• 성인간호학회지
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• 제21권2호
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• pp.187-198
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• 2009

Purpose: This study was to compare and examine the factors influencing burden of primary family caregivers according to the severity of illness of elderly patients admitted in an intensive care unit. Methods: Subjects were the families of elderly patients in intensive care units of K, S and Y hospitals in Seoul. Data were collected from March to October 2007. Subjects were 108 persons over age 65. Data were analyzed by SAS statistics. Results: First, groups 5 and 3 showed higher burden than that of group 4. Second, high correlation was found between stress and burden, stress and anxiety, and burden and anxiety. Third, factors influencing family burden were found to be stress for group 5, stress, anxiety, and monthly income for group 4, and stress and patient age for group 3. Conclusion: Specific nursing interventions to decrease the stress of primary family caregivers of serious ill elderly patients in an intensive care unit are needed. Additionally, more effective and systematic activation of a long-term medical insurance system for seriously ill seniors is considered necessary to mediate the burden of primary family caregivers.

• 대한간호학회지
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• 제37권5호
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• pp.693-702
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• 2007

Purpose: The purpose of this study was to develop and evaluate the effects of a support group intervention on the burden of primary family caregivers of stroke patients. Method: A nonequivalent control group pretest-posttest design was used. The subjects were 36 primary family caregivers of stroke patients [experimental(N=18) and control(N=18) groups] in a neurosurgery ward of a university hospital. The experimental group members participated in six sessions of a support group intervention for two weeks and the degree of their caregiving burden was evaluated. Data was analyzed by Chi-square tests, t-tests, and paired t-tests using SPSS 10.0. Result: The experimental group had a significantly lower total burden score (t=2.06l, p= .047)and sub-scales of emotional(t=-3.319, p= .002), time-dependent(t=-2.045, p= .049) and developmental(t=-2.656, p= .012) burden scores than the control group, while no significant differences were found in physical, social or financial burden scores between the two groups. Within the experimental group, there was a significant decrease in physical(t=2.507, p= .023), emotional(t=4.754, p= .000), social(t=2.932, p= .009), time- dependent(t=5.015, p= .000) and developmental(t=7.541, p= .000) burden scores but not the financial burden score. Conclusion: The results suggest that a support group intervention can be utilized as an effective nursing program to reduce the burden of primary family caregivers of stroke patients.

• 성인간호학회지
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• 제25권6호
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• pp.725-735
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• 2013

Purpose: The purpose of this study was to investigate the levels of burden, family resilience and adaptation of caregivers of elderly patients with dementia, and further to identify factors influencing their adaptation. Methods: A cross-sectional descriptive study was designed. Data were collected from questionnaires distributed to 131 family caregivers of elderly patients who visited at the Centers for Dementia in Seoul during 2012~2013. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation analysis, and stepwise multiple regression. Results: The average age of the care giving subjects was 63.58, and 31.3% were male, and 41.2% were the spouses. Statistically significant relationships were found between burden and adaptation (r=-.38, p<.001), and between family resilience and adaptation (r=.52, p<.001), and between burden and family resilience (r=-.35, p=.001). Thirty percent of adaptation was explained by burden and family resilience. The most influencing factor to adaptation was family resilience which explained about 27% of the variance. Conclusion: The results of the study clearly indicate that family resilience explains better than burden on adaptation of family caregivers. Thus, to develop more effective nursing intervention for family caregivers of elderly patients with dementia, it would be necessary to integrate family resilience in the programs. 27% is not that much and I wonder if we have to do more work to identify the factors that influence care giving.

• 디지털융복합연구
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• 제10권9호
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• pp.429-434
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• 2012

본 연구는 노인 복막투석 환자의 의존성과 가족의 부담감을 파악하고 그 관계를 규명하여 노인 환자와 가족을 위한 간호중재를 개발하는데 기초 자료를 마련하고자 시도되었다. 연구 대상자는 서울지역에 소재한 3차 의료기관 신장내과에 등록되어 외래를 방문한 만 65세 이상의 노인 복막투석 환자 50명과 그 가족 50명이며, 자료수집기간은 2011년 4월 4일부터 15일까지였다. 수집된 자료는 SPSS WIN 12.0을 이용하여 분석하였다. 본 연구 결과 대상자의 의존성은 평균 139.6점이었고, 가족의 부담감은 평균 84.2점이었으며, 노인 복막투석 환자의 의존성은 가족의 부담감과 통계적으로 유의한 순상관관계(r=.61, p=.000)가 있는 것으로 나타났다. 이상의 연구 결과를 통해, 노인 복막투석 환자의 의존성은 높은 수준이며, 이들을 돌보는 가족의 부담감도 매우 높다는 것을 확인할 수 있었다. 따라서 노인 복막투석 환자의 의존성과 가족의 부담감을 감소시킬 수 있는 간호중재를 개발하고 그 효과성을 검증하는 연구가 지속되어야 할 것이다.

• 재활치료과학
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• 제3권1호
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• pp.19-29
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• 2014

목적 : 본 연구의 목적은 치매환자 돌봄 제공자를 대상으로 부양 부담감을 감소시키기 위한 중재 프로그램을 체계적 고찰을 통해 알아보고 분석하고자 하는 것이다. 연구 방법 : 2005년부터 2014년 까지 국내 외 학회지에 게재된 문헌을 RISS, Pubmed를 통해 검색하였다. 2차 분류를 통해 총 9개의 실험연구 문헌이 대상문헌으로 선정되었다. 결과 : 선정된 9편의 문헌은 국외 논문이 국내 논문에 비해 상대적으로 많은 비율을 차지하였으며, 내적타당도는 PEDro score 3.5~7점 까지 다양하게 분포하였다. 사용된 중재는 교육적 중재가 가장 많았으며, 부양 부담감을 측정하기 위한 평가도구로는 모두 Zarit Burden Interview(ZBI)를 사용하였다. 결론 : 늘어나는 치매 환자와 돌봄 제공자에 비해 치매 환자 돌봄 제공자의 부양부담감을 감소시키기 위한 중재 프로그램의 개발 연구가 아직까지 국내에서 활발하지 않은 실정이다. 추후에는 본 연구 결과를 바탕으로 치매환자 돌봄 제공자를 위한 중재 프로그램 개발과 중재효과 실험연구가 더욱 활발히 이루어져야 할 것이다.

