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Updated: May 10, 2025
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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
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Risk and Protective Factors of Conflicts Between Hospitalized Older Adults and Their Family Members: Structural
Ksenya Shulyaev1,2, Anna Zisberg2,3, Nurit Gur-Yaish2,4
1The Minerva Center of Intersectionality in Aging, University of Haifa, Haifa 3103301, Israel.
Behavioral Sciences (Basel, Switzerland)
|April 26, 2025
Summary
Family conflict during hospitalization for older adults is influenced by support, caregiving, and cultural background. Emotional support reduces conflict, while instrumental care and more visitors increase it, especially for immigrants.
Area of Science:
- Gerontology
- Sociology
- Psychology
Background:
- Family relationships are crucial for older adults' well-being.
- Hospitalization presents a high-stress scenario that can exacerbate family relationship conflicts.
- Understanding factors influencing conflict is vital for improving care.
Purpose of the Study:
- To identify predictors of conflict between hospitalized older adults and their family members.
- To examine individual, social, and cultural factors influencing this conflict.
Main Methods:
- Structural equation modeling (SEM) was used.
- The study included 573 cognitively intact older adults (65+) in Israeli hospitals.
- Factors analyzed included emotional support, instrumental care, visitor numbers, caregiver roles, immigrant status, and depressive symptoms.
Main Results:
- Emotional support decreased conflict; instrumental care, number of visitors, and spouse as primary caregiver increased conflict.
- Former Soviet Union (FSU) immigrants faced higher conflict risk; Israeli Arabs experienced indirect conflict risk via instrumental care and visitor numbers.
- Depressive symptoms increased conflict, while daily living independence reduced it, mediated by support and caregiving.
Conclusions:
- Conflict during hospitalization is complex, influenced by a mix of risk and protective factors.
- Social and cultural contexts significantly shape family dynamics in hospital settings.
- Targeted interventions for spouses, instrumental caregivers, and FSU immigrants are recommended to mitigate conflict.
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