• Title/Summary/Keyword: Elderly caregivers

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Factors Influencing Care Burdens of Caregivers of Elders with Dementia who Request Dementia Domiciliary Welfare Services (재가복지서비스 신청 치매노인 주부양자의 부양부담감 영향 요인)

  • Lee, Young-Whee;Kim, Hwa-Soon;Cho, In-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.15 no.3
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    • pp.274-283
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    • 2008
  • Purpose. The purpose of the study was to identify the factors, which predict care burden perceived by caregivers of elders with dementia. Methods: The participants in this descriptive survey were 92 caregivers who used one of six daycare centers located in Incheon. The data were collected by questionnaires composed of items on general characteristics of the elders and caregivers, care burden, caregiver fatigue, and functional status of the elders. Results: General characteristics of the elders associated with care burden were age, gender, religion, and the presence of a spouse. Features of caregivers related to care burden were education, relationship with elderly, amount of rest, intention to care, monthly family income, and perceived family economic status. There were significant correlations among care burden, fatigue of caregiver and functional status of the elders. In stepwised multiple regression analysis, significant influencing factors were identified as caregiver fatigue, functional status of the elders, intention to care, relationship with the elders, amount of rest and elder's gender. Those variables explained 46% of variance of care burden. Conclusion: Functional status of elders and amount of rest were significant predictors and are supported by other previous studies. Future interventions for caregivers need to be focused on the slowing down of functional status of elders and increasing of number and length of caregiver's rest periods.

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A qualitative study on the present conditions and problems of oral health care in senile dementia patients (치매 노인의 구강건강관리실태 및 문제점에 관한 질적 연구)

  • Jung, Eun-Seo;Choi, Yoon-Young;Lee, Kyeong-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.19 no.4
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    • pp.601-614
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    • 2019
  • Objectives: The purpose of this study was to investigate the present conditions and problems of oral health care in senior citizens with dementia using a qualitative research method, through focused group interviews. Methods: Data was collected for approximately one month from May 2019. The subjects were divided into two groups: care workers and family caregivers. Fifteen participants were included in the study. Results: In-depth interviews with the care workers revealed the following three categories: characteristics of senile dementia patients, oral health care in senile dementia patients, and oral health care education. In-depth interviews with the family caregivers revealed the following four categories: characteristics of senile dementia patients, oral health care in senile dementia patients, oral health care education, and burden of care. The central themes common to both the care workers and family caregivers were the challenges owing to the characteristics of senile dementia patients, poor health condition of the senile dementia patients, difficulty in oral health care of the senile dementia patients, the desire to receive oral health care education and related information, and to access the information more easily. Additional central themes specific to the care workers were, the applicability of the intervention programs, variability between the facilities, and the problems of oral health care education. An additional central theme specific to the family caregivers was the burden of care. Conclusions: It is necessary to provide oral health care education and information to care workers and family caregivers of senile dementia patients, and to manage and support the dental health professionals ready to care for senile dementia patients. In addition, support to the family caregivers should not be limited only to the financial aspects, but also consider the psychological and emotional difficulties.

A Study on the Effect of Caregiver Burden on Suicidal Ideation among Caregiver for the Elderly with Dementia (치매노인의 증상정도가 부양자의 자살생각에 미치는 영향에 대한 연구: 부양부담의 매개효과를 중심으로)

  • Kim, JaeYop;Kim, JoonBeom;Jang, DaeYeon;Song, InHan
    • 한국노년학
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    • v.36 no.3
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    • pp.883-903
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    • 2016
  • The purpose of the study is examining the mediation effect of caregiver burden's segmentalized sub factors between dementia caregivers on the relationship between Symptom extent of dementia patients and Suicidal Ideation of dementia caregiver, and suggesting social welfare intervention methods for dementia caregiver The survey is targeted to demented elderly people and caregivers, and currently using medical care institution and day care center in Seoul, Gyeonggi Province and Pusan city. As a result of the survey, 415 cases were collected for the final analysis. In data analysis process, we used SPSS 21.0 for the mediation effect of conversational satisfaction and its significance, and the results are following. First, 21% of the caregivers responded that they had thoughts of suicide in the past year. Second, Symptom extent of dementia patients was positively related to caregiver burden. Third, worse in family relationships, which is sub factors of mediate variable, has partial mediate effect on the model. Based on these outcomes, we suggest the importance and necessity of improved approach about dementia elderly and caregiver between elderly couple as way to reduce caregiver burden and proposed social work-based intervention program for enhancing this.

