Factors Associated With Relocation Stress and Depression in Residents With Diabetes in Long-Term Care

Friday, 26 July 2019

Shu-Ming Chen, PhD
School of Nursing, Fooyin University, Kaohsiung, Taiwan
Ying-Ju Chen, SN
School of Nursing, Fooyin University, Kaohsiung City, Taiwan

Purpose: Relocation stress and depression are comment issues in older residents with diabetes in long-term care. Little is known of the factors that lead to relocation stress and depression in this population. The purpose of this study was to explore the factors associated with relocation stress and depression for older residents with diabetes in long-term care facilities.

Methods: This study used a cross-sectional descriptive correlation design with the convenience sampling method. A total of 120 older residents with diabetes were recruited from six participating facilities. Participants had relocation to long-term care facility from home. Aged over 65 years old. The structural questionnaires used in this study including residents demographic profiles, Relocation Stress Scale- Chinese version (RS-C), depression (DASS-21) questionnaires. The Statistical Package for the social Sciences (SPSS) Version 22.0 was used to analyze the data.

Results: Most of residents reported the decision of moving into the facility was not self-made (95.3%). The mean age was 78.91 years (SD =7.34). Majority of them were female (64.8%), were married (90.6%), received financial support from their children (83.5%). The mean score of relocation stress was 79.98 (SD = 12.77) and the standardized percentage was 62.47, which accounted for medium degree. The mean score of depression was 43.88 (SD = 16.57), the standardized percentage was 25.20, which accounted for medium degree. The relocation stress (r=0.34, p<0.05), low functional independence (r=0.66, p<0.05) associated with depression. The significant predictors for depression were low functional independence and relocation stress, which accounted for 37.7% of the total variance of depression score.

Conclusion: The result of this study might be considered as references for the practice of relocation stress and depression in older residents with diabetes and their nursing care in long-term care facility. Future studies were also suggested in order to explore the effectiveness of interventions for older residents with diabetes in long-term care facility.