Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Influencing Factors on Stress in Caregivers of Stroke Patients Being Admitted in Rehabilitation Centers

재활전문병원에 입원중인 뇌졸중 환자 주 돌봄 제공자의 스트레스 영향요인

  • Kim, Nam-Hee (Kosin University Research Institute of Holistic Nursing Science, College of Nursing Kosin University) ;
  • Tae, Young-Sook (College of Nursing, Kosin University) ;
  • Choi, Yooun-Sook (Kosin University Research Institute of Holistic Nursing Science, College of Nursing Kosin University) ;
  • Bae, Joo-Hee (Kosin University Research Institute of Holistic Nursing Science, College of Nursing Kosin University)
  • 김남희 (고신대학교 간호대학 전인간호과학연구소) ;
  • 태영숙 (고신대학교 간호학과) ;
  • 최윤숙 (고신대학교 간호대학 전인간호과학연구소) ;
  • 배주희 (고신대학교 간호대학 전인간호과학연구소)
  • Received : 2016.01.04
  • Accepted : 2016.02.04
  • Published : 2016.02.29
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Abstract

The aim of this descriptive correlation research was to identify the factors influencing stress in caregivers of stroke patients in rehabilitation centers. The data were collected from 200 caregivers at three rehabilitation centers in B City from September 1 to 30, 2015. The data were also collected utilizing the Connor-Davidson Resilience Scale, the Caregiving Mastery Scale, the Medical Outcomes Study (MOS) Scale, and Burden Interview (BI) Scale. The data were analyzed using the SPSS Win 18.0 program. The factor with the greatest impact on stress was social support, which accounted for 9.3% of stress, followed by the duration of giving care to the patient, religious status, economic conditions, caregiver's age, resilience, caregiver's health status, patient's conscious status, and patient's age, all of which accounted for 30% of the stress for caregivers. Therefore, it is essential to develop social support programs that can reduce the stress for caregivers of patients in rehabilitation centers and to develop stress intervention programs, taking all the factors affecting stress into consideration.

본 연구의 목적은 재활전문병원에 입원중인 뇌졸중 환자 주 돌봄 제공자의 스트레스 영향요인을 파악하기 위하여 시도된 설명적 상관관계 연구이다. B시에 소재한 3개의 재활전문병원 주 돌봄 제공자 200명에 대한 자료를 2015년 9월 1일부터 9월 30일까지 수집하여 SPSS Win 18.0 프로그램을 이용하여 분석하였다. 연구도구는 Connor-Davidson Resilience Scale, Caregiving Mastery Subscale, MOS(Medical Outcomes Study), Burden Interview(BI)를 사용하여 측정하였다. 스트레스에 가장 큰 영향을 미치는 요인은 사회적지지로 전체의 9.3%의 설명력을 보였고, 다음으로 환자를 돌봄 기간, 종교 유무, 경제적 상태, 주 돌봄 제공자 연령, 회복 탄력성, 주 돌봄 제공자 건강상태, 환자 의식상태, 환자연령을 포함하여 주 돌봄 제공자의 스트레스는 총 30%의 설명력을 나타냈다. 따라서 이러한 결과를 바탕으로 재활전문병원에 입원중인 주 돌봄 제공자의 스트레스를 감소시킬 수 있는 사회적지지 프로그램의 개발이 필요하며, 스트레스에 영향을 준 제 특성요인들을 고려하여 스트레스 중재프로그램을 개발할 필요가 있을 것이다.

