디지털융복합연구 (Journal of Digital Convergence)

  • 제17권6호
  • /
  • Pages.267-277
  • /
  • 2019
  • /
  • 2713-6434(pISSN)
  • /
  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
권호 표지
DOI QR코드

DOI QR Code

한국 요양시설 노인의 주 돌봄자 부담감에 대한 통합적 고찰

An Integrated Review on Main Caregiver's Burden of Elderly in Korean Nursing Home

  • 김은정 (경상대학교 일반대학원 간호학과) ;
  • 성경미 (경상대학교 간호대학.건강과학연구원)
  • Kim, Eun Jeong (Department of Nursing, Graduate School of Gyeongsang National University) ;
  • Sung, Kyung Mi (College of Nursing.Institute of Health Sciences, Gyeongsang National University)
  • 투고 : 2019.04.12
  • 심사 : 2019.06.20
  • 발행 : 2019.06.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 통합적 문헌고찰 방법을 통해 국내 요양시설에 노인을 입소시킨 주 돌봄 제공자의 돌봄 부담감을 파악하기 위한 연구이다. 문헌은 1990년 1월부터 2018년 12월까지 게제된 문헌으로 검색 데이터베이스를 이용하여 총 23편의 연구를 선정하여 분석하였다. 주 돌봄 제공자의 개인의 생리사회적 요소에 따른 부담감으로는 돌봄 제공자가 효의식과 죄책감이 높을수록, 노인이 2가지 이상의 질환을 앓고 있을 경우 돌봄 부담감이 높은 것으로 나타났다. 신체적 부담감은 노인의 연령이 많을수록, 돌봄 기간이 1-3년인 경우가 높았다. 경제적 부담감은 주 돌봄 제공자의 나이가 많을수록, 노인의 병력기간이 길수록 높게 나타났고 심리적 부담감은 돌봄 제공자가 아들인 경우와 노인이 고령일수록, 요양시설 입소 초기에 높은 것으로 나타났다. 환경적 특성에 따른 부담감은 노인의 기능상태가 나쁠 때 높은 것으로 나타났다. 그러므로 요양시설에 노인을 입소시킨 주 돌봄 제공자의 돌봄 부담감에 관심을 갖는 것이 필요하다. 앞으로 본 연구의 결과들은 돌봄 부담감을 낮추기 위한 중재 프로그램 개발에 기여할 것이다.

The purpose of this study is to investigate the burden of caring for the care-givers of the elderly in Korea by using an integrated literature review method. A total of 23 studies were analyzed using a search database. When care-givers had higher sense of filial and guilt or more than two diseases, they showed high level of feeling of burden. Also, they had high level of feeling of physical burden by their oldness, service period (especially at the period of 1-3 years). In the feeling of economic burden, they had high level of feeling of burden by their oldness, or elderly's disease periods. The feeling of burden by psychological condition was found in elderly in aged and the beginning of admission of nursing home. The feeling of burden by environment situation was found when the functional status of the elderly was bad. Therefore, we need to concern care-givers's feeling of burden with elderly people in the nursing home. In the future, I believe that the findings of this study will be helpful for development of the intervention program for alleviate burden for the care-giver.

키워드

DJTJBT_2019_v17n6_267_f0001.png 이미지

Fig. 1. Process of data identification, screening, and evaluation.

