• Title/Summary/Keyword: Family Burden

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The Degree of Burden of Family Caregivers as Related to the Level of ADL of Patients with Strokes (뇌졸중환자의 일상생활 수행능력에 따른 가족의 부담감)

  • Kim, Hyun-Mi;Park, Jum-Hee;Jang, Gun-Ja
    • Research in Community and Public Health Nursing
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    • v.9 no.2
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    • pp.362-373
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    • 1998
  • This study was designed and undertaken to identify the degree of burden of family caregivers for patients who had a stroke as the burden is related to the ADL of the patients. The data were collected from October 3rd, 1997 to March 20th, 1998. The subjects in this study were 126 caregivers as family members and 126 patients with strokes who were hospitalized in two oriental medicine hospitals and four general hospitals located in Taegue and Pusan City. The questionnaires consisted of questions regarding burden(25 items) of caregivers and ADL (25 items) of patients with strokes. Data were analyzed using percentages, mean, t - test and ANOV A done with the SPSS program. The results of this study were as follows: 1. The score for family caregiver's burden was higher than the middle score. 2. The family caregivers' age had statistically significant differences in the degree of burden. 3. The age and sex of patients affected the burden of caregivers significantly. That is, caregivers felt more of a burden when caring for the patient group in their sixties than in any other age group and female patients created more of a burden than male patients. 4. There was a statistically significant difference in the degree of caregiver burden according to the level of patient ADL.

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Quality of Life and Family Burden in Cancer Patients (추후 관리 암환자의 건강관련 삶의 질과 가족부담감)

  • Sung, Il Soon;Kim, Ji Youn;Noh, Gie Ok;Ahn, Ki Duck;Ryu, Eun Jung;Kwon, In Gak
    • Korean Journal of Adult Nursing
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    • v.19 no.4
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    • pp.603-613
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    • 2007
  • Purpose: The purpose of this study were to investigate the self-reported quality of life and family burden and to examine the factors associated with the quality of life in patients with cancer. Methods: 216 patients participated in the cross-sectional study. The European Group of Research and Treatment of Cancer Quality of life Questionnaire (EORTC QLQ-C30) and the Family Burden Scale were sent by mail to 2,000 cancer patients. Two hundred and sixteen patients answered the questionnaire. The stepwise multiple regression was conducted to analyze predictors of overall quality of life. Results: All subscales of EORTC QLQ-C30 were significantly correlated with family burden. The regression analysis of patients with cancer revealed some variables as significant predictors; performance, perceived severity, family burden, time since diagnosis, and sex. Conclusion: The results offer a number of recommendations for future research and nursing practice focused on primary care for patients with cancer and their family for improving quality of life.

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Factors of Caregiving Burden and the Effectiveness of Social Welfare Services for the Family Caregivers of the Impaired Older Persons (노인간병가족의 부담요인 및 부담완화를 위한 사회복지서비스와 실천방법의 효과에 관한 연구)

  • Lee, In-Jeong
    • Korean Journal of Social Welfare
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    • v.46
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    • pp.319-348
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    • 2001
  • The primary purpose of this study is to examine the buffering effect of social welfare services on the relationship between the level of older persons' impairment and burden experienced by the family caregivers. It also assessed the level of caregiving burden as well as the effect of both older person's impairment and the characteristics of the caregivers on burden. The survey data collected from 150 community residing family caregivers was used for analyses. Findings are as follows. First, the caregivers are more burdened in the deterioration of mental health, scarce time for oneself, and the suffering of social life than in other areas of burden. Second, the more severe the physical and the mental impairment of the elder, the more burden the caregivers experience. The caregivers' characteristics such as the worse mental health, the lower level of attachment to the elder, the longer caregiving hours are also related to the higher level of caregiving burden. Third, the caregivers' use of adult day care and respite care services buffer the relationship between the level of impairment of older persons and the caregiving burden. However, social work counselling, visiting nurse, homemaker services do not have such buffering effects. Among informal support, instrumental support buffers the relationship between the elder's physical impairment and burden, while emotional support buffers the relationship between the elder's mental impairment and burden. According to the results, implication for social welfare services and practice methods for the family caregivers was discussed.

