• Title/Summary/Keyword: Family-caregiver

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An Empirical Test of the Interactionist Model on the Relationship Between Household Income, Main Caregiver Depression, and Youth Aggression (가구소득, 주양육자 우울, 청소년 공격성 간의 종단적 상호교류관계 검증 : 자기회귀교차지연모델을 이용하여)

  • Kim, Dong Ha;Um, Myung-Yong
    • Korean Journal of Social Welfare Studies
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    • v.47 no.1
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    • pp.151-178
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    • 2016
  • The primary goal of the current study was to investigate the longitudinal relationship between household income, main caregiver depression, and youth aggression from the interactionist perspective. The data were derived by combining the 2006, 2009 and 2012 survey waves from the Korean Welfare Panel Study. This data set covered the full span of adolescence from elementary to high school. The study utilized 561 families as the final sample and conducted autoregressive cross-lagged analysis. As a result, the early income status, main caregiver depression and youth aggression were likely maintained over time. Second, the results provided support for a reciprocal relationship between income and main caregiver depression. On the other hand, the reciprocal relationship between main caregiver depression and youth aggression was not found in the current study. Finally, the mediating effect of main caregiver depression between income and youth aggression was not found in the present study. In conclusion, the results of this study support the interactionist model in that the association between family income and main caregiver depression involves reciprocity and mutual influence across time. These findings have major implications for policy and interventions in regards to low-income families.

Caregiver or Family Doses due to Discharged $^{131}I$ Administrated Patient from the Hospital (고용량 $^{131}I$ 투여환자 퇴원이후 환자 간병인과 환자 가옥의 피폭선량 측정)

  • Jeong, Gyu-Hwan;Lee, Hyun-Kook;Cho, Woon-Kap;Lee, Jai-Ki
    • Journal of radiological science and technology
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    • v.33 no.2
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    • pp.149-154
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    • 2010
  • Exposed doses to the patient's caregiver and their house due to the 131I from patients discharged from the hospital were measured using OSL dosimeters. Usually, 3.37-5.55 GBq (100-150 mCi) of $^{131}I$ administrated patients are discharged from the hospital after 3 or 4 days of hospitalization in Korea. In addition, after 5 to 8 days, the accumulated doses of the patient's caregiver and house after hospitalization of the patient were measured using OSL dosimeters. The results of the measured average accumulated doses were 0.1 mSv, which is 10% of 1 mSv, the public dose limit in the Korean Atomic Energy Law. And it's standard deviation was 0.087 mSv. Based on the results of this study, we anticipate that we could assure the compliance of the regulation requirement 5 mSv of MEST (Ministry of Education, Science and Technology) Notice No. 2008-45 for the patient's caregiver or family, even if we reduce the 3-4 days of hospitalization to 1-2 days or less.

Review of Music Interventions for Family Caregivers of Patients in Medical Settings (국내·외 의료 환경 내 가족 참여 음악 중재 연구 고찰)

  • Choi, Da In
    • Journal of Music and Human Behavior
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    • v.14 no.1
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    • pp.17-39
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    • 2017
  • This study aimed to review Korean-written and English-written studies on music interventions for family caregivers of patients in medical settings. Electronic databases were searched for studies published through 2016, using the keywords of music intervention, family caregivers, and specified settings. A total of 43 studies, five Korean-written and 38 English-written studies, were selected. The results showed that caregivers were the sole participants in five studies (family-only), and caregivers and patients co-participated in 38 studies (family-patient). While diversified types of family participation were included in the English-written studies dating back to the late 1980s, the Korean-written studies were the only ones to include patients as co-participants with their caregivers. Studies with family-only participation tended to be conducted in palliative care units and usually included the spouses of the patients. Meanwhile, studies with family-patient participation tended to be conducted in NICU or cancer units and usually included the parents of the patients. Furthermore, studies with family-only participation tended to apply passive music activities, and those with family-patient participation tended to use active music activities. The results of this study present baseline data on how family-centered care can be included in music interventions in medical settings in Korea, suggesting future studies to systematically analyze music interventions for family caregivers in terms of diversified patient- and caregiver-related factors.

