DOI QR코드

DOI QR Code

Convergence Study on Burden in Families Caregivers of Patients with Burn

화상환자 가족의 부담감에 대한 융합적 연구

  • Jung, Gye-Hyun (Department of Nursing, Deajeon University) ;
  • Na, Hyun-Ju (Department of Nursing, Deajeon Bestian-Woosong Hospital)
  • 정계현 (대전대학교 간호학과) ;
  • 나현주 (대전베스티안우송병원 간호부)
  • Received : 2016.09.22
  • Accepted : 2016.12.20
  • Published : 2016.12.31

Abstract

The purpose of this study is to identify the factors influencing on the burden on the family caregivers of patient with more than second degree burn. The participants of this study were 120 family caregivers sampled for convenience from 4 Burn hospitals in D, S, B, P cities in South Korea. Data analysis was performed by t-test, ANOVA, Scheffe' test, Multiple linear regression. According to the result, the burden of assess & mean of care and the future of the patient was the highest score for family caregivers. Factors that affect the burden of family caregiver with burn patients were marital status, time, care, skin transplants, body surface area (%) and these factors explained 25.9%. This study concludes that intervention program is developed to reduce physical and emotional burden and nursing care services is required to adjust the amount time to care for the family caregivers with burn patients for a long time.

본 연구의 목적은 화상환자 가족의 부담감에 영향을 미치는 요인들을 확인하기 위해 시도된 서술적 조사이다. 연구 대상자는 D시, S시, B시, P시에 소재한 4개 화상전문병원에 입원한 $2^{\circ}$ 이상의 화상환자를 돌보는 가족들 120명을 편의 표집하였고, 자료분석을 위해 t-test, ANOVA, Scheffe' test, Multiple linear regrassion을 시행하였다. 연구결과는 화상환자를 돌보는 가족의 부담감 중 돌봄의 의미와 평가, 환자의 미래에 대한 부담감이 가장 높았다. 화상환자를 돌보는 가족의 부담감 영향요인으로는 결혼상태, 간병시간, 피부이식수술, 체표면적(%)이었고, 설명력은 25.9%로 나타났다. 이상의 결과로 장시간 화상환자를 돌보는 가족들의 신체적, 정서적 부담감을 감소시키기 위한 간호중재 프로그램 개발과 간병 시간을 조절할 수 있는 간병서비스가 필요하다.

