• Title/Summary/Keyword: Caregiving needs

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The Experiences and Challenges of Caregivers of Frail or Chronically Ill Elderly: An Integrative Review

  • Han, Hae-Ra
    • Perspectives in Nursing Science
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    • v.3 no.1
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    • pp.47-60
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    • 2006
  • BACKGROUND: Social, legal, and economic factors have changed the delivery of care to elderly who are frail and/or chronically ill. Increasing number of the elderly are now treated in the community, while living with or in close proximity to their family. It is evident that families play a major role of support for elderly persons in our society. This paper provides a review and analysis of studies that have investigated informal caregiving issues encompassing physical, psychological, emotional, and social domains. RESULTS OF THE REVIEW: Family caregiving often interfered with workplace and other responsibilities, creating physical, emotional, and financial stress for caregivers. Relatively high volumes of research addressed caregiving issues in the families of Alzheimer patients and in the areas of emotional and psychological impact of caregiving. Few studies explicitly investigated the role of informal caregivers in the management of other chronic conditions such as stroke or depression or physical consequences of long-term caregiving. While most studies were focused on negative aspects of caregiving, a few studies found it rewarding. Often the burden, stress, and socio-economic effects on the family caregiving for an elderly person were not sufficiently appreciated. CONCLUSIONS: Positive outcomes for both the caregiver and the care recipient are more likely to occur when effective levels of collaboration exist between health professionals and caregivers. As a first step, a better understanding of the caregiving experience such as caregiver characteristics, care recipient characteristics, and social stigma is important for nurses to minimize the burden of care so that appropriate interventions can be developed. In addition, further studies are needed to examine the role and needs of informal caregivers in the care of increasing number of frail and/or chronic ill elderly treated in the community.

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Convergence Study on Caregiving Burden of Families with Patients Suffering from Lou Gehrig's Disease (루게릭환자 가족의 부양부담에 관한 융복합 연구)

  • Heo, Suk-Min;Chong, Hee-Kyong
    • Journal of Digital Convergence
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    • v.13 no.8
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    • pp.559-567
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    • 2015
  • The purpose of this study is to investigate patients with Lou Gehrig's disease, their families, and their actual conditions of the disease, and to find the factors to alleviate caregiving burden and the needs of service. According to the study, the sociodemographic characteristics of the patients with Lou Gehrig's disease and their patients, the disease and caregiving, and activity support service didn't influence alleviation of caregiving burden. When the main caregiver of the patient was not a spouse, or graduated from high school and less, and when the disease was diagnosed initially, there was a difference in caregiving burden. Based on the results, this study suggested that it would be necessary to make medical support suitable to Lou Gehrig's disease and come up with a convergence policy to support personalized and specialized welfare service.

Complementary IT for Elderly Care Activities: From Family Caregivers' Perspectives (노인부양활동에 있어 Information Technology의 보완 역할에 관한 탐색적 연구: 노인부양자의 욕구를 중심으로)

  • Lee, Eue Hun;Han, Sae Mee
    • 한국노년학
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    • v.30 no.1
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    • pp.159-177
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    • 2010
  • This study focused on elderly caring issues and proposes Information Technology (IT) as the complementary tool of care activities, and it was aimed to identify application and feasibility of complementary IT for elderly care activities. Focus Group Interview (FGI) was conducted with current and potential caregivers respondents to explore caregivers' opinions and needs of care activities, and to suggest roles of IT which are helpful for elderly caregiving. The results showed that caregivers desire to check elderly care receivers' health, safety, and location whenever and wherever they want, and these caregivers' needs can be satisfied with IT by supporting caring ubiquitously. Moreover, this article provided more specific guidelines of IT applications for elderly caring services, so it expected positive roles of IT for elderly caring activities. However, this paper consequently emphasized IT must focus on only supporting and complementary roles of caregiving activities rather than alternative roles to enhance caregivers' caring efficiency and reduce their caring burden.

Psychological and Physical Health in Family Caregivers of Intensive Care Unit Survivors: Current Knowledge and Future Research Strategies

  • Choi, JiYeon;Donahoe, Michael P.;Hoffman, Leslie A.
    • Journal of Korean Academy of Nursing
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    • v.46 no.2
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    • pp.159-167
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    • 2016
  • Purpose: This article provides an overview of current knowledge on the impact of caregiving on the psychological and physical health of family caregivers of intensive care unit (ICU) survivors and suggestions for future research. Methods: Review of selected papers published in English between January 2000 and October 2015 reporting psychological and physical health outcomes in family caregivers of ICU survivors. Results: In family caregivers of ICU survivors followed up to five years after patients' discharge from an ICU, psychological symptoms, manifested as depression, anxiety and post-traumatic stress disorder, were highly prevalent. Poor self-care, sleep disturbances and fatigue were identified as common physical health problems in family caregivers. Studies to date are mainly descriptive; few interventions have targeted family caregivers. Further, studies that elicit unique needs of families from diverse cultures are lacking. Conclusion: Studies to date have described the impact of caregiving on the psychological and physical health in family caregivers of ICU survivors. Few studies have tested interventions to support unique needs in this population. Therefore, evidence for best strategies is lacking. Future research is needed to identify ICU caregivers at greatest risk for distress, time points to target interventions with maximal efficacy, needs of those from diverse cultures and test interventions to mitigate family caregivers' burden.