The Factors Affecting The Nurse-Patient Interaction (환자와 간호사의 상호작용에 영향을 미치는 요인)

  • Kim In-Ja;Son Haeng-Mi
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.4 no.1
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    • pp.31-42
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    • 1997
  • The factors that affect the nurse-patient interaction were identified. Sixty-six nurses participated in the cross-sectional survey. Based upon the literature, the factors were classified into 4 categories : the patient, the nurse, the family caregiver, and the situational factors. The data were collected with the open-and closed-ended questionnaire developed by researchers. In the closed-ended questionnaire, the significant factors differentiating the best-liked from the least-liked caring situation were found in all factors except the nurse factors. None of the nurse factors was found to be significant. In patient factors, the physically attractive stereotype was found to affect patient-nurse interaction. As expected, family caregiver factors were found to affect the nurse-patient interaction. The content analysis was done to identify the specific factors affecting nurse-patient interaction. In both of the best-liked and the least-liked caring situations, the patient factors were the most contributing causes as likely as 68.51% and 66.45%, respectively. Some factors that nurses perceived as causes for the best-liked and the least-liked to care were presented. In conclusion, these results show that nurses are influenced by stereotypes in caring patients. So, some programs to increase awareness of the biases of nurses are included in in-service education. Also the incentives to encourage nurses are needed.

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Effect of Home-based Multi-Component Activity Program (Home-MAP) for mild Alzheimer's Disease Patients and Caregivers (경도 알츠하이머 치매환자와 보호자를 위한 가정기반 다요인 활동 프로그램(Home-based Multi-component Activities Program: Home-MAP)의 효과)

  • Hwang, Yun-Jung;Jeong, Won-Mee;Lee, Dong-Young
    • The Korean Journal of Health Service Management
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    • v.9 no.3
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    • pp.255-266
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    • 2015
  • Objective : The aim of this study was to examine the effects of the Home-based Multi-component Activity Program (Home-MAP) for the maintenance activities of daily living (ADL) for patients with mild Alzheimer's disease (AD) and on caregiver burden for caregivers. Methods : Nine mild AD patients and family caregivers. The Home-MAP was performed 1d/wk, for a total of 10 times over 10 weeks. Results : After the 10 sessions, participants' motor and process skills scores on the AMPS were found to have significantly improved (p=.028 and p=.028, respectively). The BPSD frequency score on the R-MBPC was found to be significantly reduced (p=.017). The BPSD symptoms related to caregiver reaction score on the R-MBPC and distress score on the NPI-Q were significantly reduced (p=.039 and p=.018, respectively). Conclusions : The Home-MAP appears to have contributed to the improvement of patients' capabilities in performing in ADL, to a reduction of BPSD, and to a reduction of burden related to BPSD.

Determinants of Amount of Service Use in Community-Based Long-term Care for Elders (노인장기요양보험 재가서비스 이용량 결정요인)

  • Lee, Taewha;Kim, Bok Nam
    • Journal of Korean Academy of Nursing Administration
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    • v.18 no.4
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    • pp.402-413
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    • 2012
  • Purpose: This study was done to explore factors related to amount of service use for elders with long-term care needs. Methods: A descriptive-correlation design was used. The sample included 259 elders and their primary caregivers who had cared for the elders for at least 6 months. Data on long-term care need assessment, service use and interviews with primary caregivers were analyzed. Results: There was no significant relationship between the sociodemographic characteristics and the amount of services use. Amount of service use differed significantly by Long-term care classification. The mean scores for class 1, 2 and 3 were 22.68, 21.47 and 17.87 days respectively. Primary caregiver relationship with the elders and the number of family-friend helpers were also significant. Multivariate regression analysis showed that gender, marital status, activities of daily living, cognitive impairment, and secondary caregiver support explained 17% of the total variance of service use among these elders (F=3.50, p<.001). Conclusion: The results of this study indicate that critical factors including secondary caregiver support and individual background, and other functional dependencies except for physical function should be considered in accurately predicting the amount of service use for community dwelling elders with long-term care needs.

Reliability and Validatity of a Korean version of Posttraumatic Growth Inventory Among Cancer Caregivers (암환자 가족을 대상으로 한 '외상 후 성장 척도(K-PTGI)'의 타당도 검증)

  • Rhee, Young-Sun
    • Korean Journal of Social Welfare Studies
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    • v.40 no.2
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    • pp.123-143
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    • 2009
  • To investigate the reliability, validity of posttraumatic growth among Korean cancer caregiver, 295 participants were asked to complete a Korean posttraumatic growth inventory, translated from the Posttraumatic Growth Inventory (PTGI; J Trauma Stress 1996; 9: 455.471), together with the Caregiver burden scale, life style interruption scale, economic burden scale and positive adaptation scale, social support scale and questions about religious and demographic factors. Cronbach's alpha was 0.95 for the K-PTGI, indicating sufficient internal consistencies. Construct and Criterion validity were also supported. K-PTGI appeared to be a sound measure for the experience of posttraumatic growth in cancer caregivers and this study result will be able to contribute to facilitate future research.