Keywords

References

  1. W. H. Oh, H. S. Yoon1, S. Choi1, H. D. Kim, S. Y. Park, H. J. Jang, H. S. Kim, "A Study on the Quality of Life of Burn Patients-Focused on the Need of Medical Social Work Service", Journal of Korean Burn Society, Vol. 6, No. 2, pp. 99-110, 2003.
  2. W. J. Lee, N. S. Pae, H. K. Lee, D. K. Rah, "Incidence and Expanse of Burn Management in Korea" Journal of Korean Burn Society, Vol. 6 No. 2, pp. 111-117, 2003.
  3. Korean Statistical Information Service, "2010년 Health Insurance Statistics Yearbook" September 29 2010, from http://www.nhis.or.kr/bbs7/boards/B0075/5949
  4. H. M. Park, Y. M. Yoon, Influncing Predictors of Quality of Life in Burn Patients, Korean Journal of Adult Nursing, Vol. 17, No. 1, pp. 100-108, 2005.
  5. R. H. Park, B. C. Lee, H. J. Lim, Y. S. Cho, D. H. Kim, J. Hur, W. Chun, J. H. Kim, C. H. Seo, B. K. Yeon, C. H. Han, S. G. Ryu, "Pathways Analysis for Depression in Hospitalized Acute Burn Patients" Journal of Korean Burn Society, Vol. 13, No. 1, pp. 40-44, 2010.
  6. H. S. Kim, H. M. Jang, D. Y. Chea, C. H. Woo, S. H. Moon, H. S. Kim, K. M. Kim, "Characteristics of Chronic Sensory Abnormalities in Korean Burn Patients", The Korean Journal of Pain , Vol. 20, No. 2, pp. 158-162, 2007. https://doi.org/10.3344/kjp.2007.20.2.158
  7. S. Y. Park, W. H. Oh, H. J. Jang, J. W. Lim, J. H. Jo, "A Study on the Family Caregiver's Burden of Burn Patients". Journal of Korean Burn Society, Vol. 4, No. 2, pp. 91-108, 2001.
  8. N. Kilburn, B. Dheansa, "Socioeconomic impact of Children's Burns-A Pilot Study. Burns, Vo. 40, No. 8, pp. 1615-1623, 2014, https://doi.org/10.1016/j.burns.2014.03.006
  9. J. W. Lee, S. Y. Lim, "Burden and Needs of the Family Members of the Intensive Care Unit Patients", Vol. 14, No. 2, pp. 421-429, 2014. https://doi.org/10.5392/JKCA.2014.14.02.421
  10. S. M. Heo, H. K. Chong, "Convergence Study on Caregiving Burden of Families with Patients Suffering from Lou Gehrig's Disease", Journal of Digital Convergence, Vol.13, No.8, pp.559-567, 2015. https://doi.org/10.14400/JDC.2015.13.8.559
  11. Y. J. Lee, H. W. Kang, "Nursing Needs and Burden of Family Caregivers of Mikkle-Aged Hepatocellular Carcinoma Patients", Asian Oncological Nursing, Vol. 14, No. 4, pp. 227-235, 2014. https://doi.org/10.5388/aon.2014.14.4.227
  12. U. Mirastschijski, J-T Sander, B. Weyand, H-O Rennekampff, "Rehabilitation of Burn Patients: An Underestimated Socio-economic Burden", Burns, Vol. 39, No. 2, pp. 262-268, 2013. https://doi.org/10.1016/j.burns.2012.06.009
  13. H. W. Kim, "Dependence of Elderly Peritoneal Dialysis Patients and Burden on Family Caregivers", Journal of Digital Convergence, Vol. 10, No.9, pp. 429-434, 2012. https://doi.org/10.14400/JDPM.2012.10.9.429
  14. J. A. Fauerbach, D. Lezotte, R. A. Hills, G. F. Cromes, K. Kowalske, B. J. de Lateur, C. W. Goodwin, P. Blakeney, D. N. Herndon, S. A. Wiechman, L. H. Engrav, D. R. Patterson, "Burden of Burn: A Norm-Based Inquiry into the Influence of Burn Size and Distress on Recovery of Physical and Psychosocial Function", Journal of Burn Care & Rehabilitation, Vol. 26, No. 1, pp. 21-32, 2005. https://doi.org/10.1097/01.BCR.0000150216.87940.AC
  15. M. R. Lee, "A Study on the Family Caregiver's Burden of Burn Patients", Kyung Hee University, Master's dissertation, 2006.
  16. U. S. Roh, M. S. Lee, "Caregiver Vurden, Provider Support and Educational Needs in Caregivers of Burn Patients", Journal of Korean Burn Society, Vol. 10, No. 2, pp. 95-99, 2007.
  17. S. R. Mashrekya, A. Rahmana, S. M. Chowdhurya, S. Giashuddina, L. Svanströmb, T. F. Khand, R. Coxc, F. Rahmana, "Burn Injury: Economic and Social Impact on A Family", Public Health, Vol. 122, No. 12, pp. 1418-1424, 2008. https://doi.org/10.1016/j.puhe.2008.06.007
  18. M. A. Landolt, S. Grubenmann, M. Meuli, Family Impact Greatest: Predictors of Quality of Llife and Psychological Adjustment in Pediatric Burn Survivors. Journal of Trauma, Vol. 53, No. 6, pp. 1146-1151, 2002. https://doi.org/10.1097/00005373-200212000-00019
  19. F. Faul, E. Erdfelder, A. Buchner, A. Lang, "Statistical Power Analyses Using G*Power 3.1: Tests for Correlation and Regression Analyses", Behavioral Research Methods, Vol. 41, No. 4, pp. 1149-1160, 2009. https://doi.org/10.3758/BRM.41.4.1149
  20. S. H. Zarit, K. E. Reever, J. Bach-Peterson, "Relatives of the Impaired Elderly: Correlates of Feelings of Burden", The Gerontologist, Vol. 20, No. 6, pp. 649-655, 1980. https://doi.org/10.1093/geront/20.6.649
  21. M. H. Suh, K. S. Oh, A Study of Well-beng in Caregivers Caring for Chronically Family Members. Journal of Korean Academy Nursing Vol. 23, No. 1, pp. 467-486, 1993.
  22. G. S. Oh, S. M. Choi, N. Y. Jun, "The reliability and validity of family burden questionaire", Journal of Korean Academy Pediatric Nursing, Vol. 8, No.3, pp. 272-280, 2002.
  23. Y. Kim, E. Y. Choi, "An Analysis of Family Function and Burden of Family Caregivers of the Patient with Brain Injury", The Korean Journal of Stress Research, Vol. 20, No. 1, pp. 61-68, 2012.
  24. H. S. Lee, M. A. You, S. K. Lee, Y. J. Son, "Factors influencing on Burden of Family Members of Intensive Care Patients: Planned Transfer to General Ward after Intensive Care", Journal of The Korea Contents Association, Vol. 14, No. 5, pp. 211-223, 2014. https://doi.org/10.5392/JKCA.2014.14.05.211
  25. S. M. Yang, "The Relations of the Long-term Care Insurance Awareness and The Aged Parent-supporting", Journal of Digital Convergence, Vol. 9, No. 5, pp.45-54, 2011.
  26. M. K. Kim, D. H. Park, O. H Ahn, "The Care Giving Burden of Primary Caregiver based on Nursing Needs of Long-term Care lnsurance Grade", Journal of the Korea Convergence Society, Vol. 5, No. 3, pp. 7-16, 2014. https://doi.org/10.15207/JKCS.2014.5.3.007
  27. C. O. Jang, "A study of Family Function and Convergent Adaptation Hearing Protection Factor", Journal of the Korea Convergence Society, Vol. 6, No. 3, pp. 119-125, 2015. https://doi.org/10.15207/JKCS.2015.6.3.119
  28. S. Y. Kim, "Safety Awareness and Safety Practice Behavior of College Students", Journal of digital Convergence, Vol. 13, No. 2, pp. 279-289, 2015. https://doi.org/10.14400/JDC.2015.13.2.279
  29. M. H. Lee, C. H. Kim, "Effect of Leadership WalkRounds Convergence to Establish a Patient Safety Culture", Journal of digital Convergence, Vol. 13, No. 6, pp. 185-195, 2015.
  30. J. Y. Oh, J. W. An, K. W. Oh, S. I. Oh, J. A. Kim, S. J. Kim, J. S. Lee, "Depression and Caregiving Burden in Families of Patients with Amyotrophic Lateral Sclerosis". Journal of Korean Academy, Nursing, Vol. 45, No. 2, pp. 202-210, 2015. https://doi.org/10.4040/jkan.2015.45.2.202