• Title/Summary/Keyword: Family Care

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Oral care practices for dementia patients and social support and depression in family caregivers of dementia patients (치매환자 부양가족의 치매환자 구강관리 실태 및 우울과 사회적지지)

  • Nam, Young-Ok;Lee, Kyeong-Hee;Park, Il-Soon
    • Journal of Korean society of Dental Hygiene
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    • v.19 no.5
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    • pp.845-858
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    • 2019
  • Objectives: This study aims to contribute to devising systems for family caregivers of dementia patients by examining the state of oral care of dementia patients, and depression and social support among family caregivers of dementia patients. Methods: Family caregivers of dementia patients in the metropolitan area were selected in this study. The inclusion criteria were individuals who have provided care for a dementia patient at home for at least six months and those who come in contact (including phone calls) with the patient at least twice a week. Results: Oral health knowledge of the elderly, caregiving burden, depression, and social support were examined. The mean scores for oral health knowledge of the elderly and caregiving burden were $57.11{\pm}16.94$ out of 100 and $17.33{\pm}8.61$ out of 48, respectively. Further, the mean caregiving behavior score, depression score, and social support score were $8.49{\pm}13.71$ out of 100, $5.11{\pm}3.05$ out of 10, and $72.75{\pm}17.03$ out of 100, respectively. Factors affecting oral health knowledge of the elderly were examined. The results showed that the level of oral health knowledge of the elderly increased with an increasing perception of a need for oral health education (p<0.05), caregiving burden (p<0.01), and social support (p<0.01). Conclusions: These findings suggest that developing and popularizing oral care intervention programs for family caregivers of dementia patients are necessary to ensure systematic oral care for dementia patients.

The Analysis of Expenditure for Private Education and Child-Care Service of Preschool and Elementary Children (아동기 자녀를 둔 가정의 사교육비 및 위탁양육비 분석)

  • 김순미
    • Journal of Families and Better Life
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    • v.15 no.4
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    • pp.237-252
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    • 1997
  • The purpose of this study were to identify the income allocation structure of private education and child care and to analyze contributing factors income allocation structure of private education and child care for two children among Korean married couples. For these purposes total sample of 760 married couples those having two children of both pre-school aged and elementary school aged wee selected and total sample was divided into two groups by first child's school aged; those were pre-school aged(375) and elementary school aged (385) Statistics were frequencies means percentile and Tobit and OLS analysis. The results were as follows. First 268 households among the households those having the first child of pre-school aged spent 11% of income for private education while 29 households spent 7% of income for child care. 348 households among the households having the first child of elementary school aged spent 11% of income for private education. Second pre=-school aged' contri uting factors to income allocation struture of private education and child care were household family type family size home ownership and financial asset amount and elementary school-aged factors were satisfaction of family relationship and financial asset.

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A Phenomenological Perspective and Meaning of the Family Caring for the Patients under Home Care Nursing (가정간호를 받는 만성질환자 가족의 체험)

  • Kim, Young-Hae;Kim, Moung-Su;Jung, Jung-Sim;Kim, Yun-Hee;Kim, Young-Soon;Choi, Nam-Yeun;Rhu, Sung-Mee;Go, Young-Hee
    • Journal of Home Health Care Nursing
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    • v.10 no.1
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    • pp.41-51
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    • 2003
  • The purpose of this study was the family caring for the patients under home care nursing in the two college hospitals in Busan and Kyungnam Province. Researchers deep-interviewed the participants and asked using the non-constructed questions. 'What did you experience through home care nursing?'. The results are summarized as follows ; First, there were 196 final meaningful statements in the end and 32 constructed meanings, which were classified into 13 themes. These themes were again divided into four categories such as introduction, development, turn and conclusion. In the 'Introduction' three themes were included as follows ; 'feeling their eyes blinded', 'feeling a burden to have such a patient at home', and so on. In the 'conclusion' consisted of four such as 'finding it worthwhile to take care of them at home despite in the suffocated reality', 'pinning hope on the patient', 'retiring the world at first, but later going outdoors and feeling better', and 'realizing the real meaning of family through the difficult situation'. On the basis of this research results, home care nurses have to include the patients' family among home care clients and gradually change the home care nursing into the positive direction by sensitively responding to their requests.