Depression and Quality of Life among Family Caregivers of Patients with Parkinson's Disease in South Korea (파킨슨병 환자 가족의 우울과 삶의 질)

  • Kim, Keum-Soon;Choe, Myung-Ae;Hah, Yang-Sook;Yi, Myung-Sun;Kim, Bog-Ja;Kim, Sung-Reul;Kim, Kyung-Hee;Kwon, So-Hi;Hwang, Young-Ran
    • The Korean Journal of Rehabilitation Nursing
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    • v.10 no.2
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    • pp.90-98
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    • 2007
  • ression and quality of life of family caregivers of patients with Parkinson's disease(PD). Methods: A cross-sectional descriptive study was conducted in one neurology outpatient clinic in Seoul, Korea from March to June, 2006. Sixty eight family caregivers of PD patients were participated to the study, using CES-D and SF-36. Results: Mean scores of depression were $16.18{\pm}8.39$ (range: 0-48) and it was a little lower than caregiver's who took care of Dementia patients and were higher than primary caregivers of the patients with Stroke. Time for caregiving, perceived severity, duration of PD were significantly related with depression respectively. Higher ADL scores which mean greater motor disabilities were related to higher caregiver depression. Lower income and greater medical expenditure were closely related with the depression of family caregivers respectively. The mean scores of total QOL were $435.5{\pm}96.5$ and the mean scores of PF, SF, RE and MH were lower than general population. Time for caregiving, depression, patients' ADL scores were significantly associated with QOL respectively. People who were older and had lower educational background showed lower QOL scores respectively. Conclusion: Healthcare professionals should pay more attention to emotional aspects of caregivers who take care of PD patients, and develop comprehensive management strategies both for patients and their caregivers.

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Effects of Care Burdens of Caregivers of Cancer Patients on their Quality of Life

  • Turkoglu, Nihan;Kilic, Dilek
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.8
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    • pp.4141-4145
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    • 2012
  • In this study, the aim was to examine the effects of caring burdens of family caregivers of cancer patients on their quality of life in the east of Turkey. Data were collected at the Chemotherapy unit of Yakutiye Research Hospital of Ataturk University. Participants were 18 years old and older. The sample included 190 family caregivers who were living in the same flats with the patients during caregiving. Data were collected using a questionnaire that included socio-demographic questions for family caregivers and the Burden Interview, and the Caregiver Quality of Life Index-Cancer (CQOLC) Scale. SPSS version 14.0 was used to analyse the data. Descriptive statistics were computed for demographic variables of family caregivers. Pearson correlation analysis was used to analyze the relationship between the care burden and quality of life, linear logistic regression analysis was applied to determine the effect care burdens have on the quality of life, and logistic regression analysis was employed to determine the effect descriptive characteristics and care-related properties have on the quality of life. The score mean of the burden interview of caregivers was $36.6{\pm}11.2$; and their score mean of CQOLC was $81.4{\pm}17.3$. This study concluded that there was a negative relationship between caring burdens and the quality of life (p<0.001); descriptive characteristics, caring-related properties, and caring burden variables were all significant predictors of the quality of life. It is recommended that caregivers are given support by being offered training about providing care.

A Study on the Related Factors of the Wellbeing of Family Caregivers in Elderly with Stroke (뇌졸중 노인을 돌보는 주 가족간호자의 안녕감 예측 요인)

  • Park, Yeon-Hwan;Yu, Su-Jeong;Kim, Shin-Mi;Lee, Yun-Jung
    • Journal of Korean Academy of Nursing
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    • v.36 no.2
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    • pp.373-380
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    • 2006
  • Purpose: The purpose of this study was to identify the factors related to the wellbeing of the family caregivers of the elderly with a stroke. Methods: The subjects of this study were 199 elderly treated in four oriental hospitals in Korea, and their primary family caregivers. The data was collected by interviewsand a self reported Questionnaire, during the period from October, 2003 to April, 2004. Results: The results of this study were as follows. The mean score of wellbeing of family caregivers was 60.6412.63. The factors related to wellbeing of family caregivers were sex, age, education, depression, illness severity, ADL, paralysis, and speech disability in elderly characteristics. Among family caregivers characteristics, education, relation, and burden were significantly related. In situational variables, family income and the previous relationship between the elderly and family caregivers were related to wellbeing. Stepwise multiple regression analysis revealed that the most powerful predictor of wellbeing was the burden of family caregivers. A combination of the depression of elderly and age of family caregivers accounted for 50.3% of the variance of wellbeing. Conclusions: On developing the nursing intervention for improving wellbeing of family caregivers, many factors should be considered, especially caregiver burden, and elderly depression.