| Summary: | 碩士 === 南華大學 === 企業管理學系非營利事業管理碩士班 === 103 === Based on Andersen’s behavior model of health service use, this study aims to investigate factors affecting caregivers of person with dementia who are now staying in nursing homes and long-term care institutions to choose institutional long-term care services, and to explore the relationships among predisposing factors, enabling factors, need factors and the utilization of institutional long-term care services.
This study uses a cross-sectional survey with structured questionnaire. The sample includes 113 residents in one long-term care institution in Yunlin County and two nursing homes in Tainan City.
The major findings of this study are as following: (1) Both predisposing factors and need factors are more important predictors for using institutional long-term care services. (2) The analyses of multiple logistic regressions controlling other variables indicate that predisposing factors such as age and education level of elders with dementia, education level and care responsibility recognition of caregivers; enabling factors such as the perception of quality of institutional care services; need factors such as physical disability and emotion-behavior disturbance of elders with dementia and care and emotion loading and economic burden of caregivers are the most important predictors of institutional care service utilization. (3)However, the caregivers of institutional residents with dementia received few assistance from formal community care services when they cared elders with dementia at home.
Based on these findings, this study suggests that the government should develop various community care resources to support the disabled elders and their caregivers to mitigate their living burdens. More information, guidance and community resources regarding dementia care should be provided to assist elders with dementia staying at home for a longer time that the purpose of aging in place can be achieved.
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