Women's Health Nursing (여성건강간호학회지)

Korean Society of Women Health Nursing (한국여성건강간호학회)
권호 표지

Comparison in Care Burden, Fatigue, and Life Contentment of Caregivers by Gender Relationship with Demented Elders

치매노인과 주부양자의 성별 관계에 따른 주부양자의 부양부담감, 피로 및 생활만족도 비교

  • Lee, Young-Whee (Nursing Department, College of Medicine, Inha University) ;
  • Cho, In-Sook (Nursing Department, College of Medicine, Inha University) ;
  • Kim, Hwa-Soon (Nursing Department, College of Medicine, Inha University)
  • 이영휘 (인하대학교 의과대학 간호학과) ;
  • 조인숙 (인하대학교 의과대학 간호학과) ;
  • 김화순 (인하대학교 의과대학 간호학과)
  • Published : 2009.09.20
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Abstract

Purpose: This study was done in order to examine the differences in gender respect to care burden, fatigue, and life contentment of family caregivers of elderly with dementia. Methods: The setting of the study was a community-based dementia care center providing daycare services. One hundred ninety four caregivers were recruited for the survey. A structured questionnaire was used which included demographic information, care burden, fatigue, and general contentment scales. Caregivers were classified into 4 groups by gender relationship with care recipients. Results: The majority of the caregivers were middle-aged and elderly. More than twice as many were female rather than male caregivers. The results showed that women caregivers expressed more fatigue than men overall (p < .05). In the gender relationships, a different combination of man-woman appeared to have more burdens than that of a woman-woman group (p < .05). For fatigue, the man caregiver-woman elderly group showed a higher fatigue score than a woman-man group (p < .05). However, there was no significant difference in life contentment among groups. Conclusion: These results suggest that caregiver's gender and gender relationship with elders could be considerable factors when the nurses make a plan in the community for dementia nursing management services.

