• Title/Summary/Keyword: Family Care

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Factors affecting family Caregivers' Preference for Utilization of Community Eldercare Services (가족부양자의 재가복지서비스 이용의사에 영향을 미치는 요인에 관한 연구)

  • Song, Da-Young
    • Korean Journal of Social Welfare
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    • v.53
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    • pp.105-128
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    • 2003
  • This study examined the factors affecting family caregiver's preference for utilization of community care services among those who are caring for 65+ elderly parents, and aimed to show how social eldercare services would be settled in Korea. Help-seeking behavior model developed by Anderson and Newman(1973) was used to analyze the factors affecting their preference for utilizing the community care service among 283 family caregivers. Frequency, Chi-square, and Multinominal logistic analysis on SAS 6.12 was used. According to the results, about 90% of the family caregivers have preference for community and institute care services. In community care service, about a half comprise the preference with charge while the other without charge. However, about 90% of those for institute care service show their willingness to pay for the service. Also, a majority of caregivers like to rely on social eldercare service, rather than family as exclusively responsible, against long-term care for their elderly parents. Multinominal analysis demonstrates that use versus nonuse of community care services is primarily affected by predisposing factors(including age, carer-caree closeness, and familism) and need factors (including economic or psychological burden of eldercare, and additional role for family care). Enabling factors, such as family income level, economic support from other family members and siblings, and supportive care-helpers, are mainly associated with the preferences of free versus charge in service use. These findings provide some implications and suggestions for the development of social eldercare services in our aging society.

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Factors associated with Health-related Quality of Life among Family Caregivers of Elders Receiving Home Care Services (재가 장기요양노인 가족수발자의 건강 관련 삶의 질 영향요인)

  • Kim, Eun-Young;Yeo, Jung Hee
    • Research in Community and Public Health Nursing
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    • v.23 no.2
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    • pp.117-126
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    • 2012
  • Purpose: The purpose of this study was to identify the factors associated with the health-related quality of life of family caregivers. Methods: A cross-sectional study was conducted. This study included 191 primary family caregivers of elders who used home care services (home-visit nursing, home-visit care, daycare) covered by the public long-term care insurance. Data were collected using self-report questionnaires from December 2010 to June 2011. These data were analyzed by using hierarchical multiple regression. Results: The majority of the family caregivers were female (79.6%) and daughters-in-law (28.8%). The mean depression score was $6.33{\pm}6.49$ and the mean health-related quality of life score was $0.69{\pm}0.39$. It was found that the factors affecting the health-related quality of life of family caregivers included depression (${\beta}$=-.406, p<.001), home-visit nursing use (${\beta}$=.296, p<.001), and daycare use (${\beta}$=.178, p=.015), which accounted for 36.6% of their health-related quality of life. Conclusion: Using home-visit nursing and daycare services has a positive effect on the health-related quality of life of family caregivers. To improve health-related quality of life of family caregivers, South Korea needs to fully activate the home-visit nursing and daycare services, and to strengthen family support programs.

Cancer Care Burden among Primary Family Caregivers of Iranian Hematologic Cancer Patients

  • Abbasnezhad, Masoomeh;Rahmani, Azad;Ghahramanian, Akram;Roshangar, Fariborz;Eivazi, Jamal;Azadi, Arman;Berahmany, Golshan
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.13
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    • pp.5499-5505
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    • 2015
  • Background: Providing care for hematologic cancer patients may lead to many negative complications in different aspects of life in their family caregivers. Based on a wide review of relevant literature, there are limited data about the burden of giving care for hematologic cancer patients on their primary family caregivers in Iran or other Middle Eastern countries. Therefore, the aim of this study was to investigate the cancer care burden on primary family caregivers of hematologic cancer patients, in terms of physical, psychological, social, spiritual, and financial aspects. Materials and Methods: In this descriptive study, 151 primary family caregivers of hematologic cancer patients referred to two cancer care centers in East Azerbaijan Province in northwest of Iran participated. The Financial Distress/Financial Well-being Scale, Hospital Anxiety and Depression Scale, Vaux Social Support Questionnaire, Spiritual Well-being Scale, and SF-36 were used for data collection. Data analysis was performed with SPSS software. Results: The findings of this study indicated that the primary family caregivers experience a high level of financial distress and a significant percentage of them suffered from anxiety and depression. In addition, the physical quality of life in these caregivers was moderate. On the other hand, spiritual health and social support of participants was at an acceptable level. Conclusions: Iranian primary family caregivers of hematologic cancer patients experience many problems in physical, psychological, and financial aspects of their life. Therefore, developing care plans for reducing these problems appears necessary.

