Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
권호 표지
DOI QR코드

DOI QR Code

Factors Affecting Family Caregivers' Burden and Depression in Home-based Long-Term Care Service under the Long-Term Care Insurance System

  • Lee, Hung Sa (Department of Nursing Science, Sun Moon University) ;
  • Kim, Chunmi (Department of Nursing Science, Sun Moon University)
  • Received : 2017.10.16
  • Accepted : 2018.11.28
  • Published : 2018.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study tried to identify changes in family burden after the introduction of the long-term care insurance and to examine the factors influencing subjective and objective caring burden and depression of family caregivers of elders receiving home-based long-term care. Methods: Data were collected from 203 family caregivers of elders from August 1 to 31, 2015 using questionnaires. They were analyzed in descriptive statistics, t test, ANOVA test, and multiple regression analysis. Results: The mean score of depression was 7.24, which suggested mild depression level. The subjective family burden was 2.71 and the objective burden 3.04. The factors affecting depression included subjective burden (t=5.08, p<.001), objective burden (t=2.80, p=.006), time of elderly care per day (t=-3.61, p< .001), caregiving duration (t=3.33, p=.001), age (t=3.13, p=.002), family relationship (t=2.48, p=.014), and economic status (t=1.99, p=.047). Conclusion: The family burden was most important influencing factor on caregiver's depression. Therefore, services and supports to alleviate caregivers' burden in the home-based care should be added to long-term care.