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A Study on the Association between Healthcare Utilization and the Burden of Families Caring for the Elderly in the Last 6 Months of Life (노인의 사망 전 6개월간 의료이용수준과 간병가족의 가족부담과의 관련성)

  • Yi, Jee-Jeon;Lee, Hee-Na;Ohrr, Hee-Choul;Jung, Hye-Young;Yi, Sang-Wook
    • Journal of Preventive Medicine and Public Health
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    • v.36 no.4
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    • pp.332-338
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    • 2003
  • Objective : To investigate the relationship between medical expenses and the burden of families caring for the elderly in the last 6 months of life, and to evaluate the factors relating to the burden of family caregivers. Methods : The families of 301 persons older than 65 years, who died between 1 July and 31 December 2001, and were registered in Resident-based- Health Insurance Programs in Seoul, were interviewed. The medical expenses and length of stay among the elderly were collected from Korean Health Insurance Corporations. Results : 31 percents of the elderly had no medical expenses in the last 6 months of life. On average, the objective burden (4.92) was higher than the subjective burden (3.35). Families caring for male elderly had a higher burden. With increasing age af death, the objective burden was significantly increased. The burden on a family seemed to be influenced more by the family income than the property of the elderly. With increasing total health care costs, the objective burden on the family caregivers was significantly increased, but with increasing medical expenses, the subjective burden was significantly decreased. Conclusion : An association between healthcare utilization and burden on families was observed. The reason for the decreasing subjective burden when medical expenses were decreased was unclear. Further research will be needed.

A Study on the Degree of Burden and Quality of Life in Family Caregivers of Patients with Stroke (뇌졸중 환자가족이 인지한 부담감 및 삶의 질에 관한 연구)

  • Kim Hyun-Mi;Jang Gun-Ja
    • The Journal of Korean Academic Society of Nursing Education
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    • v.4 no.1
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    • pp.81-94
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    • 1998
  • This study was designed and undertaken to identify the degree of burden and quality of life in family caregivers of patients with stroke and to determine whether burden was directly related to quality of life. The data were collected from October 3rd, 1997 to March 20th, 1998. The subjects in this study were 126 caregivers as a family member and 126 patients with stroke who were hospitalized in two oriental medicine hospitals, three general hospitals located in Taegue City and Pusan City. The questionnaires consisted of questions regarding burden(25 items) and quality of life (18 items) of caregivers. Data were analyzed using percentages, mean, 1-test, ANOVA and Pearson-correlation coefficients done with the SPSS program. The results of thi study are as follows : 1. The score for family caregiver's burden was higher than the middle score. 2. The score for family caregiver's quality of life was relatively low. 3. The relationship between burden and quality of life was showed a significant inverse correlation. 4. The family caregivers' age had statistically significant differences in the degree of burden. 5. The education and monthly income of caregivers had statistically significant differences in the quality of life. That is, the higher the level of education and the higher the monthly income, the higher the degree of quality of life. 6. The age and sex of patients had affected the qualiry of life of caregivers sigmificantly. That is, caregivers felt more burden when caring for the patient group in sexties than any other age group and female patients than for male patients. 7. In the relationships between quality of life and general characteristics of the stroke patients, only the patients' sex was showed a statistically significant difference. That is, caregivers felt more quality of life when taring for male patients than female patients.

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Convergence Study on the Influence of the NeuroRehabilitation Patients on Family Burden (뇌신경계 재활 환자 가족부담감에 미치는 영향에 관한 융합연구)

  • Yang, Young-Mi;Cho, Mi-Ock
    • Journal of Convergence for Information Technology
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    • v.9 no.5
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    • pp.77-85
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    • 2019
  • This study is a descriptive study to identify the burden of family burden, general characteristics, and disease characteristics of patients undergoing cranial nerve rehabilitation in hospitalized rehabilitation hospitals and to identify the factors influencing the integration. The questionnaire was administered to 113 family members who were the primary care providers of rehabilitation in rehabilitation hospitals and analyzed using the SPSS statistics 22 program. The results of this study showed that the level of burden of the patient family was 3.16, the burden of the family was significantly different in the age of the caregiver, the educational level, and the relationship with the caregiver. There was no difference. Finally, the factors influencing family burden were identified as predictors of carer's age, education, religion, and relationship with the patient. It will be necessary to consider general characteristics in the development of an intervention program that lowers the burden of family rehabilitation.

Relation to the Burden and Function of Family Care-givers Caring for Home Care Clients (가정간호 대상자 가족의 부담감과 가족기능과의 관계)