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The Relationship between the Quality of Life, Care Services, and Family Support of Elderly Residents in Long-Term Care Facilities (노인요양 시설 노인의 삶의 질과 시설 서비스, 가족 지지의 관계)

  • Shin, Seung-Ho;Shin, So-Hong
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.2
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    • pp.227-237
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    • 2021
  • The aim of this study is to identify the influence of care services on the quality of life of elderly residents in long-term care facilities, and to determine the mediating effect of family support. The subjects of the study were 192 older adults living in long-term care facilities in the Daegu and Gyeongsangbuk-do region. The collected data were analyzed using the SPSS 22.0 program, and the methods used include descriptive statistics, t-test, ANOVA, Pearson correlation analysis, and regression analysis. The results of the study found that the subjects' quality of life differed depending on their age, education, income level of their children, reasons for admission, and length of stay. The factors that influenced their quality life included age, education, the income level of their children, reasons for admission, length of stay, and care services. The study also revealed that family support was the mediating effect in the relationship between care services and quality of life. The results of the study will provide insight in establishing a nursing intervention plan to improve the quality of life of elderly residents in care facilities.

Women Caregivers′ Experiences in Caring at Home for a Family Member with Dementia: A Feminist Approach (여성가족간호자의 치매노인 돌봄경험: 여성주의적 접근)

  • 이봉숙;김춘미;이명선
    • Journal of Korean Academy of Nursing
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    • v.34 no.5
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    • pp.881-890
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    • 2004
  • Purpose: The purpose of this study was to explore women caregivers' lived experiences in caring at home for a family member with dementia and to identify conditions that oppress women in the context of family caregiving. Method: This study was conducted within the feminist perspectives using qualitative secondary data. Ten secondary data conveying self reflective contents were selected from the 25 original data obtained in 1999 to 2000. Result: Six themes that emerged from the qualitative thematic content analysis were; androcentric view of family caregiving, undervalued family caregiving by the family members, Self rationalization in the context of family caregiving, family-centric care mechanism, exemplary caring within the family context, and inter-familial relationships among women. Conclusion: The main focus of feminist research is to provide empowerment for the women, research participants and to bring about social change of oppressive constraint through some actions. On the basis of the research findings, therefore, action strategies from feminist perspectives were suggested in some aspects of health care delivery sectors, nursing education and research sectors, and administrative sectors.

A Study on the Care burden of Family Caregivers for Senile Dementia (노인성 치매환자를 간호하는 가족의 부담감에 대한 연구)

  • You Kwang Soo
    • Journal of Korean Public Health Nursing
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    • v.15 no.1
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    • pp.125-147
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    • 2001
  • The objective of study is to investigate the degree of burden of family who care for the elderly with dementia and to find out the factors related to the family burden as a pilot study. The number of subjects was total 137 and they were the families who were caring for elderly with dementia. The data was analyzed by SPSS/PC, t-test ANOVA. The results were as follows: 1. The score of family burden who were caring for elderly with dementia was 2.90 and the score of burden was high in case of the limitation of indivisual social activities. which was 3.09 and the lowest score was in case of the health of physical and limited which was 2.58 2. There was the correlation the level of dementia and the degree of burden of family who care for the elderly with dementia in character of dementia (p<0.05). 3. There was the correlation between the abnormal activities of the elderly with dementia and the degree of burdens of family (r=0.330). 4. There was the correlation between ADL of the elderly with dementia and the degree of burdens of family (r=-0.330). 5. The service duration had statistically significant correlation with burden In the character of family (P<0.05). 6. The using facility had statistically significant correlations with burden in the character of socity (P<0.05).

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Adults' perception of elderly parents care and related variables in family structures (가족형태별 중년 성인의 노부모 부양인식과 관련 변인에 대한 연구)

  • Young-Shin Park ;Jung-Hee Kim ;Sung-Sook Jeon
    • Korean Journal of Culture and Social Issue
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    • v.22 no.3
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    • pp.455-485
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    • 2016
  • The purpose of this research is to investigate adult's perception of elderly parents care and differences of related variables between family structures. There were 1,258 participants(age 45; male=601, female=657; 1,111=nuclear, 147=extended). The measures yielded Cronbach α=.67~.95, inter-judger reliability= 95.1%, Kappa=.95. The results showed that, first, there were no significant differences between two family structures in terms of SES excepting academic career. Second, there were significant differences between two family structures in family relation, psychological characteristics. That is, adults in the extended family, versus those in the nuclear family, provide greater emotional support to children, sacrificed more towards children, and have greater expectations for children supporting them when they retire. Also, adults in the extended family displayed greater self-efficacy and happiness. Third, there were significant differences between two family structures in caring for elderly parents. Adults in the extended family apportioned a greater parent's allowance, and more number of meals with parents, and spent more time talking with parents, and displayed greater degree of filial piety and more caring behavior towards parents. Fourth, as for the perception of caring for elderly parents according to family structure, when adults were asked about "the best way to care for parents", the most frequent response was providing a peace-of-mind for parents. As for "the most difficult aspect of caring for parents", differences in opinions followed by financial difficulty were the most. As for "the best aspects of caring for parents", the most frequent responses were good for children's upbringing and family harmony. Based on the results, suggestions for further research have been discussed.

