DOI QR코드

DOI QR Code

Factors Influencing Quality of Caregiving by Caregivers for Elders with Dementia

치매노인 주부양자의 돌봄수준의 영향요인

  • Received : 2016.03.28
  • Accepted : 2016.07.13
  • Published : 2016.09.30

Abstract

Purpose: The aim of the study is to determine factors influencing quality of caregiving by caregivers for the elderly with dementia. Methods: Data were collected from 87 caregivers for elders with dementia who had visited in Busan Metropolitan Center for Dementia and D-University hospital outpatient center from July 10 to September 30, 2015. A self-reported questionnaire was used to assess the severity of the elders' dementia and knowledge of dementia, burdens and quality of caregiving by the caregivers. The SPSS 21.0 version program was used for data analysis. Data were analyzed using descriptive statistics, Pearson's correlation, t-test, ANOVA and multiple regression. Results: Significant predictors of quality of caregiving by caregivers included caregivers' burdens (explanation power 25%), knowledge of dementia (explanation power 4%) and levels of education (explanation power 3%). These factors explained 32.3% of the variances in quality of caregiving. Conclusion: Burdens on caregivers were a major factor that decreased quality of caregiving, and knowledge of dementia was a factor that increased it. These findings show that educational programs and intervention for reducing burdens and improving knowledge of dementia are necessary to improve quality of caregiving by caregivers.

Keywords

References

  1. Ministry for Health and Welfare. Nationwide study on the prevalence of dementia in Korea elders[Internet]. Seoul: Ministry for Health and Welfare. 2012[cited 2015 March 02]. Available from:http://www.mohw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=286138&page=1
  2. Mosby. Mosby's medical dictionary, 8th edition [Internet]. Philadelphia, PA: Elsevier Science Health Science div. 2009 [cited 2015 November 11]. Available from:http://medical-dictionary.thefreedictionary.com/senile+dementia
  3. Oh BH. Diagnosis and treatment for behavioral and psychological symptoms of dementia. Journal of the Korean Medical Association. 2009;52(11):1048-1054. https://doi.org/10.5124/jkma.2009.52.11.1048
  4. Hwang RI, Lim JY, Lee YW. A comparison of the factors influencing the life satisfaction of the elderly according to their cognitive impairment level. Journal of Korean Academy of Nursing. 2009;39(5):622-631. http://dx.doi.org/10.4040/jkan.2009.39.5.622
  5. Park ES. Nursing needs and influencing factors of the elderly with early stage dementia in long-term care facilities [master's thesis]. [Daegu]: Keimyung University; 2013. 49 p.
  6. Statistics Korea. Management of cancer, dementia or chronic disease: Therapy method and nursing method [Internet]. Seoul:Statistics Korea. 2014 [cited 2015 March 19]. Available from:http://kosis.kr/statHtml/statHtml.do?orgId=217&tblId=DT_217A2010A00316&conn_path=I2
  7. Yoon BR, Shim YS, Kim YD, Lee KO, Na SJ, Hong YJ, et al. Who takes care of patients with dementia in Korea: A study on the present state of patients with dementia living alone and primary caregivers. Dementia and Neurocognitive Disorders. 2012;11(1):13-17. http://dx.doi.org/10.12779/dnd.2012.11.1.13
  8. Cho MJ, Kim KW, Kim MH, Kim MD, Kim BJ, Kim SK, et al. Nationwide study on the prevalence of dementia in Korean elders. Research Report. Seoul: Ministry for Health and Welfare, Seoul National University Hospital; 2008. Report No.:11-1351000-000227-01.
  9. Lee MH, Yoon EK. The effect of family caregivers' coping strategies on caregiving burden in South Korea. Korean Journal of Social Welfare Research. 2008;19:31-54.
  10. Sung MR, Kim KA, Lee DY. Factors influencing burnout in primary family caregivers of elders with dementia. Journal of Korean Gerontological Nursing. 2012;14(3):200-208.
  11. Kong BH. Art of caring in nursing. Philosophy of Medicine. 2007;3(1):97-116.
  12. McClendon MJ, Smyth KA. Quality of informal care for persons with dementia: Dimensions and corelates. Aging and Mental Health. 2013;17(8):1003-1015. http://dx.doi.org/10.1080/13607863.2013.805400
  13. Song JA, Park JW, Kim HJ. Impact of behavioral and psychological symptoms of dementia on caregiver burden in nursing homes. Journal of Korean Gerontological Nursing. 2013;15(1):62-74.
  14. Kim JS, Lee SI, Kim KT, Jeong IS, Park NH, Lee KN, et al. An investigation on the status of care-giving for the demented elderly and desire for in-house care services. The Journal of Korean Community Nursing. 2003;14(3):385-396.
  15. Panyavin I, Trujillo MA, Peralta SV, Stolfi ME, Morelli E, Perrin PB, et al. Examining the influence of family dynamics on quality of care by informal caregivers of patients with Alzheimer's dementia in Argentina. American Journal of Alzheimer's Disease and Other Dementias. 2015;30(6):613-621. http://dx.doi.org/10.1177/1533317515577129
  16. Quinn C, Clare L, McGuinness T, Woods RT. The impact of relationships, motivations, and meanings on dementia caregiving outcomes. International Psychogeriatrics. 2012;24(11):1816-1826. http://dx.doi.org/10.1017/S1041610212000889
  17. Zarit SH, Todd PA, Zarit JM. Subjective burden of husbands and wives as caregivers: A longitudinal study. The Gerontologist. 1986;26(3):260-266. http://dx.doi.org/10.1093/geront/26.3.260
  18. Teri L, Truax P, Logsdon R, Uomoto J, Zarit S, Vitaliano PP. Assessment of behavioral problems in dementia: The revised memory and behavior problems checklist. Psychology and Aging. 1992;7(4):622-631. https://doi.org/10.1037/0882-7974.7.4.622
  19. Lee MH, Yoon EK. A cross-validation of the Korean version of the revised memory and behavioral problems checklist (K-RM BPC):Exploratory and confirmatory analyses. Korean Journal of Social Welfare. 2007:59(2):65-88. https://doi.org/10.20970/kasw.2007.59.2.003
  20. Won CW, Yang KY, Rho YG, Kim SY, Lee EJ, Yoon JL, et al. The development of Korean activities of daily living (K-ADL) and Korean instrumental activities of daily living (K-IADL) scale. Journal of the Korean Geriatrics Society. 2002;6(2):107-120.
  21. Yong MH, Kim EJ, Yang YA. A study on the knowledge of families with demented elderly persons for dementia. The Journal of Korean Association Occupational Therapy Policy for Aged Industry. 2010;2(2):41-50.
  22. Kosberg JI, Cairl RE. The cost of care index: A case management tool for screening informal care providers. The Gerontologist. 1986;26(3):273-278. http://dx.doi.org/10.1093/geront/26.3.273
  23. You KS. A study on the care burden of family caregivers for senile dementia. The Journal of Korea Community Health Nursing Academic Society. 2001;15(1):125-147.
  24. Shyu YI. Development and testing of the family caregiving factors inventory (FCFI) for home health assessment in Taiwan. Journal of Advanced Nursing. 2000;32(1):226-234. https://doi.org/10.1046/j.1365-2648.2000.01462.x
  25. Go SM, Lee KS, Seo SW, Chin J, Kang SJ, Moon SY, et al. Survival of Alzheimer's disease patients in Korea. Dementia And Geriatric Cognitive Disorders. 2013;35(3-4):219-228. http://dx.doi.org/10.1159/000347133
  26. Noh JH, Lim EJ, Hur J. The factors influencing careworker's care performance for elders with dementia. The Korean Journal of Health Service Management. 2012;6(3):75-84. https://doi.org/10.12811/kshsm.2012.6.3.075
  27. Health Insurance Policy Research Institute in the National Health Insurance Corporation. 2014 long term care insurance statistical yearbook. Seoul: National Health Insurance Corporation;2015. 685 p.
  28. Shyu YI. A conceptual framework for understanding the process of family caregiving to frail elders in Taiwan. Research in Nursing and Health. 2002;25(2):111-121. https://doi.org/10.1002/nur.10027
  29. Kim HH. The effect of geriatric care helper's knowledge of dementia on job stress, self-efficiency and care fulfillment [dissertation]. [Daegu]: Daegu Haany University; 2014. 141 p.

