• Journal of the Korea Convergence Society
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• v.5 no.3
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• pp.7-16
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• 2014

The purpose of this study was to identify the factors influencing the level of nursing needs of a long-term care service user at home and the care giving burden of a primary caregiver. For this study, data were collected from 152 primary caregivers in J City with self-administered questionnaires and analyzed using multiple regression technique. Among the nursing needs of long-term care giving service users, the level of psychological and social requests was the highest. This study found that two characteristics variables(long-term care insurance benefit level and long-term care giving grade) had difference was statistically significant in physical nursing needs and psychological nursing needs. Out of care giving burden of primary caregivers, physical care giving burden was found to be the highest. Out of factors influencing care giving burden, daily care giving hours was the factor which had strongest influence. Basic living recipients and female primary caregivers showed higher care giving burden. The more care givers there were, the less care giving burden became.

• Proceedings of the KAIS Fall Conference
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• 2011.12a
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• pp.318-321
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• 2011

한국은 급격한 고령화가 진행 중에 있다. 세계적으로도 유례가 없는 급격한 고령화에 노인시설 및 병원에서 생활하는 고령자의 수 역시 증가하고 있는 추세이다. 시설이나 병원에서 고령자의 샤워수발은 수발자에게는 매우 힘든 노동이 되고 있다. 따라서 본 연구에서는 샤워 수발자의 불편함을 해소할 수 있는 와상형 자동 샤워링 시스템을 개발하는 것을 연구목적으로 한다. 와상형 자동 샤워링 시스템을 개발하기 위하여 본 연구에서는 기존 국외제품의 노즐위치 문제점을 분석하고, 수발자의 수발행위가 최적화될 수 있는 최적노즐위치 구현을 위한 샤워링 테스트, 샤워링시뮬레이션 등을 사용하여 최적노즐위치를 구현하였다. 또한 적은 노즐 수로 넓은 범위를 효과적으로 세정할 수 있는 스윙노즐을 개발하여 시제품에 적용하였다. 샤워링 테스트의 노즐위치 최적화결과를 샤워링 시뮬레이션에 적용하여 노즐위치 및 분사각의 최적화를 수행하였고, 이를 실제 시제품 설계에 적용하였다. 본 연구에서는 와상형 샤워링 시스템의 개발에 있어 사용자의 수발부담을 경감할 수 있는 가장 중요한 설계요소를 노즐위치 및 분사각으로 정의하고, 노즐위치 및 분사각도의 최적화를 중심으로 와상형 자동샤워링 시스템 개발 연구를 수행하였다. 본 연구의 사용자 중심 제품개발과정은 앞으로 다양한 고령친화제품을 개발하는데 있어 수발자의 부담을 감소시키고, 고령사용자의 자립생활을 지원하는데 있어 적용 가능할 것으로 사료된다.

• Korean Journal of Social Welfare
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• v.56 no.3
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• pp.183-205
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• 2004

This Study explored three issues in regard to the determinants of community service utilization among family caregivers of the dependent older persons. First, the differences between users and nonusers of community services were compared regarding to predisposing, enabling, need characteristics of the primary caregiver as well as the elder care recipient. Second, the variables which determined the contact of community services were examined. Third, the influence of the variables on duration of the community services among users was also examined. The data collected from 164 family caregivers were used for analyses. Findings suggest that community service users had higher education and higher emotional support, lower family income than nonusers. The level of cognitive impairment of the elder was also higher for users than nonusers. The entry into community services is more likely for elders cared for by caregivers who have higher educational attainment, lower family income and lower level of instrumental support. Once interaction terms for relationship between need factors and social support are entered, caregivers with poorer level of his/her perceived physical health and lower level of instrumental support are more likely to report use of community services. Among those reporting contact with services, more extensive use occurs for caregivers with lower emotional support and lower depression. The entry of interaction terms for relationship between need and support reveals that the combination of lower support(instrumental and emotional) and elder's greater physical impairment are associated with longer period of community service use. However, the effect of caregivers' depression followed the different pattern. For caregivers with greater depression, more supports are related with more service utilization. According to the results, implications for research and practice are discussed.

