DOI QR코드

DOI QR Code

Effects of Social Support for Elderly Residents' Primary Caregivers in Long-Term Care Facilities on Caregivers' Positive Feelings and Burden

요양시설 입소 노인 주보호자에 대한 사회적 지지가 부양긍정감과 부양부담에 미치는 영향

  • Received : 2019.07.17
  • Accepted : 2019.08.18
  • Published : 2019.08.30

Abstract

Purpose: This study was conducted to determine factors affecting the positive feelings and care burden of elderly residents' primary caregivers in long-term care facilities. Methods: The survey was conducted between November and December 2018. A structured questionnaire was used to collect data, and 148 individuals voluntarily participated. The collected data were examined through descriptive statistical analysis using SPSS WIN ver.24.0, t-test, one-way Anova $Scheff{\acute{e}}$ test, Pearson's correlation coefficient, and multiple regression. Results: Factors that significantly affected caregivers' positive feelings included caregivers' education level(${\beta}=-.32$, p<.001), social support(${\beta}=.31$, p<.001), care burden(${\beta}=-.29$, p=.001), and total support fee(not more than 1.5million won)(${\beta}=-.18$, p=.012). The explanation power was as high as 40.0%(Adj $R^2=.40$). Factors that significantly affected caregivers' burden included social support(${\beta}=-.25$, p=.002), positive feelings(${\beta}=-.25$, p=.002), elderly individual's religion(${\beta}=-.17$, p=.007), and elderly individual's marriage status(${\beta}=.17$, p=.021). The explanation power was as high as 45.0%(Adj $R^2=.45$). Conclusion: Our results suggest that it is necessary to increase social support for elderly residents' primary caregivers in long-term care facilities. This can be helpful to decrease burden and enhance positive feelings in caregivers. We should also collect caregivers' information as well to provide appropriate assistance.