Keywords

References

  1. Maeng JY, Lee YJ. Inequality and change in regional distribution of long-term in-home care institutions. Korean Journal of Gerontological Social Welfare. 2017;72(2):85-112.
  2. National Health Insurance Service. 2016 Long-term care insurance statistical yearbook [Internet]. Wonju: NHIS; 2017 [cited 2017 August 14]. Available from: http://www.nhis.or.kr/bbs7/boards/B0160/24105?boardKey=37&boardName=B0160&viewType=generic&rows=10&sort=sequence&order=desc&pageNumber=1&messageCategoryKey=&status=&period=&starPointdt=&enddt=&queryField=&query=
  3. Lee HS. Caregiver burden in caring for elders before and after long-term care service in Korea. Journal of Korean Academy of Nursing. 2012;42(2):236-247. https://doi.org/10.4040/jkan.2012.42.2.236
  4. Han EJ, Lee JS, Kwon J. Factors related to family caregiver financial burden of out of pocket expenses for the nursing home service under long-term care insurance system. Korean Journal of Health Policy & Administration. 2012;22(3):383-402. https://doi.org/10.4332/KJHPA.2012.22.3.383
  5. Warren S, Kerr JR, Smith D, Godkin D, Schalm C. The impact of adult day programs on family caregivers of elderly relatives. Journal of Community Health Nursing. 2003;20(4):209-221. https://doi.org/10.1207/S15327655JCHN2004_02
  6. Limpawattana P, Theeranut A, Chindaprasirt J, Sawanyawisuth K, Pimporm J. Caregivers burden of older adults with chronic illnesses in the community: A cross-sectional study. Journal of Community Health. 2013;38(1):40-45. https://doi.org/10.1007/s10900-012-9576-6
  7. Lim JW, Zebrack B. Caring for family members with chronic physical illness: A critical review of caregiver literature. Health and Quality of Life Outcomes. 2004;2:50. https://doi.org/10.1186/1477-7525-2-50
  8. Oh H, Sok SH. Health condition, burden of caring, and the quality of life among family members of the elderly with senile dementia. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2009;18(2):157-166.
  9. Martorell A, Pereda A, Salvador CL, Ochoa S, Ayuso MJL. Validation of the subjective and objective family burden interview (SOFBI/ECFOS) in primary caregivers to adults with intellectual disabilities living in the community. Journal of Intellectual Disability Research. 2007;51(11):892-901. https://doi.org/10.1111/j.1365-2788.2007.00962.x
  10. del-Pino-Casado R, Perez-Cruz M, Frias-Osuna A. Coping, subjective burden and anxiety among family caregivers of older dependents. Journal of Clinical Nursing. 2014;23:3335-3344. https://doi.org/10.1111/jocn.12561
  11. Rhee KO, Lee MJ. A study on caregiving burden among family caregivers of impaired elderly. Journal of the Korea Gerontological Society. 2000;20(2):215-228.
  12. Lou Q, Liu S, Huo YR, Liu M, Liu S, Ji Y. Comprehensive analysis of patient and caregiver predictors for caregiver burden, anxiety and depression in Alzheimer's disease. Journal of Clinical Nursing. 2015;24(17):2668-2678. https://doi.org/10.1111/jocn.12870
  13. Sink KM, Covinsky KE, Barnes DE, Newcomer RJ, Yaffe K. Caregiver characteristics are associated with neuropsychiatric symptoms of dementia. Journal of American Geriatrics Society. 2006;54(5):796-803. https://doi.org/10.1111/j.1532-5415.2006.00697.x
  14. Clark MC, Diamond PM. Depression in family caregivers of elders: A theoretical model of caregiver burden, sociotropy, and autonomy. Research in Nursing & Health. 2010;33(1):20-34. https://doi.org/10.1002/nur.20358
  15. Montgomery RJV, Gonyea JG, Hooyman NR. Caregiving and the experience of subjective and objective burden. Family Relations. 1985;34(1):19-26. https://doi.org/10.2307/583753
  16. Yesavage JA, Sheikj J. 9/Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. Clinical Gerontology. 1986;5(1-2):165-173. https://doi.org/10.1300/j018v05n01_09
  17. Jang Y, Kim G, Chiriboga DA. Acculturation and manifestation of depressive symptoms among Korean American older adults. Ageing & Mental Health. 2006;9(6):500-507. https://doi.org/10.1080/13607860500193021
  18. Bang SH, Jang HJ. Activities of daily living of the elderly with a chronic disease and burden on family care-givers. Journal of Korean Academy of Nursing. 2007;37(1):135-144. https://doi.org/10.4040/jkan.2007.37.1.135
  19. You KS. A study on the care burden of family caregivers for senile dementia. Journal of Korea Public Health Nursing Academic Society. 2001;15(1):125-147.
  20. Cho YH, Kim GS. Family caregivers' burden and needs for a professional help by the symptom level of the elderly with dementia. Journal of the Korea Gerontological Society. 2010;30(2):369-383.
  21. Kim EY, Cho E, Lee NJ. Effects of family caregivers on the use of formal long-term care in South Korea. International Nursing Review. 2013;60(4):520-527. https://doi.org/10.1111/inr.12057
  22. Han GH, Lee SY. The effect of motivation and social support on burden of spouse caregivers: Focused on gender differences. Journal of the Korea Gerontological Society. 2009;29(2):683-699.
  23. Jones SL, Hadjistavropoulos HD, Janzen JA, Hadjistavropoulos T. The relation of pain and caregiver burden in informal older adult caregivers. Pain Medicine. 2011;12(1):51-58. https://doi.org/10.1111/j.1526-4637.2010.01018.x
  24. Lee MA. Rural-urban differences in factors affecting caregivers' burden of impaired elders Korea. Journal of Welfare for the Aged. 2009;44:71-88.
  25. Tayoshima Y, Washio M, Horiguchi I, Yamasaki R, Onimaru M, Nakamura K, et al. Undue concern for other's opinions is related to depression among family caregivers of disables elderly in Southern Japan. International Medical Journal. 2016;23(1):30-33.
  26. Washio M, Takeida K, Arai Y, Shang E, Oura A, Mori M. Depression among family caregivers of the frail elderly with visiting nursing service in the Northernmost city of Japan. International Medical Journal. 2015;22(4):250-253.
  27. Yamada M, Hagihara A, Nobutomo K. Family caregivers and care manager support under long-term care insurance in rural Japan. Psychology, Health & Medicine. 2009;14(1):73-85. https://doi.org/10.1080/13548500802068990
  28. Son YJ. A study on the importance of care management under the long term care system. Korean Journal of Research in Gerontology. 2007;16:41-57.
  29. Garlo K, O'Leary JR, Van Ness PH, Fried TR. Burden in caregivers of older adults with advanced illness. Journal of the American Geriatrics Society. 2010;58(12):2315-2322. https://doi.org/10.1111/j.1532-5415.2010.03177.x