Factors Determining the Attitudes of Family Caregivers of Dementia Patients toward Nursing Home Placement in Taiwan: Comparisons between Urban and Semiurban Areas

Authors

  • Lian Chiu Sc.D., R.N.,

    1. Lian Chiu is a Supervisor of Student Affairs, Kang-Ning Junior College of Nursing, Taipei, Woei Cherng Shyu is a Neurologist of the Department of Neurology, Mackay Memorial Hospital, Taipei,Yu-Hwa Liu is a Director of Student Counseling Center, Taipei Medical College, Taipei, Shiou-Ping Wang, is a Psychiatrist, Department of Psychiatry, Veterans General Hospital-Kaohsiung, Kaohsiung, and Ta-Pang Chang is a Technician, Department of Public Health of the School of Medicine, Taipei Medical College.
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  • Woei-Cherng Shyu M.D., Ph.D.,

    1. Lian Chiu is a Supervisor of Student Affairs, Kang-Ning Junior College of Nursing, Taipei, Woei Cherng Shyu is a Neurologist of the Department of Neurology, Mackay Memorial Hospital, Taipei,Yu-Hwa Liu is a Director of Student Counseling Center, Taipei Medical College, Taipei, Shiou-Ping Wang, is a Psychiatrist, Department of Psychiatry, Veterans General Hospital-Kaohsiung, Kaohsiung, and Ta-Pang Chang is a Technician, Department of Public Health of the School of Medicine, Taipei Medical College.
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  • Yu-Hwa Liu M.S.W.,

    1. Lian Chiu is a Supervisor of Student Affairs, Kang-Ning Junior College of Nursing, Taipei, Woei Cherng Shyu is a Neurologist of the Department of Neurology, Mackay Memorial Hospital, Taipei,Yu-Hwa Liu is a Director of Student Counseling Center, Taipei Medical College, Taipei, Shiou-Ping Wang, is a Psychiatrist, Department of Psychiatry, Veterans General Hospital-Kaohsiung, Kaohsiung, and Ta-Pang Chang is a Technician, Department of Public Health of the School of Medicine, Taipei Medical College.
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  • Shiou-Ping Wang M.D.,

    1. Lian Chiu is a Supervisor of Student Affairs, Kang-Ning Junior College of Nursing, Taipei, Woei Cherng Shyu is a Neurologist of the Department of Neurology, Mackay Memorial Hospital, Taipei,Yu-Hwa Liu is a Director of Student Counseling Center, Taipei Medical College, Taipei, Shiou-Ping Wang, is a Psychiatrist, Department of Psychiatry, Veterans General Hospital-Kaohsiung, Kaohsiung, and Ta-Pang Chang is a Technician, Department of Public Health of the School of Medicine, Taipei Medical College.
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  • Ta-Pang Chang B.A.

    1. Lian Chiu is a Supervisor of Student Affairs, Kang-Ning Junior College of Nursing, Taipei, Woei Cherng Shyu is a Neurologist of the Department of Neurology, Mackay Memorial Hospital, Taipei,Yu-Hwa Liu is a Director of Student Counseling Center, Taipei Medical College, Taipei, Shiou-Ping Wang, is a Psychiatrist, Department of Psychiatry, Veterans General Hospital-Kaohsiung, Kaohsiung, and Ta-Pang Chang is a Technician, Department of Public Health of the School of Medicine, Taipei Medical College.
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Address correspondence to Lian Chiu, Kang-Ning Junior College of Nursing, 137, lane 75, Section 3, Kang-Ning Road, Nei-Hu, Taipei 114, Taiwan. E-mail: chiu1611@mail.taipeilink.net

Abstract

This study sought to determine the factors that influence the attitudes of family caregivers of dementia patients toward nursing home placement. A telephone survey of primary caregivers was conducted in two metropolitan areas of Taiwan. Caregivers of dementia patients were recruited from the neurology and psychiatry outpatient departments of two medical centers in Taipei (a highly urbanized area, n=144) and two medical centers in Kaohsiung (an area of mixed farm and nonfarm sectors, n=134). Family caregivers were asked if they would place patients in a nursing home if their dementia progressed. The mental status of dementia patients was the most significant variable affecting caregivers attitudes toward nursing home placement. Family manpower available for caregiving at home was especially emphasized as a determining factor affecting the decision to use nursing home care by primary caregivers in highly urbanized areas.

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