The Alternatives and Perspectives on Family-friendly Support in Business for Care Work-Focused on Community Involvement and Role of the Family-friendly Support Center- (기업의 가족친화적 돌봄지원사업의 대안과 방향 -지역사회확대와 가족친화지원센터의 역할을 중심으로-)

  • Jeong, Young Keum
    • Journal of Family Resource Management and Policy Review
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    • v.16 no.4
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    • pp.93-109
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    • 2012
  • Many leading companies provide family-friendly policies for a good work-family balance and to increase the productivity of their workers. The workers receive such benefits as family leaves or financial support for caring for their dependents. But the employees need much more support than these benefits to properly care for their families. This study examines the role of the companies in the expansion of family-friendly policies to the community. A few companies see community relations-such as investing in community programs-as linked to work-family policies. Accordingly, this study suggests the best practices and alternatives of many companies. This study also examines the role and perspectives of the Family-Friendly Support Center as an organization that can lead the community involvement of the business. This center can promote the company's collaboration and network of stakeholders.

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Transnational Care for Left-Behind Family with Particular Reference to Nepalese Marriage Migrant Women in Korea (국내 네팔 결혼이주여성의 본국 가족에 대한 초국적 돌봄 연구)

  • Kim, Kyunghak;Yoon, Miral
    • Journal of the Korean association of regional geographers
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    • v.23 no.3
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    • pp.514-528
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    • 2017
  • This study aims at exploring the transnational care for family members back home among the Nepalese marriage immigrant women in Korea on the bases of some transnational care practices like remittances, virtual intimacy through information and communication technologies, visit to Nepal, and invitation of family members to Korea. This study argues that in order to understand migrant women's care practices properly, Nepalese marriage immigrant women should be considered as 'being in-between' the societies and cultures of Nepal and Korea. This study identifies the characteristics of transnational care practices of Nepalese women are closely related to the role expectation for the eldest daughter as well as whether or not migrant women have children, jobs, and original family member in Korea. Furthermore, this study highlights that migrant women's transnational care practices should be considered as 'reciprocal exchange of cares' between marriage women and their family members rather than one-way benefits going to the latter.

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Family Functioning and Quality of Life of the Family Care-giver in Cancer Patients (암환자 가족 간호자가 인지하는 가족기능수행과 삶의 질)

  • Han, Kuem-Sun;Khim, Soon-Yong;Lee, Sook-Ja;Park, Eun-Sook;Park, Young-Joo;Kim, Jeong-Hwa;Lee, Kwang-Mi;Kang, Hyun-Chul;Yoon, Ji-Won
    • Journal of Korean Academy of Nursing
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    • v.36 no.6
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    • pp.983-991
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    • 2006
  • Purpose: The purpose of this study was to identify the relationship among quality of life, family coherence, family hardiness, and family resources of the family care-giver caring for a cancer patient. Method: Data was collected by questionnaires from 137 families with a cancer patient at a General Hospital and Government Cancer Hospital. Data was analyzed using descriptive statistics, pearson correlation coefficients, and stepwise multiple regression. Results: The score of quality of life showed a significant positive correlation with the score of the level of family sense of coherence, family hardiness, and family resources. The most powerful predictor of quality of life was sense of coherence and the variance was 30%. A combination of sense of coherence and family resources account for 34 % of the variance in quality of life of the family care-giver caring for a cancer patient. Conclusion: The results showed that family sense of coherence, hardiness, and family resources were significant influencing factors on the quality of life of the family care-giver caring for a cancer patient.

Changes in Family Life and Relationships during the COVID-19 Pandemic and their Associations with Perceived Stress (코로나19 확산에 따른 가족생활 및 가족관계의 변화와 스트레스)

  • Chin, Meejung;Sung, Miai;Son, Seohee;Yoo, Jaeeon;Lee, Jaerim;Chang, Young Eun
    • Human Ecology Research
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    • v.58 no.3
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    • pp.447-461
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    • 2020
  • This study explores how the COVID-19 pandemic has changed family life and relationships as well as how these changes affect perceived stress among married men and women. This study investigated changes in family time use, household work, child care, leisure activities, income and expenditures along with relationships between spouses and children using a sample of 627 married persons surveyed online from May 19 to 25, 2020. The results showed that the amount of time spent on household work, child care, and family leisure have increased and that the perceived burden of household work and child care has also increased. Gender differences were found in time use, household work, and child care. Leisure activities have changed toward more time watching TV or online media and playing online games and less time on outdoor activities, shopping, and meeting friends. About 38% of respondents reported a reduction in household income and 22% reported an increase in household debt. The majority experienced no change in the quality of relationships with spouses and children, approximately 20% of the sample reported a positive change in relationships with spouses and children. The findings of multivariate regression indicated that change in work time, negative change in household economy, negative change in household work and negative change in relationships with spouses were associated with marital stress. However, this study found that negative changes in child care and in relationships with children did not affect stress among married parents with children in elementary or secondary school.