Keywords

References

  1. Clinical Research Center for Stroke, Clinical practice guidelines for stroke, pp.1-346, 2015.
  2. B. M. Mun, Y. S. Lee, B. H. Lee, The relationship between the patients health beliefs and the implementation of functional movement rehabilitation and ability to perform ADL in stroke patients, Journal of the korea academia-industrial cooperation society, Vol.13, No.7, pp.3057-3064, 2012. DOI: http://dx.doi.org/10.5762/kais.2012.13.7.3057
  3. H. Y. So, J. H. Kim, J. W. Park, N. Y. Im, Task Analysis of the Job Description of Rehabilitation Nurse based on DACUM, Journal of Korean Rehabil Nursing, Vol.12, No.1, pp.16-29, 2009.
  4. S. E. Song, A study on the health conditions and education needs for family of the stroke patients, Unpublished Master's thesis, Ewha Womans University, Seoul, 2012.
  5. I. S. Park, D. Y. Kim, C. Y. Kang, The relationship of dysfunctions degree, daily living activity, depressiveness and quality of life among the elderly suffering from stroke, The Korean Journal of health service management, Vol.5, No.2, pp.173-186, 2011. https://doi.org/10.12811/kshsm.2011.5.2.173
  6. E. C. Ursula, Spousal caregiving for stroke survivors, Journal of neuroscience nursing, Vo.39, No.2j, pp.112-119, 2007. DOI: http://dx.doi.org/10.1097/01376517-200704000-00008
  7. Y. H. Park, H. J. Hyun, Caregiver's burden and family functioning of cancer patient, Journal of Korean Acad Adult Nursing, Vol.12, No.1, pp.384-395, 2000.
  8. H. S. Kim, S. J. Yu, Factors influencing family functioning in family caregiver's of patients with cancer, Journal of Korean Fundan Nursing, Vol.15, No.1, pp.301-311, 2008.
  9. G. I. Cheon, Y. S. Kim, G. H. Seo, Family Caregiver's Stress and Physical Health With Demented Patinets Using Day Care Center, Journal of Korean Stress Research, Vol.16, No.4, pp.401-408, 2008.
  10. K. M. Connor, Assessment of resiliience in aftermath of trauma, Amerian journal of Psychiartry, Vol.67, No.2, pp.46-49, 2006.
  11. J. H. Kim, Resilience. Seoul: Wisdomhouse, pp.250-255, 2011.
  12. M. P. Lawton, M. H. Kleban, M. A. Moss, M. Rovine, A. Glicksman, Measuring Caregiving, Appraisal, Journal of Gerontology, Vol.44, No.3, pp.61-71, 1989. DOI: http://dx.doi.org/10.1093/geronj/44.3.p61
  13. M. E. Burman, Family caregiver expectation and management of the stroke trajectory, Rehabilitation Nursing, Vol.26, No.3, pp.94-99, 2001. DOI: http://dx.doi.org/10.1002/j.2048-7940.2001.tb02212.x
  14. B. Bruwer, R. Emsley, M. Kidd, C. Lochner, S. Seedat, Psychometic properties of the multidimensional scale of perceived social support in youth, Comprehensive Psychiatry, Vol.49, No.2, pp.195-201, 2008. DOI: http://dx.doi.org/10.1016/j.comppsych.2007.09.002
  15. V. Steiner, L. Pierce, S. Drahuschak, et al., Emotional support physical help, and health of caregivers of stroke survivors, Journal of Neurosci Nursing, Vol.40, No.1, pp.48-54. 2008. DOI: http://dx.doi.org/10.1097/01376517-200802000-00008
  16. Y. O. Gwak, Y. S. Kim, K. H. Seo, Factors of stress responses and quality of life among stroke patients' family caregivers: focused on ADL and social supports, korean journal of stress research, Vol.16, No.3, pp.261-269, 2008.
  17. J. H. Kim, O. S. Kim, Influencing factors that affect the Psychological Well-being in family caregivers of stroke patients, Journal of Korean Academy Nursing, Vol.35, No.2, pp.399-406, 2005. https://doi.org/10.4040/jkan.2005.35.2.399
  18. I. J. Kim, Sources of anxiety and burden of family caregivers of stroke patients: the role of self-efficacy and knowledge about care, Journal of Korean Adult Nursing, Vol.24, No.1, pp.1-10, 2012. DOI: http://dx.doi.org/10.7475/kjan.2012.24.1.1
  19. J. H. Han, Y. H. Park, Caregivers Burden and Quality of Life of Male Spouses with Stroke Wives, Korean Journal of Adult Nursing, Vol.24, No.6, pp.615-626, 2012. DOI: http://dx.doi.org/10.7475/kjan.2012.24.6.615