  • Oh, Seung-Eun;Kim, Soon-Lae
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.14 no.2
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    • pp.91-97
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    • 2007
  • Purpose: This thesis focuses on researching the burden of the Home Health Care that the Family Care-givers have. Method: This study had been conducted for the duration of 3 consecutive months from January 2006 to March 2006 and had investigated 120 person registered as the Home Health Care Clients to a University Hospital located in Incheon City. The thesis adopted the 'feeling of burden' measuring method jointly developed by Seo, Mi-Hye and Oh, Ga-Sil(1993), and FACES-III(Family Adaptability Cohesion Evaluation) developed by Olson(1985) etc. translated by Kim, Yun-Hee(1989) as the measuring method for Family Function. Result: The overall Health Status of the Home Health Care Clients was 2.18 point of average out of 3 point, where as 1.83 for Activities of Daily living and 1.98 for Vital sign, which are below the average. In the mean time, the Competence for Modified Barthel Index marked 30.88 point out of the full mark. The analyzed result of the burden that the family members have was 3.43 point of average out of 5 point which shows that the interviewee feel that they are considerable burden to their families. When it comes to 'the Burden to the family members' and 'the Function of the family' according to the characteristics of the patient, the result shows statistically significant differences, which are varied according to gender, the relationship between the care-givers and the patients. When it comes to the Family Cohesion, the difference was examined as 'statistically significant' according to the Academic background of the patients and the relationship between the patients and the interviewee.(p<0.05). The result also suggests that there exists 'Negative correlation' among the level of patients' health status, the Family Cohesion and the Family Burden. Conclusion: From the result of this study stated above, this thesis is strongly insisting that there is an urgent need for us to develop a health care mediation program, which could eventually reduce the burden of home health care that the patients' family have. At the same time, a follow-up research to prove the effect of the program is imminent.

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Factors Affecting the Quality of Life of Family Caregivers of Patients with Parkinson Disease (파킨슨병 환자 가족의 삶의 질에 미치는 영향요인)

  • Kim, Gyuri;Kim, Minju
    • Journal of muscle and joint health
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    • v.26 no.2
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    • pp.102-110
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    • 2019
  • Purpose: The purpose of this study was to investigate the factors affecting the quality of life of family caregivers of patients with Parkinson disease in Korea. Methods: A total of 162 family caregivers of patients with Parkinson disease who were visiting the D hospital in B city completed questionnaires, including general and disease-specific characteristics, family burden, patient-caregiver relationship satisfaction, family support and quality of life. Data were analyzed with t-test, ANOVA with $Scheff{\acute{e}}$ test, Pearson's correlation coefficient, and multiple regression analysis using SPSS 23.0. Results: The average score of the quality of life was $85.54{\pm}17.74$ (range: 26~130) among family caregivers of patients with Parkinson disease. Stepwise multiple regression analysis revealed that fifty percent of the quality of life was explained by family support, family burden, and patient-caregiver relationship satisfaction. Conclusion: Family support, family burden, and patient-caregiver relationship satisfaction were identified as factors affecting the quality of life of family caregivers of patients with Parkinson disease. Therefore, it is necessary to develop a program to enhance family support and reduce family burden to improve the quality of life of family members caring for patients with Parkinson disease.

Cure Program Development for Caregivers of Elderly with Dementia (치매노인 부양자를 위한 치료프로그램 모형 개발)

  • Hong Dal-Ah-Gi
    • Korean Journal of Human Ecology
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    • v.7 no.4
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    • pp.41-54
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    • 2004
  • The purpose of this study was to develop the cure program for family caregivers of elderly with dementia, As the lifespan has been expanded, Most of family caregivers had serious problems which are burden for caregiving(economic burden. physical & social burden, negative elderly-family caregiving relationship) and the life quality of the elderly and family caregivers and the future social welfare alternatives for taking care of the elderly. To develop the cure program for family caregivers of elderly with dementia is very important. This program can prevent to be another elderly with dementia. The results can be used as basic data to develop educational programs for family caregivers.

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Caregiver Burden in Caring for Elders Before and After Long-term Care Service in Korea (장기요양서비스 전.후 가족의 수발 부담감에 영향을 미치는 요인)

  • Lee, Hung-Sa
    • Journal of Korean Academy of Nursing
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    • v.42 no.2
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    • pp.236-247
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    • 2012
  • Purpose: Purposes of this study were: evaluation of family burden of caring for elders who receive long term care services, and examination of differences in burden before and after the introduction of long term care service in Korea. Methods: Data were collected by questionnaires from 416 caregivers of elders who were registered with the Long Term Care Insurance Corporation in six cities. Data were collected in September, 2010 and analyzed using descriptive statistics, paired t-test, and ANOVA with the Scheffe test, and stepwise multiple regression. Results: Family burden decreased significantly after longterm care service was initiated. Subjective burden decreased from 2.93 to 2.69 (t=11.78, $p$<.001), and objective burden, from 3.40 to 3.10 (t=12.73, $p$<.001). Stepwise multiple regression analysis revealed that factors affecting subjective burden were family relations (F=13.60, $p$=.003), age (F=5.47, $p$=.019), job (F=6.98, $p$=.008), and education (F=4.59, $p$=.032), and that factors affecting objective burden were living together (F=17.66, $p$<.001), job (F=13.34, $p$=.003), monthly income (F=6.61, $p$=.010), and type of service (F=6.62, $p$=.010). Conclusion: The results of this first study to investigate caregiver burden after the Korean Long-term Care Insurance System was begun provide positive information for the development of strategies to decrease family burden in long term care.