• Korean Journal of Social Welfare
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• v.53
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• pp.231-255
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• 2003

The purpose of this study was to determine the effectiveness of social work intervention for the family caregivers of the older persons with stroke. Twelve caregivers were assigned to either a treatment group or a control group. The treatment group intervention consisted of 8 weekly, 2-hour sessions which included education, peer and professional support, individual counselling. Wilcoxon test of the pretest and posttest scores of the two groups showed that those in the treatment program experienced significant decrease in caregiving burden and loneliness compared with caregivers who received no intervention. They also experienced increase in self-esteem, self-efficacy in dealing with caregiving tasks, satisfaction with a relationship with the care-receiver, emotional support. Most of these intervention effects were maintained in the 3-month follow-up measurement except loneliness and the caregiver-carereceiver relationship. Caregivers in the treatment group showed overall satisfaction with the program and willingness to continue to attend in the interventions. Based on these findings, implications for social work practice including self-help groups, psychotherapy for the caregivers, expanding social work intervention for the family caregivers of the older persons were discussed.

• 한국노년학
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• v.29 no.2
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• pp.377-394
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• 2009

Using the Socio-cultural Stress and Coping model, this study proposed a path model to explore how cultural values affect the physical health of Korean American caregivers through caregiver burden, receipt of informal social support and utilization of formal care services. For physical health outcomes, three physical health indicators were employed: self-reported global physical health, self-reported blood pressure, and salivary cortisol. The path model was analyzed by using a sample of 87 Korean caregivers living in Los Angeles County and Orange County, California, USA. The major findings of this study included the following: 1) Stronger belief in cultural values was associated with more frequent utilization of formal care services, leading to lower levels of systolic boold pressure; 2) Cultural values did not affect the physical health of Korean American caregivers through caregiver burden. The demonstration of positive effects of cultural values on the physical health of Korean America caregivers through social support utilization call attention to the need of further research on the understudied group providing family care to frail older family members.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.10
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• pp.642-651
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• 2017

This study aimed to examine the changes in the health status, social network and satisfaction of caregivers as a result of caregiving using a structural equation model. As a result, it was found that caregiving increased the level of depression and decreased the subjective health status in both men and women. The social network and satisfaction were found to differ according to gender. For the women caregivers, caregiving affected their subjective health status and depression. In the case of the men caregivers, the total effect of caregiving on their subjective health was 1.087(p<.05), while the indirect effect was 0.546(p<.05). Also, caregiving affected the subjective health status of the male caregivers through the functional family network as a mediating factor(0.42, p<.01). The results suggest the necessity to take these gender differences into consideration when discussing the health of caregivers. Also, the functional family network needs to be strengthened to prevent the deterioration of the health status of male caregivers.

• 한국사회복지학회:학술대회논문집
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• 2003.10a
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• pp.299-327
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• 2003

• 한국사회복지학회:학술대회논문집
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• 2001.04a
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• pp.394-413
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• 2001

• The Korean Journal of Rehabilitation Nursing
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• v.15 no.1
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• pp.11-19
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• 2012

Purpose: The purpose of this study was to examine the satisfaction level of care services depending on the activities of daily living and types of care services for inpatients with chronic disease. Methods: The participants consisted of 156 chronically ill patients. A structured questionnaire and personal interviews were used for collecting the data. The data were analyzed using SPSS (ver. 12.0) program for frequency, t-test, ANOVA, multiple regression analysis. Results: The chronically ill patients taken care of by family members were more satisfied with care services than those taken care of by paid caregivers. Also, the more able the patients were for their daily living activities, they were more satisfied with care services. In addition, type of care services was the most important factor in terms of affecting patients' satisfaction with care services most. Conclusion: The result of this study suggests that nurses need to pay more attention to those with low activities of daily living and taken care of by paid caregivers, who have the probability of low satisfaction of care services.

• 한국노년학
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• v.29 no.1
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• pp.177-194
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• 2009

Korea government has launched long-term care insurance from 2008. However, one of the most important issues, whether or not providing cash benefit, is still unresolved. In this paper, in order to provide policy guidelines for the long-term care insurance, I attempt to estimate the Willingness-To-Accept (WTA) of the cash subsidy for informal care by using Double Bounded Dichotomous Choice method, a branch of Contingent Valuation Method (CVM). In doing so, I also estimated the determinants of the preference for cash benefit. Data were obtained from face-to-face survey interviews with 300 informal care-givers at three major general hospitals in Seoul, Korea. The questionnaire was constructed with two scenarios (mild/severe symptom). The results from logistic regression analyses and the estimation of WTA indicate that informal care-givers are willing to accept the cash benefit as low as 628 thousands won for mild fragile elderly and 1,072 thousands won for severe fragile elderly. The strength of this paper is that I estimated the WTA of the cash benefit by reflecting the changes in preferences of informal care-givers. The analytic results from the this paper suggest that the cash benefit in long-term care insurance is indispensible in achieving the goal of the long-term care system.