The Effect of Motivation and Social Support on Burden of Spouse Caregivers: Focused on Gender Differences (배우자 부양자의 부양 동기, 사회적 지지와 부양 부담: 성별 차이를 중심으로)

  • Han, Gyoung-Hae;Lee, Seo-youn
    • 한국노년학
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    • v.29 no.2
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    • pp.683-699
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    • 2009
  • Family caregiving to the elderly is one of the most important social issues in recent Korea. Among various kinds of family caregivers, spouse caregivers particularly constitute a special group, generally characterized by continuous intimate association with the care recipients at many levels and by special commitments and responsibilities associated with the marriage bond. And the number of spouse caregiver is expected to increase in the future. Moreover, since a conjugal relation is consisted of husband and wife, their caregiving experiences and caregiving burden may vary by gender. Thus, the present study was to examine the effect of caregiving experience, especially caregiving motivation and social support focusing on the gender differences. We analysed 「2001 Survey of Care-giving Status and welfare Needs of Older Persons in Korea」 data by performing descriptive statistics, t-test and logistic regression. As a result, we found that the husband was likely to feel more burden when he started caregiving because of few alternatives. For wife caregivers, the less awareness of social support they had, the more possibility of economic burden they felt. With these results, we suggest the necessity of having gender-sensitive perspective in research and policy making for caregivers.

The Factors that Influence Amount and Types of Informal Caregiving to the Severely Disabled Elderly (중증장애노인의 비공식 보호 제공량과 유형의 결정요인 연구)

  • Park, Chang-Je;Kim, Ki-Tae
    • Korean Journal of Social Welfare
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    • v.54
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    • pp.203-220
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    • 2003
  • The purpose of this study is to identify and empirically study the factors that significantly influence amount and types of Informal caregiving to severely disabled elderly who have functional limitations. For this research, a set of caregivers living with the severely elderly were surveyed. Among collected data, data for 211 caregivers were used for this study. The results suggest that a variety of factors determine informal caregivers do systematically determine their allocation of time to the provision of elderly care. The results of four OLS regressions using data surveyed are as follows. First, The hypothesized role of income is supported in model 1 of the four regression models. Second, the technological components of informal care production significantly influences caregiving hours include the number of ADLs and IADLS needs help, the number of caregivers in the team, the utilization of formal services. Third, any component of production technology of household goods do not significantly influence caregiving hours. Fourth, the components of preferences significantly influence caregiving hours include caregiver's participation in market work, willingness money to pay market-purchased care for the elderly.

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Elderly Caregiving and Health : Analysis of the mediate effect of social network and Satisfaction (노년기 수발 경험에 따른 건강 변화 : 사회적 관계망과 만족도의 매개효과 분석)

  • Lee, Seo-yeon
    • 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.

The Psychosocial Well-Being of Grandparents Raising their Grandchildren: The Role of Resources, Type of Care and Perception of Caregiving (손자녀 돌봄과 조부모의 심리적 복지: 돌봄 상황, 양육지각, 자원의 상호관련성을 중심으로)

  • Kang, Yoo-Jean
    • Korea journal of population studies
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    • v.34 no.1
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    • pp.73-97
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    • 2011
  • This study examined what factors were associated with psychological well-being of grandparents providing daily care to their grandchildren. More focus on the role of various mediators such as caregiving perception and resources were given to investigate the complicated relationships between providing care and psychological function. I used the nationally representative data from the '2008 Korean National Survey of Welfare Need in the Elderly'. Results showed that there were diverse circumstances of caregiving. Grandparents who cared their grandchildren on behalf of dual career parents emerged predominantly from them. Findings also suggested that type of caregiving was related to external factors. Grandparents shouldering greater responsibility for their grandchildren showed lower levels of resources such as financial conditions and social support, and more negative perception of caregiving, which in turn was associated with lower psychological well-being. Finally, more financial resource and neighborhood support directly influenced more positive perception of caregiving. To enhance resources and empower grandparents raising their grandchildren, community-based intervening mechanism incorporating various environments and effective services to meet the needs of grandparents should be discussed in future studies.

Factors Affecting Communication Satisfaction of Geriatric Caregiver : Focusing on the case of an urban-rural complex community (노인 돌봄서비스 제공자의 의사소통 만족도에 영향을 미치는 요인 : 도·농 복합 지역사회의 사례를 중심으로)

  • Jongmuk Oh;Juhee Park;Jongnam Hwang
    • The Journal of Korean Society for School & Community Health Education
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    • v.24 no.3
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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.

A Study on the Burden of Family Caregiving with the Mentally Ill and Professional Needs to It (정신질환자 가족의 부담감과 전문적 도움과의 관계연구)

  • 오현주
    • Journal of Korean Academy of Nursing
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    • v.30 no.1
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    • pp.202-212
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    • 2000
  • The purpose of this study was to identify the relationship between the burden of family with the mentally ill and professional needs. Data collection period was from June 29, 1998 to July 30, 1998. The subjects for the study was 134 family members of psychiatric in-patients and out-patients in Taejon and Chungnam. The questionnaire developed by OK-KYUNG YANG to measure the family burden and professional needs was used for this study. The tools used for this study were composed of General characteristics(30 items), family burden(43 items), professional needs(26 items). The data was analyzed by using on SPSSWIN program and included percentage, mean, S.D., t-test, ANOVA and Pearson correlation coefficient. The results of the analysis were as follows; The mean score of family burden was 134.26, which is higer than the mean score of the instrument. The mean score of professional need, the family caregiver who supporting of mentally ill patients, was .48 which is lower than the mean score of the instrument. Family burden was statistically correlated with professional needs(${\gamma}$=.6139, P<.001). There were statistically differences in family burden for respondent's relation, location of living, most care money giver, substant care money giver. There were statistically significant difference in professional need for family age, marriage status, substant care money giver, information status. The conclusion that can be drawn from this study is that addressing professional needs would contribute to reduce burden of the family caregivers with mentally ill. Therefore, Nursing interventions are needed to reduce family burden.

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