DJTJBT_2019_v17n6_267_f0002.png 이미지

Fig. 2. Effecting Factors on Family Caregiver’s Burden

Table 1. Descriotion and summary of the selected study

DJTJBT_2019_v17n6_267_t0001.png 이미지

참고문헌

  1. National Statistical Office. (2019). 100 indicators. http://kosis.kr/conts/nsportalStats/nsportalStats_0101Body.jsp?menuId=all
  2. 2015's Korea Medical Panel Basic Analysis Report II. (2017). - Disease morbidity, chronic diseases, health behavior and health level. Korea Institute for Health and Social Affairs. http://kihasa.re.kr
  3. National Institute of Dementia Annual Report. (2018). http://www.nid.or.kr
  4. S. W. Hong & H. M. Soon. (2007). Family Caregivers' Expreience Utilizing a Nursing Home for Their Elder Family Members. Journal of Korean Academy of Nursing, 37(5), 724-735. https://doi.org/10.4040/jkan.2007.37.5.724
  5. J. H. Seomun & Y. J. Jung. (2011). A Qualitative Study on Caregivers' Burden Experiences for the Long-term Care Qualified Elderly. Journal of Social Science, 22(4), 3-30.
  6. J. Y. Lee & Y. A. Kim. (2009). Relationship between Family Burden, Family Support Depression, and Satisfaction of the Elderly Caregiver. Journal of Korean Academy of Community Health Nursing, 20(1), 41-48.
  7. Y. A. Kim, S. A. Kim, J. Y. Lee, M. S. Hwang & H. S. Yoon. (2009). Factors related to Family Caregiver Satisfaction with Elderly in Nursing Facilities. Journal of the Korean Gerontological Society, 29(2), 395-405.
  8. H. J. Yoo. (2013). A Study on the Conflict Among Siblings Regarding the Long-term Care of Older Parents. Korean Journal of Family Social Work, 40, 63-91
  9. S. J. Choi. (2013). An Independent Study on the Impact of Dementia Patients in Nursing Facilities on Their Familial Caretakers. Unpublished master's thesis, University of Dongduk Women's. Seoul. Korea.
  10. W. H. Kim, C. Y. Park, J. J. Lee. & I. M. Kang. (2003). A Qualitative Analysis on Familial Caregivers' Burden in Utilizing a Nursing Home for the Elderly. Korean Journal of Health Policy & Administration, 13(1), 1-22.
  11. M. S. Lee. (2009). A Study on the difference of caregiving burden of the elderly before and after entering nursing home. Korean Journal of Care Work, 11, 27-43.
  12. B. E. Barba., & T. Anita. (2001). Family Caregivers Attitudes Toward Aging, Caregiving, and Nursing Home Placement. Journal of Gerontological Nursing, 27, 44-52.
  13. G. H. Youn. (1998). Cultural Differences in Psychological Burden and Caregiving Obligation of Primary Caregivers for Senile Dementia Patients. Journal of Korean Gerontological Society, 18(1), 75-90.
  14. E. G. Yun. (2010). A research on the how caregiving burden for the frail elderly effect on caregiver's guilt : Comparing between home-care elderly and nursing home elderly. Journal of Welfare for the Aged, 47, 289-308.
  15. R. Whittemore., & K. Knafl. (2005). The integrative review: updated methodology. Journal of Advanced Nursing, 52(5), 546-553. https://doi.org/10.1111/j.1365-2648.2005.03621.x
  16. Y. M. Choi., J. W. Choi., D. H. Lee. (2011). Factors of Anhedonic, Burdensome in the Family of a Geriatric Patient. Korean Academy of Care Work, 14, 93-113.
  17. S. H. Lee. (2010). Feeling of Family Caregivers' Burden with Elder Inpatients in Geriatric Hospitals. Journal of the Korean Academy of Health and Welfare for Elderly, 2(1), 69-92.
  18. L. H. Jeon, J. H. Lee, S. D. Lim, J. D. Kim, B. S. Kim & B. S. Kang. (2012). A Study on the family Caregiving with Demented Elderly Person. Journal of Korean Academy of Health and Welfare for Elderly, 4(2), 143-156.
  19. Y. J. Kim. (2007). A Study on Differences in the Caregiving Burden of Primary Caregivers by Type of Caregiving. Korean Journal Community Living Science, 18(1), 71-85.
  20. E. J. Han, J. S. Lee & J. H. Kwon. (2012). 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, 22(3), 383-402. http://dx.doi.org/10.4332/KJHPA.2012.23.3.383
  21. J. H. Kwon., Y. P. Moon., J. S. Lee., E. J. Han.(2017). Differences in Family Caregivers' Opinions about Out-of-Pocket Payment for Long-Term Care Facilities by Income Levels. Health Policy and Management, 27(2), 139-148. http://doi.org/10.4332/KJHPA.2017.27.2.139
  22. K. S. Cho., Y. H. Seo. (2012). Influencing factors on supporters' burden for the senile dementia elderly living in the facilities. Korean Journal of 21at Century Social Welfare, 9(2), 209-229.
  23. K. S. Kim. (2017). Qualitative Case Study on Care Problem and Function of Family of Demented Elderly. Journal of the Korean Academy of Health and Welfare for Elderly, 9(2), 49-59.
  24. G. J. Park. (2005). A Study on People's Burden of Nursing Their Elderly Family Members and Their Hospitalization into Nursing Homes. Unpublished master's thesis, University of Yonsei. Seoul. Korea.
  25. Y. S. Young & Y. R. Tak. (2014). Feelings of Guilt and Depression in Family Caregivers after Nursing Home Placement fo Older Adults. Journal Korean Gerontological Nursing, 16(3), 276-287. https://doi.org/10.17079/jkgn.2014.16.3.276
  26. Y. A. Kim, S. A. Ki., J. Y. Lee, M. S. Hwang & H. S. Yoon. (2009). Factors related to Family Caregiver Satisfaction with Elderly in Nursing Facilities. Journal of the Korean Gerontological Society, 29(2), 395-405.
  27. T. H. Kim & E. J. Han. (2007). Factors Related to Family Caregiver Satisfaction With the Nursing Home After Placement of a Elderly With Dementia. Journal of Korean Gerontological Society, 27(3), 579-596.
  28. S. H. Mo & S. Y. Choi. (2013). Changes in Caregiving Burden of Families After Using Long-term Care Services. Journal of Critical Social Policy, 40, 7-31.
  29. M. S. Oh et al. (2018). Community Health Nursing. Seoul: Pacific Book.
  30. M. S. Lee & S. M. Yang. (2014). The Experiences of Daughters-in-Law for Frail Elderly Parents-in-Law. Korean Journal of Gerontological Social Welfare, 64, 53-77.
  31. S. D. Chung & J. Y. Jung. (2009) The Relationship between Perceived Family Belief System and Caregiver Burden among Family Caregivers of Frail Elderly. Korean Journal of Gerontological Social Welfare, 45, 67-88.
  32. H. S. Yoon, H. B. Cha & S. H. Cho. (2000). The Impact of Social Support on the Family Caregivers' Burden and Depression. Journal of Korean Gerontological Society, 20(1), 1-19.
  33. S. H. Han. (2001). A study on the Determining Factors of Utilizing the Nursing Home. The Journal of Korean Community Nursing, 12(3), 582-588.
  34. J. Hennings., K. Froggatt & S. Payne. (2013). Spouse caregivers of people with advanced dementia in nursing homes: A longitudinal narrative study. Palliative Medicine, 2(7), 683-691.
  35. S. H. Kwon & Y. S. Tae. (2012). The Experience of Adult Korean Children Caring for Parents Institutionalized with Dementia. Journal of Korean Academy of Nursing, 44(1), 41-54. https://doi.org/10.4040/jkan.2014.44.1.41