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Moderating Effect of Family Resilience and Social Support on Relationship between Burden of Care for Families with Mentally Disabled and Quality of Life (정신장애인 가족의 보호부담과 삶의 질과의 관계에서 가족탄력성과 사회적 지지의 조절효과)

  • Lee, Yu-Ri;Choi, Hee-Chul
    • The Journal of the Korea Contents Association
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    • v.17 no.11
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    • pp.229-241
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    • 2017
  • The purpose of this study is to examine the Influence of burden of care for families of the mentally disabled on the quality of life and the moderating effect of family resilience and social support. This study carried out a survey of 102 families of the mentally disabled registered in the mental health centers and social rehabilitation facilities in Seoul, Gyeonggi and Incheon areas. As a result, first, the burden of caring for families of the mentally disabled has a negative impact on the quality of life. Second, family resilience has a moderating effect on the relationship between the burden of care and the quality of life of families of the mentally disabled. The subscales of family resilience were all buffered. Finally, social support has proved to be moderating in the relationship between the burden of care and the quality of life. Based on the results of this study, it was suggested that the need for providing information for improving the resilience of the family is needed, and the institutional support to mitigate the economic burden of the mental disabled family's social support network is needed.

Factors Associated with Care Burden among Family Caregivers of Terminally Ill Cancer Patients (말기암환자 가족 간병인의 간병 부담과 관련된 요인)

  • Lee, Jee Hye;Park, Hyun Kyung;Hwang, In Cheol;Kim, Hyo Min;Koh, Su-Jin;Kim, Young Sung;Lee, Yong Joo;Choi, Youn Seon;Hwang, Sun Wook;Ahn, Hong Yup
    • Journal of Hospice and Palliative Care
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    • v.19 no.1
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    • pp.61-69
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    • 2016
  • Purpose: It is important to alleviate care burden for terminal cancer patients and their families. This study investigated the factors associated with care burden among family caregivers (FCs) of terminally ill cancer patients. Methods: We analyzed data from 289 FCs of terminal cancer patients who were admitted to palliative care units of seven medical centers in Korea. Care burden was assessed using the Korean version of Caregiver Reaction Assessment (CRA) scale which comprises five domains. A multivariate logistic regression model with stepwise variable selection was used to identify factors associated with care burden. Results: Diverse associating factors were identified in each CRA domain. Emotional factors had broad influence on care burden. FCs with emotional distress were more likely to experience changes to their daily routine (adjusted odds ratio (aOR), 2.54; 95% confidence interval (CI), 1.29~5.02), lack of family support (aOR, 2.27; 95% CI, 1.04~4.97) and health issues (aOR, 5.44; 2.50~11.88). Family functionality clearly reflected a lack of support, and severe family dysfunction was linked to financial issues as well. FCs without religion or comorbid conditions felt more burdened. The caregiving duration and daily caregiving hours significantly predicted FCs' lifestyle changes and physical burden. FCs who were employed, had weak social support or could not visit frequently, had a low self-esteem. Conclusion: This study indicates that it is helpful to understand FCs' emotional status and family functions to assess their care burden. Thus, efforts are needed to lessen their financial burden through social support systems.

A Discussion of the Family-Friendly Village Model and Important Factors (가족친화마을만들기를 위한 모델 및 핵심 요소)

  • Cha, Sung-Lan
    • Journal of Families and Better Life
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    • v.28 no.2
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    • pp.63-76
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    • 2010
  • A law facilitating a family-friendly social environment was legislated in December 2007. According to the law, projects for facilitating a family-friendly social environment consisted of a family-friendly working environment, a community environment, and the promotion of a family-friendly culture. There has been much progress in developing a family-friendly working environment through projects such as those advocating for flexible work hours, an employee support system, and child care and a family care support system. However, in terms of a family-friendly community environment project, there was no noticeable advancement. Hence, this study was conducted to find ways to vitalize the family-friendly village project in terms of the family-friendly community environment project. The major findings of this study were as follows: A family-friendly village could be structured on the three axes of time, space, and relation. The model of the family-friendly village project consists of the following three steps: motivation, systematization, and participating & practicing. In the motivation step, integration, community, and sustainability were needed as basic ideologies for a family-friendly village. In the systematization step, providing systematic educational systems for residents taking on leadership and activist roles was stressed. In the participating & practicing step, many ways to facilitate residents' social relationships were suggested: starting the project from matters of common interests, making the resolution of families' problems a communal task of the residents, accepting the opinions of various groups associated with the matter, and taking a differentiated project process according to the geographic, socio-economic, and demographic characteristics of the groups. It is strongly suggested that the family-friendly village should be taken as a common functional scheme in everyone of eight livable village models because a key factor in a family-friendly village, family care, serves an essential function in any livable village model.