  20. K. M. Connor, JRT. Davidson, Development of a New Resilience Scale: The Connor-Davidson Resilience Scale(CD-RISC), Depression and Anxiety, Vol.18, No.2, pp.76-82, 2003. DOI: http://dx.doi.org/10.1002/da.10113
  21. H. S. Back, K. W. Lee, E. J. Jo, M. Y. Lee, K. S. Cheo, Reliability and validity of the korean version of the Conner-Davidson Resilience Scale(K-CD-RISC), Korean Neuro Psychiatric Association, Vol7, No.1, pp.109-115, 2010.
  22. J. H. Kim, Relationships Among Health Perception, Caregiving Mastery, and General Well-Being in Family Caregivers of Stroke Patients, Unpublished master's thesis, Ewha Womans University, Seoul, 2002.
  23. E. S. Lee, The Effects of Informational & Emotional Support Program on the Anxiety, Burden & Caregiving Mastery of Patient's Family Member in Stroke Unit, Unpublished Master's thesis, Gyeong sang University, Daegu, 2013.
  24. P. Vitalino Peter, M. Heather, Young and Joan Russp. Burden: A Review of Measures Used Among Caregivers of individuals with dementia, The Gerontologist, Vol.31, No.1, pp.67-75, 1991. DOI: http://dx.doi.org/10.1093/geront/31.1.67
  25. E. H. Lee, Effects and development of cognitive-behabioral group intervention in reducing psychological distress in primary caregivers of persons with dementia: caregiving burden, depression, and anxiety, Unpublished Master's thesis, Chonnam University, Gwangju, 2005.
  26. H. J. Song, Study on Stress and schizophrenia parent family functioning, Unpublished Master's thesis, Yonsei University, Seoul, 1995.
  27. S. H. Zarit, N. K. Orr, J. M. Zarit, Families under stress: Caring for the patient with Alzheimer's disease and related disorders, New York University Press, 1985.
  28. J. Son, A Study on the Effects of Home-Staying Patient's Guardians' Experiences of the Social support system on Their Stress Level-Focused on the Guardians of the Patients relying on the Breathing Machine,Unpublished Master's thesis, Hanyang University, Seoul, 2008.
  29. H. Y. Jang, M. S. Lee, Effects of Burden and Family Resilience on the Family Adaptation of Family Caregivers of Elderly with Dementia, Korean Society of Adult Nursing, Vol.25, No.6, pp.725-735, 2013. DOI: http://dx.doi.org/10.7475/kjan.2012.24.6.725
  30. Y. S. Ahn, H. J. Jun, The effects of alcoholic family's family resilience on family adaptation, Journal of Family Relations, Vol.15, No.3, pp.155-174, 2010.
  31. Y. S. Hong, M. J. Suh, K. S. Kim, I. J. Kim, N. O. Cho, H. J. Choi, et al. Relations between Perceived Burden and Social Support of Stroke Patient's Family Caregivers, Journal of Korean Academy of Nursing, Vol.30, No.3, pp.595-605, 2000. https://doi.org/10.4040/jkan.2000.30.3.595
  32. S. J. Kang, H. J. Lee, C. K. Smi, Caregivers Burden in patients with acute stroke, The Korean Journal of Rehabilitation Nursing, Vol.5, No.1, pp.27-37, 2002.
  33. Y. Kim, E. Y. Cheo, An analysis of family function and burden of family caregivers of the patient with brain injury, Journal of korean stress Research, Vol.20, No.1, pp.61-68, 2012.
  34. H. R. Kim, A Study on Burden of Stroke Patients' Primary Guardians, Unpublished Master's thesis, Hanyang University, Seoul, 2007.
  35. M. S. Hwang, M. K, Lee, J. R. Song, The Factors affecting Burdens and Quality of Life of the Family Caregivers of Patients with Rare and Incurable Diseases Using Home Ventilators, Korean Society of Adult Nursing, Vol.26, No.2, pp.191-202, 2014. DOI: http://dx.doi.org/10.7475/kjan.2014.26.2.191
  36. M. Y. Sim, S. A. Ahn, A Study on the Influences of Family Stress on Family Adaptation of Disabled Families-Focused on the Mediation Effect of Family Resilience, Journal of Rehab Research, Vol.17, No.3, pp.135-157, 2013.
  37. M. Y. Sim, J. L. Kim, S. A. Ahn, Influence of Stress on Family Adaptation of Disabled Family: Focused on the Mediation Effect of Family Strength, Journal of the korea contents association, Vol.14, No.4, pp.267-276, 2014. DOI: http://dx.doi.org/10.5392/jkca.2014.14.04.267
  38. S. A. Anderson, R. M. Sabatelli, Family interaction: A Multigenerational developmental perspective. Boston: Allyn & Bacon, 2011.