• Title/Summary/Keyword: Caregiver(s)

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Family resilience and caregiver's well-being across different age groups of children with ADHD in the United States: a cross-sectional study

  • Dian Susmarini;Do Thi Ninh;Hyewon Shin
    • Child Health Nursing Research
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    • v.30 no.2
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    • pp.97-107
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    • 2024
  • Purpose: This study aimed to investigate the impact of family resilience on caregiver well-being across various age groups of children diagnosed with ADHD (attention-deficit/hyperactivity disorder) groups (0-5, 6-11, and 12-17 years). Methods: Utilizing secondary data from the 2022 US National Survey of Child Health, this cross-sectional study involved 2,752 children who were formally diagnosed with ADHD. Statistical analysis included descriptive analysis, Spearman's rank correlation, chi-square tests, and linear regression, conducted using SPSS version 27. Results: The study revealed a moderate positive correlation (r=.35, p<.001) between family resilience and caregiver well-being. Controlling for covariates, family resilience accounted for 25.2%, 21.1%, and 22.1% of caregiver well-being variance in age groups 0-5, 6-11, and 12-17 years, respectively. Additionally, factors like employment status, family structure, and caregiver age showed varying influences on caregiver well-being across these developmental stages. A consistent pattern emerged across these age groups: unemployment and non-traditional family structures were associated with negative impacts on caregiver well-being, whereas older caregiver age positively influenced well-being. Conclusion: This research underscores the importance of age-specific family resilience strategies to improve caregiver well-being and family interactions in ADHD contexts. Investigating these aspects through qualitative studies across various cultures could deepen our understanding of well-being and inform culturally sensitive interventions.

Relationship between Behavioral and Psychological Symptoms and Patient and Caregiver Quality of Life in Alzheimer's Disease (알쯔하이머병에서 행동심리증상과 환자 및 부양자의 삶의 질의 관계)

  • Kim, Sung-Wan;Shin, Il-Seon
    • Korean Journal of Biological Psychiatry
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    • v.14 no.1
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    • pp.48-54
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    • 2007
  • Objectives : This study aimed to examine the relationship between behavioral and psychological symptoms of dementia(BPSD) and patient and caregiver QOL in Alzheimer's disease(AD). Methods : Fifty-one AD patients and their caregivers participated. Measures about patients were Neuropsychiatric Inventory(NPI), Korean version of QOL-Alzheimer's Disease(KQOL-AD), Activities of Daily Living(ADL), Clinical Dementia Rating(CDR), and Korean version-Mini Mental State Examination(K-MMSE). Caregiver QOL was assessed with KQOL-AD and General Health Questionnaire/Quality of Life-12(GHQ/QOL-12). Results : Patient QOL-AD on patient ratings was negatively correlated with appetite/eating change and NPI scores. Patient QOL-AD on caregiver ratings was negatively correlated with hallucinations, depression/dysphoria, and NPI scores. Caregiver QOL assessed by the GHQ/QOL-12 was negatively correlated with agitation/aggression, depression/dysphoria, and NPI scores and was negatively correlated with distress related to agitation/aggression, depression/dysphoria, and NPI scores. Conclusion : BPSD of AD patients was associated with low QOL of both patients and caregivers. Thus, interventions of BPSD were needed to improve both patient and caregiver QOL.

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A Study of Family Caregiver's Burden for the Terminally III Patients (지역사회 말기질환자 가족 부담감에 관한 연구)

  • Han, Sung-Suk;Ro, You-Ja;Yang, Soo;Yoo, Yang-Sook;Kim, Sek-Il;Hwang, Hee-Hyung
    • Journal of Home Health Care Nursing
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    • v.10 no.1
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    • pp.58-72
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    • 2003
  • The purpose of this study was to describe the perceived burden of the terminally III patients's caregiver and to analyze relationship between the perceived burden and the various demographics, illness characteristics, family relationships, and economic factor of the family & patients. The sample of 132 caregivers who care for the terminally III patients Kyung-Gi province, Seoul, Korea. The period of this study was from August to September, 2002. The perceived burden of the family caregiver was measured by the burden scale(20 items, 4 point scale) developed by Montgomery et al. (1985). The Data was analyzed using SAS-program by t-test and ANOVA. The results were as follows; 1. The mean of the family caregiver's burden score was 3.02. The score showed that caregivers perceive severe the level of burden. The hight items of the family caregiver's burden were' I feel it is painful to watch patient's diseases'(3.77). 'I feel afraid for what the future holds for my patients'(3.66), 'I feel it reduced to amount of privacy time'(3.64). 2. The caregiver's burden was significantly related to patient's gender(F=3.17, p= 0.0020), patient's job(F=2.49, p=0.0476), caregiver's age(F=4.29, p=0.0030), and caregiver's job(F=2.49, p=0.0476). 3. The caregiver's burden according to illness characteristics showed no significant difference. 4. The caregiver's burden was significantly associated with patient's family relationship (F=4.05, p=0.0041), patient's care mean period in a day(F=47.18,