Keywords

References

  1. Ministry of Public Administration and Security. 2019 National Population Statistics [Internet]. Seoul; Ministry of Public Administration and Security; 2019[cited 2019 July 5]. Available from: http://27.101.213.4/index.jsp#
  2. Ministry of Public Administration and Security. 2018 National Population Statistics [Internet]. Seoul; Ministry of Public Administration and Security; 2018[cited 2019 July 5]. Available from: http://27.101.213.4/index.jsp#
  3. Im HS, Hwang HS. Analysis or causes affecting the subjective well-being of the degree of satisfaction of the service of long-term care facilities. Journal of Welfare for the Aged. 2011;54:237-261.
  4. National Health Insurance Service. 2017 Long-Term Care Insurance Statistical Yearbook[Internet]. Seoul; National Health Insurance Service; 2018[cited 2019 July 5]. Available from: https://www.nhis.or.kr/menu/boardRetriveMenuSet.xx?menuId=F332a
  5. Choi IH. A study on the effect of long-term care insurance system on the family. Gender Review. 2011;22:89-92.
  6. Lee HJ, Lee JW, Lee JY. Family caregiver's burden for the elderly with dementia: Moderating effects of social support. Journal of Institute for Social Sciences. 2015;26(1):345-367. https://doi.org/10.16881/jss.2015.01.26.1.345
  7. Kim HK. A study on care burden among family caregivers of trail elderly-Comparison between the elderly caregivers and non-elderly caregivers. Journal of Welfare for the Aged. 2007;37:49-66. https://doi.org/10.21194/kjgsw..37.200709.49
  8. Lee GO, Lee MJ. A study on caregiving burden among family caregivers of impaired elderly. Journal of Korean Gerontological Society. 2000;20(2):215-228.
  9. Kim YJ. A study on differences in the caregiving burden of primary caregivers by type of caregiving. Korean Journal of Community Living Science. 2007;18(1):71-85.
  10. Jang YS. The study on the development of the "Caregiving affirmation scale" for Korean caregivers for the aged. Journal of the Korean Gerontological Society. 2012;32(2):415-429.
  11. Takahashi T, Oohashi J, Emoto A. Examination of related factors of the influence on the mental health of care workers by the placement of night shift nurses in special elderly nursing homes. Bulletin of School of Nursing Kyoto Prefectural University of Medicine. 2019; 28:25-31.
  12. Sakurai N. The moderation effects of positive appraisal on the burden of family caregivers of oder people. The Japanese Journal of Psychology. 1999;70(3):203-210. https://doi.org/10.4992/jjpsy.70.203
  13. Miyasaka K, Fujita K, Tabuch, Y. A study on the positive appraisal toward caregiving of the family members who care for elderly people with dementia. Japan Academy of Gerontological Nursing. 2014;18(2):58-66.
  14. Yamamoto N. The experience of Japanese women caring for an elderly parent(or parent-in-law) with dementia (1): Background, Literature Review & research method. The Japanese Journal of Nursing Research. 1995;28(3):178-199. https://doi.org/10.11477/mf.1681900298
  15. Dilworth A. Issues of race, ethnicity, and culture in caregiving research: A 20-year Review(1980-2000). The Gerontologist. 2002;42(2):237-272. https://doi.org/10.1093/geront/42.2.237
  16. Park YJ, Song IU. The analysis on the causal model the burden of family conflict, family support and caregiving burden. Journal of Welfare for the Aged. 2008;39:53-78.
  17. Choi DK, Lee HJ. The effect of social worker's social supports on long-term care elderly care-giving burdens of primary care givers-focused on adult daycare centers workers. Journal of Family Relations. 2007;12(1):149-167.
  18. Kim SY. Factors affecting on the QOL of the demented elderly caregivers: Suggestions of political alternatives. Social Welfare Policy. 2003;17:74-102.
  19. Kim YS. Study on relationship between life satisfaction and perceived social support among adults with mental disorders. [master's thesis]. Seoul: Ewha Womans University; 1995. 86p.
  20. Park JW. A study to development a scale of social support. [dissertation]. Seoul: Yonsei University; 1985. 127p.
  21. Zarit SH, Reeve KE, Bach-Peterson J. Relatives of the impaired elderly: correlates of feelings of burden. The Gerontologist. 1980;20(6):260-266. https://doi.org/10.1093/geront/20.3_Part_1.260
  22. Kwon JD. A study on the assessment of caregiver burden in caring for the demented elderly in Korea. [dissertation]. Seoul: Yonsei University; 1994. 226p.
  23. Lee AS, Kim HG. Care-givers' attitude & determinants about the burden of the caring senile dementia patients. Journal of Health and Social Science. 2003;13(1):29-60.
  24. Choi JH, Lee JY. Factors influencing the family burden of taking care of elderly with dementia. Journal of Korean Home Management Association. 2018;36(3):91-101. https://doi.org/10.7466/JKHMA.2018.36.3.91
  25. Yoo IY, Kim MH. Influencing factors on care burden in the caregivers of demented elderly. Journal of Korean Gerontological Nursing. 2006;8(1):47-57.
  26. Lee JS. Gender differences in factors affecting caregiver burden for spouse caregivine in Korea. Korean Journal of Community Living Science. 2010;21(4):469-479.
  27. Seomun JH, Jung YJ. A qualitative study on caregiver's burden experiences for the long-term care qualified elderly. Journal of Institute for Social Sciences. 2011;22(4):3-30.
  28. Cho YH, Kim GS. Family caregiver's burden and needs for a professional help by the symptom level of the elderly with dementia. Journal of Korean Gerontological Society. 2010;30(2):369-383.
  29. Kim JS. Health status of women caregivers and negative and positive impacts of family caregiving. Journal of Korean Academy of Nursing. 2000;30(3):632-646. http://doi.org/10.4040/jkan.2000.30.3.632
  30. Lee YH, Park MH. Factors influencing caregiving satisfaction among family caregivers of patients with dementia. Journal of Gerontology Nursing. 2016;18(3):117-127. http://doi.org/10.17079/jkgn.2016.18.3.117