• 산업융합연구
• /
• 제20권11호
• /
• pp.27-34
• /
• 2022

본 연구에서는 뇌졸중 환자의 어떤 의학적 요인이 간병인 부담에 영향을 미치는지 알아보기 위해 8주간의 치료 전후 환자의 신경학적 상태, 인지, 일상생활수행능력, 보행, 균형 지표와 간병인의 부담감을 측정하여 그 변화를 비교하였습니다. 간병인은 8주간의 재활 치료 기간 동안 경도-중등도의 부담감을 느끼고 있었으며, 환자의 신경학적 상태, 인지 상태가 간병인 부담과 연관이 있었습니다. 전체 환자군 및 아급성기 뇌졸중 환자군의 의학적 지표와 간병인의 부담감을 다중회귀분석 하였을 때, 신경학적 상태와 균형 능력이 보호자 부담감에 영향을 주는 요소로 나타났습니다. 이에 입원한 뇌졸중 환자의 재활 치료 시 간병인 부담 경감을 위해 환자의 균형 능력 향상에 중점을 둘 것을 제안합니다.

• 지역사회간호학회지
• /
• 제14권2호
• /
• pp.351-361
• /
• 2003

Purpose: The purposes of this study were to understand the types of coping strategies that family caregivers experience during the process of caring demented elderly: to grasp the coping strategies used for resolving this problem: and to develop a substantive theory by analyzing the coping types of the family caregivers of demented elderly. Method: The methodology of data collection and analysis used in this study was grounded theory proposed by Strauss and Corbin (1990). The data was collected through in-depth interviews with participants using open-ended and descriptive questions about their coping experiences. All data were were audio-taped and transcribed. The data were collected from February, 2000 to February, 2001. The participants of this study were 17 women. Results: Caregiver's coping types varied according to 'family's support', 'the condition of caregiver's health', 'the relationship with dementia elderly', 'family perception of dementia', 'fixed idea of traditional female role' and 'economic state'. In this study, five types of coping strategies were emerged: active role allotment tyle, meaning grant tyle, devotion tyle, duty defense type, and pessimism type. Among these, those who belong to the types of active role allotment, meaning grant, and devotion, including caregiver's good health were found to adapt themselves to caregiver roles. Conclusion: The results of this study may be helpful for developing effective and individualized nursing strategies suitable for individual caregivers coping types. It is suggested to practice nursing mediation and to analyze the changes in nursing effect and family members' adaptation based on coping types of the well-adapted caregivers as we as on their affirmative coping strategy.

• 대한간호학회지
• /
• 제42권7호
• /
• pp.1039-1049
• /
• 2012

Purpose: From the holistic environmental perspective, individual and environmental influences on low-income children's questionable development were identified and examined as to differences in the influences according to the child's developmental stage of infancy (age 0-35 months) or early childhood (age 36-71 months). Methods: This study was a cross-sectional comparative design using negative binominal regression analysis to identify predictors of questionable development separately for each developmental stage. The sample was comprised of 952 children (357 in infancy and 495 in early childhood) from low-income families in South Korea. Predictors included individual factors: child's age and gender; proximal environmental influences: family factors (family health conditions, primary caregiver, child-caregiver relationship, depression in primary caregiver) and institution factors (daycare enrollment, days per week in daycare); and distal environmental influences: income/resources factors (family income, personal resources and social resources); and community factors (perceived child-rearing environment). The outcome variable was questionable development. Results: Significant contributors to questionable development in the infancy group were age, family health conditions, and personal resources; in the early childhood group, significant contributors were gender, family health conditions, grandparent as a primary caregiver, child-caregiver relationships, daycare enrollment, and personal resources. Conclusion: Factors influencing children's questionable development may vary by developmental stage. It is important to consider differences in individual and environmental influences when developing targeted interventions to ensure that children attain their optimal developmental goals at each developmental stage. Understanding this may lead nursing professionals to design more effective preventive interventions for low-income children.