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Gender Differences in Factors Affecting Caregiver Burden for Spouse Caregiving in Korea (배우자부양자의 부양부담에 영향을 미치는 요인: 성별차이를 중심으로)

  • Lee, Jeong-Seo
    • The Korean Journal of Community Living Science
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    • v.21 no.4
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    • pp.469-479
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    • 2010
  • Using data from the 2001 National Long-Term Care Survey database, this study analyzed gender differences in factors affecting caregiver burdens of spouse caregivers in Korea. Multiple regression was used to estimate factors influencing caregiver burdens of caregiving wives and caregiving husbands respectively. The results showed that there was a significant variability in predictors of caregiver burdens of spouses who take care of the impaired elderly. ADL functional status of care recipients and social support were significant for both the caregiving wives model and caregiving husbands model in influencing caregiving burdens. It was noticeable to report that a caregiver's self-rated health status, monthly caregiving expenses, a care recipient's self-rated health status were unique predictors for the caregiving wives model. These findings suggest that it is vital for planners and providers to take gender differences in spousal caregiving into account when designing and formulating community-based long-term care service programs.

Factors Affecting Caregiver Burden in Caregivers of Patients with Parkinson's Disease (파킨슨병 환자 부양자의 부양부담에 영향을 미치는 요인)

  • Kim, Dong Won;Bae, Eun Sook
    • Korean Journal of Adult Nursing
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    • v.27 no.3
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    • pp.283-293
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    • 2015
  • Purpose: Depression is a common sign of suffering among the patients with Parkinson's disease (PD). Frequent and severe neuropsychiatric symptoms lead to high levels of distress in patients and their caregivers, which results in the high levels of caregiver burden. The aim of this study was to determine the predictors of caregiver burden in caregivers of the patients with Parkinson's disease (PD). Methods: The study included 183 consecutive PD patients and their caregivers. Patients were assessed using the Hoehn and Yahr scale, Mini Mental State Examination (MMSE), Beck Depression Inventory (BDI), and Schwab and England Activities of Daily Living Scale. Caregivers' depressive symptoms were evaluated using the Caregiver Burden Inventor (CBI), BDI, and World Health Organization Quality of Life Scale. Results: All of the patients reported one or more neuropsychiatric symptoms. Patients' and caregivers' depressive symptoms, caregivers' age and education, time for caregiving, and quality of life were significantly associated with the increased caregiver burden. After controlling the level of education as a potential confounding variable, depression in both patients and caregivers, time for caregiving, and quality of life explained 45.6% of the variance in caregiver burden. Conclusion: Substantial attention needs to be given to the early identification of depression in PD patients and their caregivers to improve caregivers' quality of life and burden.

A Relation Study on Burden, Health promotion Behavior and Health Status of the Family Caregiver of Intensive Care Unit Patient (중환자 가족의 부담감, 건강증진행위 및 건강상태에 관한 연구)

  • 김은실;박정숙;박청자
    • Journal of Korean Academy of Nursing
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    • v.32 no.5
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    • pp.654-664
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    • 2002
  • The purpose of this study was to identify the burden, health promotion behavior and health status and to describe the relationship of the burden, health promotion behavior and health status of the family caregivers of intensive care unit patients. Method: The subjects were 48 family caregivers of ICU patients in a University Hospital. Data were collected between June, 1 and July, 31, 2000 using structured questionnaires. Research tools used were Suh and Oh's Burden Scale, Revised Walker, Sechrist, & Pender's HPLP(1987) ; Revised Nam's Health State Scale(1965). Result: The mean score of burden of family caregiver was 3.01(full score was 5). The mean score of health promotion behavior of family caregiver was 2.52(full score was 4). And the mean score of health status of family caregiver was 0.68(full score was 1.00). The score of psychological health state was a little higher than the physiological one. In correlational analysis, the burden and the health status of caregivers were reversely correlated . The correlation between the burden and the health promotion behavior, and the health behavior and health status were not significant. Conclusion: The more burden caregivers of ICU patients felt, the worse their health status. So nurses need to understand the family caregiver's burden and apply nursing care that can reduce burden, in order to improve the health status of family caregivers.