Keywords

References

  1. Andren, S., & Elmstahl, S. (2007). Relationships between income, subjective health and caregiver burden in caregivers of people with dementia in group living care: A cross-sectional community-based study. Int J Nurs Stud, 44(3), 435-446. https://doi.org/10.1016/j.ijnurstu.2006.08.016
  2. Byrne, K., & Orange, J. B. (2005). Conceptualizing communication enhancement in dementia for family caregivers using the WHO-ICF framework. Adv Speech Lang Pathol, 7(4), 187-202. https://doi.org/10.1080/14417040500337062
  3. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.
  4. Corcoran, M. A. (1992). Gender differences in dementia management plans of spousal caregivers: implications for occupational therapy. Am J Occup Ther, 46(11), 1006-1012. https://doi.org/10.5014/ajot.46.11.1006
  5. Fitten, L. J. (2006). Editorial: management of behavioral and psychiatric symptoms in dementia. J Nutr Health Aging, 10 (5), 409.
  6. Kao, H., & McHugh, M. L. (2004). The role of caregiver gender and caregiver burden in nursing home placements for elderly Taiwanese survivors of stroke. Res Nurs Health, 27(2), 121-134. https://doi.org/10.1002/nur.20007
  7. Kim, Y. E. (1999). Effects of stress management training on the primary care-givers of dementia patients. Unpublished doctoral dissertation, Seoul Women's University, Seoul.
  8. Kim, Y. J., & Lee, P. S. (1999). A study on the burdens and depressive reactions on families who cared for patients suffering from senile dementia. J Korean Acad Nurs, 29(4), 766-779. https://doi.org/10.4040/jkan.1999.29.4.766
  9. Kim, T. H., Kim, D. B., Kim, M. H., Lee, Y. G., & Kim, A. S. (1998). A study on improvement of the quality of life for the aged. J Korea Gerontol Soc, 18(1), 150-169.
  10. Ko, H. J., Kim, M. A., Kwan, Y. S., Kim, C. N., Park, K. M. Park, J. S., et al. (2004). The fatigue experience of shift work nurses. J Korea Community Health Nurs Acad Soc, 18(1), 103-118.
  11. Kuzu, N., Beser, N., Zencir, M., Sahiner, T., Nesrin, E., Ahmet, E., et al. (2005). Effects of a comprehensive educational program on quality of life and emotional issues of dementia patient caregivers. Geriatr Nurs, 26(6), 378-386. https://doi.org/10.1016/j.gerinurse.2005.09.015
  12. Kwon, J. D. (1994). A study on the assessment of caregiver burden in caring for the demented elderly in Korea. Unpublished doctoral dissertation, Yonsei University, Seoul.
  13. Lee, H. J., Kim, Y. S., Kim, K. R., Kim, J. S., & Seo, J. M. (2003). Predictors of depression among family caregivers of older adults with dementia. J Korean Acad Nurs, 33(7), 936-944. https://doi.org/10.4040/jkan.2003.33.7.936
  14. Lee, Y. W., Kim, H. S., & Cho, I. (2008). Factors influencing care burdens of caregivers of elders with dementia who request dementia domiciliary welfare services. J Korean Acad Fundam Nurs, 15(3), 262-271.
  15. Matthews, B. A. (2003). Role and gender differences in cancer-related distress: A comparison of survivor and caregiver self-reports. Oncol Nurs Forum, 30(3), 493-499.
  16. Miller, B., & Cafasso, L. (1992). Gender differences in caregiving: Fact or artifact? Gerontologist, 32(4), 498-507. https://doi.org/10.1093/geront/32.4.498
  17. National Statistics Office (2005). Social index in Korea: Dementia prevalence rate, http://www.nso.go.kr
  18. Navaie-Waliser, M., Spriggs, A., & Feldman, P. H. (2002). Informal caregiving: Differential experiences by gender. Med Care, 40(12), 1249-1259. https://doi.org/10.1097/00005650-200212000-00012
  19. Park, K. N. (2004). Gender differences in the life satisfaction of elderly. J Korea Gerontol Soc, 24(3), 13-29.
  20. Park, K. S. (2003). The life of aged period. Seoul: Euiam Press.
  21. Pearlin, L., Mullan, J., Semple, S., & Skaff, M. (1990). Caregiving and the stress process: An overview of concept and their measures. Gerontologist, 30(5), 583-94. https://doi.org/10.1093/geront/30.5.583
  22. Roelands, M., Van Oost, P., & Depoorter, A. (2008). Service use in family caregivers of persons with dementia in Belgium: Psychological and social factors. Health Soc Care Community, 16(1), 42-53. https://doi.org/10.1111/j.1365-2524.2007.00730.x
  23. Rubin, A., & Bannie, E. (1992). Research method for social work. Books and Cole Publishing, 175-178.
  24. Shin, H. S. (2001). Self-esteem, health status and life satisfaction in elderly women according to the spouse's perspective. J Korean Acad Nurs, 31(6), 1119-1128. https://doi.org/10.4040/jkan.2001.31.6.1119
  25. Shua-Haim, J. R., Haim, T., Shi, Y., Kuo, Y. H., & Smith, J. M. (2001). Depression among Alzheimer's caregivers: Identifying risk factors. Am J Alzheimers Other Demen, 16(6), 353-359. https://doi.org/10.1177/153331750101600611
  26. Song, D., & Kim, M. (2003). A study on eldercare burden and role conflict among working women and housewives. J Korean Womens Stud, 19(2), 145-176.
  27. Tanji, H., Ootsuki, M., Matsui, T., Maruyama, M., Nemoto, M., Tomita, N., et al. (2005). Dementia caregivers' burdens and use of public services. Geriatr Gerontol Int, 5(2), 94-98. https://doi.org/10.1111/j.1447-0594.2005.00274.x
  28. Tannen, D. (1990). You just don't understand: Women and men in conversation. New York: Ballantine Books.
  29. Wood, J. T. (2007). Gendered lives: Communication, gender, and culture. Belmont, CA: Thompson/Wadsworth.
  30. Yoo, H. J. (2003). A study on the social support for major care-givers of the elderly with dementia and their care-giving burdens. Unpublished master's thesis, Hallym University, Chunchun.
  31. Yoo, Y. (2003). Influencing factors to care burden of family caregivers for senile dementia. Unpublished master's thesis, Daejeon University. Daejeon.