• Human Ecology Research
• /
• 제56권5호
• /
• pp.435-446
• /
• 2018

This study investigated relationships between primary caregivers' life satisfaction and abuse mediated by children's life satisfaction. We included term panel data for 3 years (2013-2015) from the 4th year to the 6th year of 2,067 children in the first grade of elementary school of the Korean Youth and Youth Panel(KCYPS)(2015); in addition, three years' longitudinal panel data (2013-2015) were analyzed utilizing SPSS 18.0 and AMOS 22.0 to measure Latent Growth Model(LGM) term relationships between variables. Analysis results were as follows. First, the life satisfaction of the primary caregiver, the life satisfaction of the child, and abuse gradually decreased from the fourth grade to the sixth grade. Second, the initial status of primary caregivers' life satisfaction influenced the initial status of the children's life satisfaction, and the initial status and change in the abuse rate. Third, the rate of change of life satisfaction of the primary caregiver did not have a significant effect on the change in the abuse rate and the rate of change of life satisfaction of the child. The initial value of the life satisfaction of the child played a partial mediating role in the relationship between the initial value of the life satisfaction of the primary caregiver, initial value of the abuse, and abuse change rate. The results suggest that a program to improve the life satisfaction of the 4th grade elementary school should be developed and applied.

• 대한물리치료과학회지
• /
• 제29권4호
• /
• pp.65-74
• /
• 2022

Background: This study attempted to find out the degree of awareness of owners who have the most influence on companion animal's rehabilitation exercise, and the purpose of the treatment effect, and the expectations of rebilitation treatment. The purpose of this study is to find out about the awareness, comprehension, and expectations of caregiver for rehabilitation exercise in companion animal medical services, and to develop them into a field of animal medical services. Design: The tool used in this study used a questionnaire, and the composition consists of the subject's general characteristics, recognition of companion animal rehabilitation, comprehension and expectation. Methods: A questionnaire was given to 103 companion animal's owners, and all were collected and analyzed. Analysis of the frequency analysis method, Fisher's exact test were analyzed. Results: It was confirmed that the difference was significant in the question of whether the caregivers had heard companion animal rehabilitation (p<.05). When asked that rehabilitation is necessary to improve physical function, the difference was confirmed to be significant (p<.05). The significance was confirmed when asked if the caregiver was willing to participate in animal rehabilitation education (p<.05). When asked if caregiver was willing to recommend rehabilitation exercise for companion animal of other caregiver who need rehabilitation exercise, it was confirmed that the difference was significant (p<.05). Conclusion: There was significant difference between gender. This study confirmed that the definite concept caregivers' perception in animal rehabilitation was not established. Therefore, in order to improve perception of caregivers, interdisciplinary exchanges and publicity for animal rehabilitation are needed, and the development of training and education programs for rehabilitation experts was suggested.

• 아동학회지
• /
• 제29권3호
• /
• pp.207-222
• /
• 2008

This research studied the social-emotional competence of children whose primary caregiver was a single-mother or single-father alone compared with children living with a single-parent but the primary caregiver was a non-parent (e.g. a grandparent). Subjects were 208 children (105 boys, 103 girls) from 10 elementary schools in 3 metropolitan cities. Instruments were the Adaptive Behavior Checklist constructed by the researcher, Self-esteem Inventory (Kim, 1987) and Emotional Competence Scale (Kim, 1998). Results showed that children in single-mother families were more social-emotionally competent than children in single-father families. Children whose primary caregivers were non-parents had higher self-esteem than children whose primary caregivers were single parents alone. There were interaction effects of caregiver variables on children's peer relationships and awareness/expression of their own emotion.