The Meaning of Death and Caregiving in Old Age: Reading from the Novels of Kyung-ran Jo (문학 텍스트 속의 노년 죽음과 돌봄: 조경란 소설을 중심으로)

  • Park, Sun Ae;Kim, Cheong Seok
    • 한국노년학
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    • v.36 no.3
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    • pp.785-808
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    • 2016
  • This study portraits the way of self-preparation for death among the elderly and examines the meaning and values attached to the elderly-care by their family and friends through the analysis of Kyung-ran Jo's novels. First, the author describes the difficulties and inner conflict of women who provide care for the elderly, especially those facing death in the near future. She also describes how the acceptance of death and self-discovery among the caregivers can be developed from the experience of long term care. These are consistent with the arguments by Ecofemnist on positive sides of providing caregiving in an aging society. In her novels, caregiving from young women is not described as the consequences of internalized gender norms of traditional Confucian culture. Rather, it is depicted as attitude toward a life in a commune where the meaning of life and death of elderly is shared between generations. In addition, struggles of the elderly figures against diseases and the process of their death provide an opportunity for young caregivers to overcome the trauma of other's death witnessed in their childhood. They lead the young caregivers to reflect themselves by raising ontologistic questions on life and death. The author shows the communication between generations presenting the self-preparation of death from the old generation undergoing irreversible aging and caregiving activities of significant others from the young generation. In doing so, the author points out the ethical grounds for diseases and death in old age given the condition of personalization of death in the modern society.

Factors Affecting the Suicidal Ideation in Spouse Caregivers of the Elderly with Dementia Living in the Community (재가치매노인 배우자의 자살생각 영향요인)

  • Du, Nam-Hee;Han, Suk-Jung
    • Journal of the Korea Convergence Society
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    • v.9 no.6
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    • pp.241-250
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    • 2018
  • The purpose of this study was to determine factors affecting the suicidal ideation in spouse caregivers of the elderly with dementia Living in the Community. The data were collected from 160 spouses of elderly people with dementia who use dementia support centers and long-term care service in seoul. Data were collected with structured questionnaires to investigate the general characteristics and suicidal ideation-related factors, and analyzed using t-test, ANOVA, Pearson's correlation coefficient, Multiple regression analysis with SPSS win version 24.0 program. The significant factors affecting suicidal ideation were entrapment(${\beta}=.452$), SDAP(${\beta}=.273$), coping strategies(${\beta}=-.199$), it were explained 55.7%(F=19.199, p<.001). Therefore, counseling and education should be provided to help reduce the entrapment and enhance coping strategy with the dementia condition of the elderly with dementia. Measures also need to be made to improve the accessibility of a spouse with dementia that are left neglected.

The Effects of Job Stress and Organizational Commitment of Caregivers in Elderly Long-term Care Facilities on Service Quality (노인장기요양시설 요양보호사의 직무스트레스와 조직몰입이 서비스 질에 미치는 영향)

  • Kim, Ji-Hye;Shim, Kyu-Soon;Yu, Young-Hee;Lee, Eun-A
    • Journal of Industrial Convergence
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    • v.18 no.6
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    • pp.155-163
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    • 2020
  • The purpose of this study was to verify the effect of job stress of caregivers on service quality for improve the quality of elderly long-term care services and the mediating effect of organizational commitment in the process. To this end, 30 long-term care facilities were randomly sampled out of 1,705 long-term care facilities in Gyeonggi-do, and as a result of a questionnaire survey of 500 caregiver for one month in May 2020, 443 samples were collected, and a total of 415 samples were finally analyzed. As for the analysis method, SPSS WIN 21.0 was used to verify the mediation model using frequency analysis, descriptive analysis, correlation analysis, and regression analysis. As a result of the study, first, job stress had a negative effect on service quality and organizational commitment. Second, organizational commitment has a static effect on service quality. Third, organizational commitment was verified as a perfect mediating in the relationship between job stress and service quality. This suggested the importance of the effect of organizational commitment in the process between job stress and service quality of caregivers and sought a policy ways to to improve the service quality of caregivers.

The Burden of Aged Parents Caring for Adult Children with Disabilities (성인이 된 장애자녀를 돌보는 노인부모의 부양부담감)

  • Suk, Min-Hyun;Kim, Eun-Hye
    • Research in Community and Public Health Nursing
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    • v.21 no.4
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    • pp.439-447
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    • 2010
  • Purpose: This study was to describe the burden of aged parents caring for adult children with disabilities and related factors. Methods: The subjects were 123 caregivers aged over 65 who were caring for 18-year-old or older children with disabilities. The research tool of this study was a structured questionnaire on family burden. Data were collected from June 3 to 25, 2010, and analyzed by Cronbach's alpha, mean, standard deviation, t-test, and ANOVA using SAS 9.2 program. Results: The major findings of this study were as follows. Elderly parents caring for adult children with disabilities perceived a moderate level of burden. The burden from concern over their children's future was highest, and economic and physical burdens were higher when the parents were younger. Burden was significantly different according to parents' characteristics such as gender, perceived health status, disease, the costs of caring for disabled children, and children's characteristics such as disability rating, health status, and ADL. Conclusion: In order to reduce the burden of elderly parents caring for adult children with disabilities, we need to improve their health status and assess comprehensive policies.

