Abstract：
OBJECTIVE: Family caregivers of older adults receiving home care often find themselves in situations in which they must make important and difficult decisions, which can cause conflict and regret. To tailor shared decision making in this context, we aimed to identify the most difficult decisions they faced, assess their levels of decision regret, and explore the associated factors.
METHODS: This study used a cross-sectional design.
METHODS: Participants included 165 caregivers of older adults who received home care services in Korea.
METHODS: We identified difficult decisions perceived by family caregivers of older adults and evaluated decision regret using the Decision Regret Scale (DRS), decisional conflict using the Decisional Conflict Scale (DCS), burden of care using the Short Zarit Burden Inventory, and Preference Control Scale (PCS). We then performed descriptive, bivariate, and multivariate linear regression analyses to identify factors predicting decision regret.
RESULTS: The most frequently reported difficult decisions were related to place of living (71.6%), management of health conditions (15.1%), and end-of-life decisions (13.3%). The mean DCS score was 37.09 (12.67), the DRS score was 32.33 (15.91), and the burden score was 21.81 (8.25). Matching decisions with preferences and aligning decision-making roles significantly reduced regret, while decision conflicts increased regret.
CONCLUSIONS: The positive associations between decision regret, decision conflict, and the alignment of decision-making roles highlight the intricate dynamics involved in the decision-making process for family caregivers. These findings emphasize the need for tailored interventions that recognize and address the diverse factors influencing caregivers\' decision-making experiences. Future research exploring the efficacy of targeted interventions such as decision-support programs or caregiver education initiatives could offer valuable insights into mitigating decision-related challenges and improving the overall well-being of both caregivers and care recipients.
METHODS: This study used a cross-sectional design.
METHODS: Participants included 165 caregivers of older adults who received home care services in Korea.
METHODS: We identified difficult decisions perceived by family caregivers of older adults and evaluated decision regret using the Decision Regret Scale (DRS), decisional conflict using the Decisional Conflict Scale (DCS), burden of care using the Short Zarit Burden Inventory, and Preference Control Scale (PCS). We then performed descriptive, bivariate, and multivariate linear regression analyses to identify factors predicting decision regret.
RESULTS: The most frequently reported difficult decisions were related to place of living (71.6%), management of health conditions (15.1%), and end-of-life decisions (13.3%). The mean DCS score was 37.09 (12.67), the DRS score was 32.33 (15.91), and the burden score was 21.81 (8.25). Matching decisions with preferences and aligning decision-making roles significantly reduced regret, while decision conflicts increased regret.
CONCLUSIONS: The positive associations between decision regret, decision conflict, and the alignment of decision-making roles highlight the intricate dynamics involved in the decision-making process for family caregivers. These findings emphasize the need for tailored interventions that recognize and address the diverse factors influencing caregivers\' decision-making experiences. Future research exploring the efficacy of targeted interventions such as decision-support programs or caregiver education initiatives could offer valuable insights into mitigating decision-related challenges and improving the overall well-being of both caregivers and care recipients.
摘要：
目标：接受家庭护理的老年人的家庭照顾者经常发现自己必须做出重要而困难的决定，这可能会导致冲突和遗憾。为了在这种情况下定制共享决策，我们的目标是确定他们面临的最困难的决定，评估他们的决策遗憾程度，并探讨相关因素。
方法：本研究采用横断面设计。
方法：参与者包括165名在韩国接受家庭护理服务的老年人看护人。
方法：我们确定了老年人的家庭照顾者所感知的困难决定，并使用决定后悔量表（DRS）评估了决定后悔，使用决策冲突量表(DCS)的决策冲突，使用短Zarit负担清单的护理负担，和偏好控制量表(PCS)。然后我们进行了描述性的，双变量，和多元线性回归分析，以确定预测决策遗憾的因素。
结果：最常报告的困难决定与居住地有关（71.6％），卫生条件管理(15.1%)，和报废决定（13.3%）。平均DCS评分为37.09（12.67），DRS评分为32.33（15.91），负担评分为21.81(8.25)。将决策与偏好相匹配并使决策角色保持一致，大大减少了后悔，而决策冲突增加了遗憾。
结论：决策后悔之间的正相关，决策冲突,和决策角色的协调突出了家庭护理人员决策过程中涉及的复杂动态。这些发现强调需要有针对性的干预措施，以识别和解决影响护理人员决策经验的多种因素。未来的研究探索有针对性的干预措施，如决策支持计划或照顾者教育计划的有效性，可以为减轻与决策相关的挑战和改善照顾者和照顾者的整体福祉提供有价值的见解。
方法：本研究采用横断面设计。
方法：参与者包括165名在韩国接受家庭护理服务的老年人看护人。
方法：我们确定了老年人的家庭照顾者所感知的困难决定，并使用决定后悔量表（DRS）评估了决定后悔，使用决策冲突量表(DCS)的决策冲突，使用短Zarit负担清单的护理负担，和偏好控制量表(PCS)。然后我们进行了描述性的，双变量，和多元线性回归分析，以确定预测决策遗憾的因素。
结果：最常报告的困难决定与居住地有关（71.6％），卫生条件管理(15.1%)，和报废决定（13.3%）。平均DCS评分为37.09（12.67），DRS评分为32.33（15.91），负担评分为21.81(8.25)。将决策与偏好相匹配并使决策角色保持一致，大大减少了后悔，而决策冲突增加了遗憾。
结论：决策后悔之间的正相关，决策冲突,和决策角色的协调突出了家庭护理人员决策过程中涉及的复杂动态。这些发现强调需要有针对性的干预措施，以识别和解决影响护理人员决策经验的多种因素。未来的研究探索有针对性的干预措施，如决策支持计划或照顾者教育计划的有效性，可以为减轻与决策相关的挑战和改善照顾者和照顾者的整体福祉提供有价值的见解。