Factors Related to Family Caregivers' Burden with the Community-Dwelling Disabled Elderly under the Long-Term Care Insurance System (장기요양 재가서비스 이용자를 돌보는 가족주부양자의 부양부담감에 영향을 미치는 요인)

  • Han, Eun-Jeong;Lee, Jung-Myun;Kwon, Jin-Hee;Shin, Seul-Bi;Lee, Jung-Suk
    • Health Policy and Management
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    • v.24 no.1
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    • pp.71-84
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    • 2014
  • Background: Informal care is increasingly recognized as placing a significant burden on the lives of family caregivers. The purpose of this study is to investigate factors related to family caregivers' burden with the community-dwelling disabled elderly under the long-term care insurance system, using the Stress Process Model developed by Pearlin (1990). Methods: Total 1,233 family caregivers with the disabled elderly, using the long-term care services in their home from May to June 2009, completed questionnaires finally. The questionnaire of this study consists of a total of 32 questions, including 11 questions related to background and context, 17 questions related to objective stressors, and 4 questions related to coping resourses. Family caregivers' burden is measured by the Korean Revised Caregiving Appraisal Scale (K-RCAS, Cronbach's alpha=0.86). To investigate factors related to family caregivers' burden, multiple regression analysis was conducted. Results: The average score of caregivers' burden was 22.0 (${\pm}6.12$). In multiple regression analysis, there were statistically significant factors affecting on the family caregivers' burden, that are related to background and context (region, living status, education level, relationship with beneficiary), objective stressors (duration of caregiving), coping resourses (caregiver's health status). Conclusion: This study found that family caregivers experience a considerable burden. The findings suggest that policies must be taken to relieve family caregivers of their duties temporarily, and to support them with counselling and education.

A Study of the Family Caregiver's Burden for the Senile Dementia in a Rural Area (일부 농촌 지역 치매노인 가족의 부양부담에 관한 연구)

  • Jang, In-Sun
    • Journal of Home Health Care Nursing
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    • v.2
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    • pp.60-76
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    • 1995
  • The purpose of this study was to analysis level on family caregiver's burden for the elderly with senile dementia in a rural area and to choose priority care group, thereby facilitating the development of interventions to reduce the caregiver's burden. For this purpose, data were collected by questionaire from June 10 to October 8, 1994. The instruments for data collection were Caregiver Burden Inventory by Novak(1989) and Zarit et al(1982), severity of dementia by Hughes Scales (1982), ADL by Lawton (1971), patients' family caregiving activity by pre-survey and reference review(Lee, 1993 ; Jang, 1990 ; Yoo, 1982). The subjects were 60 family caregiver of senile dementia in a rural area. The data was analysed by the use of t-test, ANOVA, correlation and multiple regression. The results were as follows : 1. Total burden was evaluated over average, the mean of family burden was 61.24. 2. Significant variables which were correlated to the family caregiver's burden were the severity of dementia(F=30.52, p<0.001), ADL(F=5.43, p<0.01), PADL(F=6.14, p<0.01), caregiver's health status(F=6.05, p<0.01), a view of patient's prognosis(F=4.08, p<0.05), the number of hours per day spent on caregiving(F=19.64, p<0.001), level of intimacy of caregiver and patients(F=7.16, p<0.001), the frequency of caregiving activity(F=5.31, p<0.01). 3. ADL was the most important predictor to family caregiver burden(R2=0.6611). In addition to this, the severity of dementia, level of intimacy of caregiver and patient, relationship with the patient accounted for 79% of family caregiver burden. 4. The criteria of priority care group were as follows ; the mean of family caregiver burden was above 58, above of moderate ADL, the number of hours per day spent on caregiving above of 8 hours, above of moderate dementia. By the the severity of dementia, number of priority care group, mild dementia was 10(43.4%), moderate dementia 23 (92.0%), sever dementia 12(100.0%).

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Clinical Practice Guideline for Care in the Last Days of Life

  • Shin, Jinyoung;Chang, Yoon Jung;Park, So-Jung;Choi, Jin Young;Kim, Sun-Hyun;Choi, Youn Seon;Kim, Nam Hee;Yum, Ho-Kee;Nam, Eun Mi;Park, Myung Hee;Moon, Nayeon;Moon, Jee Youn;Kang, Hee-Taik;Kang, Jung Hun;Park, Jae-Min;Lee, Chung-Woo;Kim, Seon-Young;Lee, Eun Jeong;Koh, Su-Jin;Kim, Yonghwan;Cho, Myongjin Agnes;Song, Youhyun;Shim, Jae Yong
    • Journal of Hospice and Palliative Care
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    • v.23 no.3
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    • pp.103-113
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    • 2020
  • A clinical practice guideline for patients in the dying process in general wards and their families, developed through an evidence-based process, is presented herein. The purpose of this guideline is to enable a peaceful death based on an understanding of suitable management of patients' physical and mental symptoms, psychological support, appropriate decision-making, family care, and clearly-defined team roles. Although there are limits to the available evidence regarding medical issues in patients facing death, the final recommendations were determined from expert advice and feedback, considering values and preferences related to medical treatment, benefits and harms, and applicability in the real world. This guideline should be applied in a way that takes into account specific health care environments, including the resources of medical staff and differences in the available resources of each institution. This guideline can be used by all medical institutions in South Korea.