• 한국지역사회생활과학회지
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• 제22권1호
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• pp.35-51
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• 2011

This study examined how caregiving experiences of spouses and adult children were different to each other in terms of caregiver characteristics, the impairment level of the elderly, caregiving time, caregiver burden, the effects of long-term care services, etc. Data were collected from 321 spouses and 324 adult children who cared for the functionally and/or cognitively impaired elderly using long-term care services. The main results are as follows. (1) Caregiver characteristics differed significantly between spouses and adult children. (2) Adult children cared for the more severely impaired elderly in terms of IADL, cognitive impairment, and behavior problems while spouses spent more time helping in ADL activities. (3) Spouse caregivers experienced greater overall burden, worry and strain, and financial burden compared to adult child caregivers. (4) Long-term care services were effective in reducing caregiver burden and improving family relations. Additionally, relations between adult child caregivers and the elderly was more improved than relations between spouse caregivers and the elderly after using long-term care services. Based on these findings, the differential experiences between spouse caregivers and adult child caregivers were discussed.

• 대한간호학회지
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• 제30권3호
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• pp.632-646
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• 2000

The purpose of this study was to examine the health status of the daughter and daughter- in-law caregivers who care for a cognitively and/or functionally impaired elderly, individual to identify factors that were related to reported health outcomes, and to investigate the negative and positive impacts of family caregiving. Data was collected from 120 daughter and daughter-in-law caregivers and care-recipients using face to face interviews. Most caregivers were daughters- in-law (77.5%) and most care-recipients were female (88.3%). Sixty-eight percent (n=81) of caregivers reported depressive symptomatology. General health also deteriorated by caregiving. Caregivers reported several negative impacts (difficulties): care-recipients' problematic behaviors, deterioration of their own health, pressure from social norms related to family caregiving in Korea, intrafamily conflict, and economic problems. Contrary to the popular belief, caregivers reported diverse positive impacts of family caregiving (68.3%): a sense of filial responsibilities, recognition from elderly, family members, relatives, and society, education for the children, and familial harmony. Higher depression score was predicted by lower family income, the presence of cognitive impairment of care-recipients, and higher level of social conflict of caregivers. Poor general health of caregivers was predicted by older caregivers' age, lower competing roles of caregivers, and poor emotional health. While not seeking to deny the negative aspects of family caregiving, it is also necessary to understand positive aspects of family caregiving to see complete picture of caring for an elderly family member.

• 한국보건간호학회지
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• 제36권2호
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• pp.253-264
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• 2022

Purpose: This study aimed to identify the activities of daily living of the elderly in day and night care facilities and the nursing needs of the elderly and caregivers. Methods: The subjects of this study were 90 elderly people and their caregivers, who lived in B and G cities used day and night care facilities. The collected data were analyzed using frequency analysis, descriptive statistics, independent t-test, and Pearson's correlation coefficient using the SPSS 25.0 program. Results: Caregivers have a higher awareness of nursing needs than the elderly. Both the elderly and their caregivers had the highest informational nursing requirements. There was a positive correlation between the activities of daily living of the elderly and physical nursing needs of caregivers, and there was also a positive correlation among the nursing needs in each area. Conclusion: These results suggest that day and night care facilities should provide customized nursing services by assessing the activities of daily living of the elderly and the nursing needs of the elderly and caregivers by area before establishing a nursing plan. This will enable them to provide effective nursing services for elderly people. In addition, we propose research to develop a nursing information program for the elderly and caregivers.

• 가정간호학회지
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• 제26권2호
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• pp.199-209
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• 2019

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.

• 지역사회간호학회지
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• 제23권4호
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• pp.347-357
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• 2012

Purpose: The purpose of this study was to explore the experiences of family caregivers who care for the elderly under Long-term Care Insurance. Methods: Data were collected using focus group interviews and analyzed using a phenomenological approach. The four focus groups consisted of eight caregivers, two social workers and three nurses in B city, Korea. Results: Five themes were identified: 'Obtaining a care-helper certification for employment', 'Taking care of the elderly in their homes', 'Difficulties due to life changes', 'Difficulties due to reduced wages' and 'Dissatisfaction with the Long-term Care Insurance operating system'. Conclusion: The results of this study demonstrate that the long-term care system for family caregivers faces many systematic challenges in providing care for the elderly harmoniously in their home. To help them succeed in their tasks, Long-term Care Insurance system must offer respite and support programs to family caregivers.

• 한국간호교육학회지
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• 제25권1호
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• pp.136-147
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• 2019

Purpose: This study aimed to explore influencing factors on care burden among family caregivers for elders with dementia living at home. Methods: Participants in this study were 211 family caregivers who were taking care of elders registered at a support center for dementia located in S-gu, Seoul. Data were collected using a structured questionnaire. Data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression in SPSS WIN 23.0. Results: The care burden of family caregivers was mild to moderate ($40.31{\pm}21.50$) in this study. The factors influencing care burden among family caregivers for elders with dementia were the age, behavioral problems, and dependency in instrumental activities of daily living of demented elderly, in addition to the perceived health status and resting hours of family caregivers. Overall, these factors explained 46.5% of the total variability in care burden in this sample (F=13.01, p<.001). Conclusion: Findings from this study suggest that the characteristics of demented elderly and family caregivers can influence care burden differently. Individually tailored strategies based on the various caregiving contexts need to be developed to reduce the level of care burden among family caregivers for elders with dementia.