• 성인간호학회지
• /
• 제18권3호
• /
• pp.457-467
• /
• 2006

Purpose: The purpose of this study was to identify the main factors influencing family functioning of caregivers in families with stroke. Method: A Convenient sample of 173 primary family caregivers who take care of a stroke patient at an Oriental medicine hospital in Jeonbuk. Interviews were done with a standardized questionnaire including family functioning by nurses. Results: In Pearson's correlation analysis, the influencing factors related to family functioning were ADL(p=.017), level of paralysis(p=.019) as stressors, Quality of relation(p=.000) as situational variables, and family caregivers' burden(p=.000). Stepwise multiple regression analysis showed 29.9% of the variance family functioning was significantly accounted for by the quality of relationship between stroke patient and caregiver(26.8%), and caregiver burden(3.1%). Conclusions: Findings indicate that families of stroke patients need family-focused nursing intervention as supported care to improve the relationship between patient and primary caregiver and relieve caregiver burden by culturally tailoring to Korean.

• 가정∙방문간호학회지
• /
• 제17권2호
• /
• pp.144-155
• /
• 2010

Purpose: This study investigated the factors affecting the quality of life (QOL) of the primary caregivers of home health care patients. Method: The subjects were 110 primary caregivers of patients who were receiving home health care from two home health care centers affiliated with general hospitals in Seoul. Data collection was conducted using five questionnaires. Results: Positive relationships were evident between QOL and social support and perceived health status of the primary caregiver. Negative relationships were evident between QOL and burden and depression. Multiple linear regression analysis for QOL revealed that the most powerful influencing factor was social support. Social support, burden, and depression explained 34.3% of the variance. Conclusion: Burden, depression, and social support are related with QOL of primary caregivers of home health care patients. Nursing intervention strategies directed at this caregiver population are needed.

• 대한간호학회지
• /
• 제29권3호
• /
• pp.518-529
• /
• 1999

The purpose of this research was to develop a nursing intervention list for family caregivers. The specific steps were as follows : 1. Analyze the concept, Soobal, based on literature review and case observation. 2. Generate an initial list of defining activities for ‘Caregiver Support : Soobal’. 3. Validate the defining activities. 4. Complete the final list of defining activities. A two-round Delphi questionnaire with an adaptation of Fehring's methodology was used to establish the content validity of intervention, Caregiver Support : Soobal. The definition of ‘Caregiver Support : Soobal’ was provision of the necessary information, advocacy, and support to facilitate primary patient care by someone other than a health care professional in Korean traditional manners. Ten nurse experts participated in Round I and II of this study. They were asked to rate activities that examplified the interventions on a scale of 1 (activity is not at all characteristic) to 5 (activity is very characteristic). Round I contained 15 ‘critical’ activities and 10 ‘supporting’ activities, while round II contained 16 ‘critical’ activities and 6 ‘supporting’ activities. No activities were considered to be ‘nonsupporting’ in both round I and II. Finally, the definition and 25 defining activities were developed. Intervention, Caregiver Support : Soobal, attained an ICV score of .82. This study provides a protocol model to develop Korean nursing interventions.

• 한국보건간호학회지
• /
• 제34권3호
• /
• pp.429-443
• /
• 2020

Purpose: This study examined the influencing factors of caregiver burden on the oral health-related quality of life of the spouse of an elderly person with dementia at home. Methods: The participants were 115 spouses of dementia patients registered at dementia safety centers in five health centers in D city. Data were collected from June through December in 2019, using questionnaires of Oral Health Impact Profile (OHIP-49) and Burden Interview (BI). The data were analyzed using an independent t-test, one-way ANOVA, Pearson's correlation, and stepwise multiple regression analysis using the IBM SPSS Statistics 25.0 Program. Results: A negative correlation was observed between the oral health-related quality of life and caregiver burden (r=-37, p<.001). The caregiver burden (β=-.28, p=.001), subjective health status (β=.39, p<.001), and dental clinic visit (β=-.25, p=.002) explained 33.0% of the variance in the oral health-related quality of life. Conclusion: The development of nursing care for spouses of dementia patients will be needed to reduce the caregiver burden and enhance subjective health status and dental clinic visit, which influence the oral health-related quality of life of spouse of elderly people with dementia at home.