Coping with dementia related behavior problems of the elderly and care providers (치매노인 문제행동과 간호제공자의 대처행동 관계)

  • Lim, Dong Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.7
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    • pp.4805-4815
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    • 2015
  • Dementia is targeted at the elderly and dependent family members, care providers, and the types of problem behaviors of the elderly with dementia by care providers learn how to cope with the relationship was tried for. Dementia in the elderly problem behaviour is the program's descriptive statistics, t-test, ANOVA, and dementia in the elderly problem behaviors for coping with behavior and the relationship between discrete variable using correlation analysis. The findings support the family and nursing experience of senile elderly issues, acting as a provider edge actions appeared the most high, and repeat the same question or request. ', ' Making loud noises or shouting. ' and '. 'Being stubborn, not listening to the words of the caregiver.' etc. In addition, this study, which appeared in dementia in the elderly cope with behavior based on behavioral problems and discuss the ' Verbal discussion ', ' Removal of the cause for incidents ' and ' Restriction of actions ' action causes this correlation. Therefore, caring for the elderly with dementia in a nursing institution and sanction providers related to dementia in the elderly appear to be frequently problem behaviors of the problematic behavior is not much need to be able to cope with the regular education, this study to the development of behavioral problems in dementia patients by an individualized nursing intervention program for caregivers caring for dementia patients, as basic materials will be provided.

A study of the factors in Economic Dependency in the Senior Center for the Elderly -on the Basis of Elderly in Songpa-gu, Seoul- (경로당 이용노인의 경제적 의존성에 영향을 미치는 요인 -서울시 송파구 노인을 중심으로-)

  • Lee, Ae-Lyeon;Kim, Ji-Eun
    • Journal of Family Resource Management and Policy Review
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    • v.16 no.4
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    • pp.213-233
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    • 2012
  • This descriptive study about a community center for elderly users identifies factors influencing economic dependency. The objective of this study is to find factors that contribute to increased economic dependency and to provide basic data for preventing conflict between caregivers and elderly dependents. The subjects are 204 elderly persons who are community-center users in SongPa-Gu. Thirteen dongs (administrative areas) were chosen randomly in a cluster sample from among 26 dongs in Soungpagu containing a total of 158 community centers for the elderly. I obtained informed consents for my research from all subjects, and collected data by conducting interviews from June 28th, 2011 to August 7th, 2011. The data was analyzed by descriptive statistics, t-test, one-way ANOVA, Duncan test and multi regression analysis. The mean economic dependency score was 3.23, meaning that subjects with this score are dependent at a level that is "over intermediate". The level of formal education, homeownership, financial assistance from family and the number of families, financial assistance to the family and the number of families, economic life satisfaction, self efficacy and social support.

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Differences in Family Caregivers' Opinions about Out-of-Pocket Payment for Long-Term Care Facilities by Income Levels (장기요양 시설서비스 이용자의 소득수준별 본인부담금에 대한 인식 차이)

  • Kwon, Jinhee;Moon, Yongpil;Lee, Jung-Suk;Han, Eun-Jeong
    • Health Policy and Management
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    • v.27 no.2
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    • pp.139-148
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    • 2017
  • Background: The purpose of this study is to investigate family caregivers' opinions about out-of-pocket payment for long-term care (LTC) facilities, and find the differences in the opinions for family caregivers of all different levels of income. Methods: We used the data of the study on out-of-pocket payment in national long-term care insurance, including 1,552 family caregivers with the elderly in long-term care facilities. Results: The average out-of-pocket payment per month was 511,635 Korean won and distributed from 230,750 to 1,365,570 Korean won. The amount of out-of-pocket payment might be affected by not co-payment but the cost of non-covered service. There were differences in them for family caregivers of all different levels of income. Opinions were surveyed about 5 issues. By levels of income, there were differences in their opinions about 3 issues, the financial burden on LTC, the necessity of reducing out-of-pocket payments, and to be willing to pay more for a high quality service. But there were not different opinions about the interruption of LTC service and staying with LTC facilities. Conclusion: These findings suggest that the range of out-of-pocket payment for LTC facility is wide and it can be a burden to lower income group. It should be to prepare the policies to ease the financial burden and support the appropriate LTC use.