• 지역사회간호학회지
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• 제22권4호
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• pp.389-398
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• 2011

Purpose: This study of this study was to identify factors influencing the burden of main family caregivers who take care of elderly patients with brain and spinal diseases. Methods: This was conducted as descriptive research and data were collected from 255 main family caregivers who were taking care of elderly patients with brain and spinal diseases from 4 hospitals in Daegu and Gyeongbuk Province. Stepwise-multiple regression was used to identify the influencing factors of burden felt. Results: As the score of burden felt by the main family, economic, social, physical, interdependent and emotional burdens were high in order. Factors influencing burden felt by main family care givers taking care of elderly patients with brain and spinal diseases were changed relation with patient after hospitalization, daily life ability, marital status, education and family caregiver's personality (explanatory power of 24.6%). Family caregivers felt a heavier burden when their relation with the patient was changed negatively or when the patient's activity of daily living was low. Conclusion: Based on these results, we need to develop coping measures and interventional programs for reducing the burden felt by the main family caregivers of elderly patients with brain and spinal diseases.

• 한국학교ㆍ지역보건교육학회지
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• 제24권3호
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• pp.37-50
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• 2023

Objectives: The aim of this study was to identify factors influencing communication satisfaction between geriatric caregivers and older adults in urban-rural complex communities. The ultimate goal was to design local community educational programs and policies to enhance communication satisfaction among geriatric caregivers and improve the quality of care services for older adults. Methods: To identify factors influencing communication satisfaction between elderly caregivers and older adults, a survey titled "CCEP: Assessment of Communication Status between Elderly Care Service Providers and Recipients" was conducted from February to July 2020, focusing on rural-urban complex areas. The survey was administered based on providers of elderly healthcare services. The survey targeted 131 respondents involved in providing care services for older adults. The dependent variable of this study was the communication satisfaction reported by elderly caregivers in their interactions with the elderly. The independent variables included perceptions of older adults, factors associated with communication difficulties, and communication efforts. Additionally, gender, working environment, working experience, and the proportion of face-to-face interactions with older adults during caregiving were controlled for the hierarchical multiple regression analysis. Results: The analysis revealed that communication efforts with older adults significantly influenced communication satisfaction (β=.09, p<0.01). However, perceptions of the elderly and communication hindrance factors did not have a significant impact on communication satisfaction among geriatric caregivers. Conclusion: Effective communication between geriatric caregivers and older adults is crucial for identifying and meeting the needs and demands of caregiving services, and it plays a vital role in overall caregiving service satisfaction. To enhance communication skills and satisfaction among geriatric caregivers and ensure the appropriate fulfillment of elderly care needs in the local community, the development of community-centered, specialized health communication programs and other initiatives will be necessary in the future.

• 한국치위생학회지
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• 제19권1호
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• pp.79-91
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• 2019

Objectives: The purpose of this study was to contribute to the development of an oral hygiene care program for patients with dementia by understanding the oral care status and oral health knowledge of care workers and caregivers with regard to patients with dementia. Methods: For about two months from May to June 2018, a survey of care workers and caregivers working in long-term nursing homes and elderly-specialized nursing hospitals was performed, and 442 people were selected for the final analysis. The frequency and percentage were calculated to understand the oral care status and oral health knowledge regarding patients with dementia, and an independent t-test was conducted to determine the difference between the elderly oral health knowledge of care workers and caregivers. Multiple regression analysis was also carried out to examine factors affecting elderly oral health knowledge. Results: With respect to the factor of oral health education in elderly oral health knowledge, oral health knowledge was shown to be highest when participants responded that education was unnecessary (p<0.001), and regarding the will to participate in oral health education, oral health knowledge was highest when participants responded as having no desire to participate (p<0.05). Conclusions: These results suggest that a standard manual should be developed for the accurate and qualitative management of oral hygiene care tasks performed by care workers and caregivers who are in charge of oral care for patients with dementia in order to provide continuous and systematic oral care.

• 한국노년학
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• 제30권1호
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• pp.159-177
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• 2010

본 연구의 목적은 고령화현상에 따른 노인부양 문제에 초점을 맞추고 부양활동의 보완재 혹은 도구로써 Information Technology (IT)의 활용을 제안하며, 이의 실행가능성 파악에 있다. 조사방법으로 예비와 현재 노인부양자 대상의 Focus Group Interview (FGI)를 실시하여 부양활동에 대한 부양자들의 의견 및 욕구를 탐색적으로 조사하고, 노인부양활동에 실질적으로 도움이 되는 IT의 역할을 파악하고자 하였다. 조사결과 노인부양자는 노인을 부양할 때 시간과 장소의 제한 없이 노인의 건강, 안전, 위치를 확인하길 바라며, 이러한 욕구는 유비쿼터스 속성을 가진 IT의 부양활동 보완역할을 통해 충족이 가능한 것으로 나타났다. FGI 결과를 기반으로 본 연구는 노인부양문제 해결을 위한 IT의 활용 및 보완 방안을 보다 구체적으로 제언하여 IT의 부양활동 보완역할의 가능성을 긍정적으로 보았다. 결론적으로 IT는 기존 부양서비스와 접목되어 부양활동을 지원하고 보완하여 부양자의 부양부담을 감소시켜주는 역할에 초점이 맞춰져야 하며, 무조건적인 IT 적용 및 기술 강조는 오히려 부작용을 가져올 수 있음을 강조하였다.