The Reciprocal Relationship between Caregiver Relations and Peer Relations of Children in Out-of-home Care: Longitudinal Study Using Autoregressive Cross-lagged Modeling (가정외보호 아동의 양육자 관계와 교우관계의 상호 영향: 자기회귀교차지연모형을 활용한 종단연구)

  • Kim, Dami;Kang, Hyunah
    • Journal of Child Welfare and Development
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    • v.16 no.2
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    • pp.109-135
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    • 2018
  • The purpose of this study was to analyze the longitudinal causal relationship between caregiver relations and peer relations of children in out-of-home care. We analyzed the three years(2011-2013) of longitudinal data from the Panel Study on Korean Children in Out-of-Home Care. The autoregressive cross-lagged model (ARCL) was used to measure the longitudinal causal relationship between caregiver relations and peer relations. As a result, first, caregiver relations and peer relations showed stability over time. In other words, the results of the measurement at three time points showed that the caregiver relations and peer relations at the previous time had a significant effect on the caregiver relations and peer relations at the later time point. Second, the previous caregiver relations had a significant effect on the subsequent peer relations over time. Third, the previous peer relations had a significant effect on the subsequent caregiver relations over time. This study confirmed the interrelationships of caregiver relations and peer relations of children in care by examining the longitudinal data using the longitudinal analysis method.

Quality of Child Care Environment and Toddler's Adjustment in Child Care Centers - Based on Child Care Centers in Inchon- (보육환경의 질과 영유아의 적응 - 인천시 보육시설을 중심으로 -)

  • Hyun, On-Kang;Tae, Jin
    • Journal of the Korean Home Economics Association
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    • v.38 no.3
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    • pp.25-42
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    • 2000
  • To examine toddlers’adjustment in child care centers according to the quality of child care environment, the followings were asked; 1. Are toddlers’adjustment in child care centers different by toddlers’individual characterisitcs, caregiyer’s individual characteristics, and/or care center variabless\ulcorner 2. Are the quality of child care center different by caregiver’s individual characteristics and child care center variables\ulcorner 3. Are toddlers’adjustment in child care centers different according to the quality of child care center\ulcorner Forty caregivers and 108 toddlers in 40 child care centers in Inchon were randomly selected. After 2 hours of observation in each child care center, the quality of child care environment were rated using Infant/Toddler Environment Rating Scate(ITERS) by 2 observers and toddlers’adjustment in child care centers were rated by caregivers using the Preschool Adjustment Questionnaire(PAQ). Toddlers’adjustment in centers were different by toddlers’gender, caregiver’s age, caregiver’s educational level, group size, and the adult/child ratio. The quality of child care environment of child care centers was different by caregiver’s age, caregiver’s career level, the length of working time, group size, and the adult/child ratio. Finally, toddler’s adjustment in child care centers were significantly different by the quality of child care environment of child care centers.

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The Related Factor of Job Characteristics and Occupational Stress on Musculoskeletal Symptom for Caregiver Working in Hospital (병원에 근무하는 간병인의 업무적 특성과 직무스트레스가 근골격계 자각증상에 미치는 요인)

  • Choi, Yul-Jung;Sim, Hyun-Po
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.18 no.1
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    • pp.19-29
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    • 2012
  • Background: This study was conducted to investigate subjective musculoskeletal symptom and the related factor of caregiver. Methods: For 300 caregiver, we used the self-administered questionnaires to examine occupational stress and subjective musculoskeletal symptom designed by KOSHA. The collected data were analyzed chi-square test, independent t-test and multiple logistic regression analysis using SPSS 12.0. Results: The multiple logistic regression analysis showed that the caregiver working in the general hospital significantly increased the subjective musculoskeletal symptom in their neck, shoulder, hand/wrist/finger, back, leg/foot. For the caregiver working in hospital showed significantly increased the subjective musculoskeletal symptom in their hand/wrist/finger and leg/foot. Conclusions: With the above results, continuous and systematic prevention program should be established, which include the ergonomics and psychosocial factor for the caregiver's musculoskeletal symptom.

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The Effects of Maternal Parenting Knowledge and Mother-Caregiver Relationship on Parenting Stress (영아기 자녀를 둔 어머니의 양육지식과 어머니-교사 관계가 양육스트레스에 미치는 영향)

  • Kim, Jeong Mi;Moon, Sung Mi;Kim, Yu Kyung;Ahn, Sun Hee
    • Korean Journal of Child Studies
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    • v.34 no.5
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    • pp.79-98
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    • 2013
  • This study examined the effect of parenting knowledge and mother-caregiver relationship on maternal parenting stress. The participants in this study consisted of 297 mothers of 1~3 years old children at daycare centers in Daegu, Korea. The participants completed questionnaires on their parenting knowledge, mother-caregiver relationship, and parenting stress. The results indicated that mothers' parenting knowledge and parenting stress were not-significantly related, but mother-caregiver relationship and mothers'parenting stress were significantly related. A close look at the effect of parenting knowledge and mother-caregiver relationship on maternal parenting stress, while maternal parenting knowledge did not influenced directly parenting stress, mother-caregiver relationship was a significant variable predicting mother's parenting stress. In particular, when a mother and caregiver develop a positive relationship, maternal parenting stress was lower. These results seem to indicate that the positive relationship between mother and caregiver is very important.