照顾者的经历受到的关注要少得多，可能是因为许多护理人员体验到最初的情绪缓解。然而,对于一些护理人员来说，尽管照顾的身体负担减轻了，但养老院的入住是一个压力源。制度化后的护理人员困扰与疗养院遇到的新负担和挑战有关。与制度化决定有关的矛盾和内已被确定为压力的来源。因此,这项研究调查了内疚和幸福感对住院依赖者家庭照顾者感知压力的影响.
方法：在疗养院中的200个家庭护理人员（LaRioja，西班牙）参加。感知到的压力，照顾内疚和主观幸福感，评估了社会人口统计学和护理相关变量.进行线性回归分析和变量之间的相关性。
结果：内疚和幸福的五个维度(焦虑，活力,自我控制和抑郁，除一般健康状况外）显着预测压力（R2adj=.552（F（6，198）=41.71，P<.001）。效应大小较大(95%CI=0.461)。
结论：在住院期间关注家庭照顾者的负罪感很重要。这将有助于设计和实施心理社会干预措施，从而在住院后立即改善护理人员的调整。
方法：在疗养院中的200个家庭护理人员（LaRioja，西班牙）参加。感知到的压力，照顾内疚和主观幸福感，评估了社会人口统计学和护理相关变量.进行线性回归分析和变量之间的相关性。
结果：内疚和幸福的五个维度(焦虑，活力,自我控制和抑郁，除一般健康状况外）显着预测压力（R2adj=.552（F（6，198）=41.71，P<.001）。效应大小较大(95%CI=0.461)。
结论：在住院期间关注家庭照顾者的负罪感很重要。这将有助于设计和实施心理社会干预措施，从而在住院后立即改善护理人员的调整。