Cited by

  1. 중장년층의 치매관련 태도와 치매예방행위에 관한 연구 vol.18, pp.4, 2016, https://doi.org/10.5392/jkca.2018.18.04.653
  2. Association between caregiving activities and care burden among caregivers of people with dementia vol.11, pp.4, 2016, https://doi.org/10.17661/jkiiect.2018.11.4.346
  3. Factors Affecting the Care Burden of Nurses Caring Elderly Patients with Dementia vol.30, pp.3, 2016, https://doi.org/10.12799/jkachn.2019.30.3.368
  4. 지역사회 내 치매환자가족의 돌봄부담감에 미치는 영향요인 vol.36, pp.4, 2019, https://doi.org/10.12925/jkocs.2019.36.4.1373
  5. Relationship between Caring Burden and Caring Behavior among Family Caregivers of Elderly with Dementia in Community-Dwelling: Mediating Effects of Caring Self-Efficacy and Social Support vol.32, pp.2, 2020, https://doi.org/10.7475/kjan.2020.32.2.186
  6. 중년층의 일반적 특성에 따른 치매정책인식, 치매지식, 치매태도 및 치매예방행위 차이분석 vol.6, pp.3, 2016, https://doi.org/10.17703/jcct.2020.6.3.125
  7. 치매노인 주 돌봄제공자의 자기돌봄이 소진에 미치는 영향 vol.51, pp.2, 2021, https://doi.org/10.4040/jkan.20274