• 한국보건간호학회지
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• 제13권2호
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• pp.202-214
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• 1999

This study was conducted to provide the data for the improvement of home health nursing services through the investigation of burden and satisfaction felt by family caregivers under home health nursing care. The study subjects consisted of 200 family caregivers who were enrolled m six university hospital home care services. Data were collected by using constructed questionnaires through mail from March to April of 1999. and analyzed by using t-test. ANOVA, Duncan-test. and Pearson Correlation Coefficients. The results were as follows: 1. The mean score of burden was 2.24. Among the SIX burden dimensions. the highest score was marked in time-dependence dimension. Caregivers were found to have greater burden in the low income families living in flats. In relation to the characteristics of patients. higher scores were shown in the male patients with cerebrospinal diseases. who also revealed higher score of dependency in the Activities of Daily Living. As a whole. there was no significant difference between home nursing care and clinical nursing care in terms of family caregivers' burden. The burden of time-dependence dimension in home nursing care was significantly higher than that of clinical nursing care while the burdens of physical. social. and financial dimensions were significantly lower than those of the clinical nursing care. 2. The mean score of satisfaction was 3.14. Among the six items. the highest score was marked in the nursing care and treatment skill. while the lowest score was marked in the cost containment. Family caregivers with higher academic background and higher income showed higher satisfaction score. The mean score of home care nursmg was significantly higher than that of clinical nursing care.

• 한국산학기술학회논문지
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• 제16권6호
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• pp.3954-3962
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• 2015

연구목적: 본 연구에서는 말기암환자 가족원의 부담감과 삶의 질 정도와 그들 사이의 관계를 조사하였다. 연구방법: 말기암환자 가족원 80명에게 부담감 및 삶의 질을 조사하였고 SPSS 19.0 program을 이용하여 분석하였다. 연구결과: 말기암환자 가족원의 부담감은 연령, 결혼, 환자와의 관계, 환자와의 동거 유무 및 의료비 부담에 따라, 삶의 질은 연령, 결혼, 교육 수준, 환자와의 관계 및 환자와의 동거 유무에 따라 각각 통계적으로 유의한 차이가 있었다(p<.05). 말기암환자 가족원의 부담감과 삶의 질(r=-.538, p<.001)은 음의 상관관계가 확인되었다. 결론: 이러한 결과는 말기암환자 가족원들에게 많은 관심을 기울여야 함을 시사하고, 말기암환자 가족원의 삶의 질을 증진시키기 위해서는 부담감을 줄일 수 있는 지지 프로그램과 같은 중재 방안들을 모색할 필요가 있겠다.

• 대한간호학회지
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• 제46권5호
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• pp.663-674
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• 2016

Purpose: The purposes of this study were to develop and test a prediction model for caregiving experiences including caregiving satisfaction and burden in dementia family caregivers. Methods: The stress process model and a two factor model were used as the conceptual frameworks. Secondary data analysis was done with 320 family caregivers who were selected from the Seoul Dementia Management Survey (2014) data set. In the hypothesis model, the exogenous variable was patient symptomatology which included cognitive impairment, behavioral problems, dependency in activity of daily living and in instrumental activity of daily living. Endogenous variables were caregiver's perception of dementia patient's unmet needs, caregiving satisfaction and caregiving burden. Data were analysed using SPSS/WINdows and AMOS program. Results: Caregiving burden was explained by patient symptomatology and caregiving satisfaction indicating significant direct effects and significant indirect effect from unmet needs. The proposed model explained 37.8% of the variance. Caregiving satisfaction was explained by patient symptomatology and unmet needs. Mediating effect of unmet needs was significant in the relationship between patient symptomatology and caregiving satisfaction. Conclusion: Results indicate that interventions focusing on relieving caregiving burden and enhancing caregiver satisfaction should be provided to caregivers with high levels of dementia patients' unmet needs and low level of caregiving satisfaction.

• 대한간호학회지
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• 제41권3호
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• pp.354-363
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• 2011

Purpose: The purpose of this cross-sectional study was to examine the relationship between characteristics of severe ALS patient-caregiver couples and health related quality of life (HRQoL) in family caregivers. Methods: The participants in this study were 89 pairs of ALS patients using ventilators and a family caregiver. The characteristics of the ALS patients and caregivers, Korean-Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised, Zarit Burden Interview and SF-36 were measured in this study. The data were collected from August 2008 to April 2009. Descriptive statistics, Pearson correlation coefficients, and canonical correlation were used for data analysis. Results: The physical component summary and mental component summary of the HRQoL score for family caregivers were $147.49{\pm}31.63$ and $129.09{\pm}35.83$, respectively. HRQoL for caregivers was related to characteristics of the ALS patient-caregiver couples, such as patient's gender, caregiver's age, gender, marital status, daily time spent in caregiving and burden with one significant canonical variable. The significant variate showed that the lower the age, the time spent in caregiving and the burden of caregivers, the higher the HRQoL of caregivers. Conclusion: The support systems for caregivers considering caregiver characteristics such as demographics and burden should be implemented to improve the HRQoL of caregivers.

• 성인간호학회지
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• 제18권3호
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• pp.457-467
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• 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.