• Title/Summary/Keyword: Family-caregiver

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The effects of education for hemodialysis patients with a family caregiver on self-care practice and blood biochemical parameters (혈액투석 환자의 가족참여교육이 자가간호수행과 혈액생화학적 지표에 미치는 영향)

  • Park, Ji Hyun;Choi, Hyunkyung
    • Journal of the Korean Data and Information Science Society
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    • v.27 no.2
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    • pp.487-498
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    • 2016
  • The purpose of this study was to identify the effects of education for hemodialysis patient with a family caregiver on self-care practice and on blood biochemical parameters. A nonequivalent control group pretest and posttest design has been employed for analysis. Among hemodialysis patients in C university hospital located in Daegu, 56 subjects, 28 in experimental and 28 in control group, participated in the study from April to May in 2015. The experimental group whose family caregiver participated in education for hemodialysis patient reported significant differences in self-care practice (t=3.36, p=.001) and serum potassium level (t=2.78, p=.007) from the control group whose family caregiver did not participate. Considering positive effects of family education, we suggest education programs incorporating family caregivers be used as an effective nursing intervention.

Effect of the Family Resilience Reinforcement Program for Family Caregivers of the Elderly with Dementia (치매노인 주 부양자에게 적용한 가족탄력성 강화프로그램의 효과)

  • Bang, Miran;Kim, Oksoo
    • Korean Journal of Adult Nursing
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    • v.28 no.1
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    • pp.71-82
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    • 2016
  • Purpose: The purpose of this study was to investigate the effect of Family Resilience Reinforcement Program (FRRP) for family caregivers of the elderly with dementia on the family resilience, caregiver burden, family adaptation, perceived health status and depression. Methods: FRRP was implemented for 60 minutes each time, once a week, for 8 weeks. According to 3 factors of Walsh's Family resilience theory, FRRP was organized and specified as redefining 'belief system' in 1 to 2 sessions, figuring out one's own 'organizational pattern' in 3 to 5 sessions, enhancing 'communication process' in 6 to 8 sessions. A total of 46 family caregivers were assigned into either the experimental group with FRRP or the control group. Data were collected from February 18 to April 12, 2013 at the dementia support centers, and the data of 36 participants were finally analyzed. Results: The experimental group reported statistically significant differences in family resilience (p=.002), caregiver burden (p=.012), family adaptation (p<.001), and perceived health status (p=.002) compared to those in the control group. No significant difference was found between the two groups in depression. Conclusion: In the light of these results, FRRP is considered to decrease caregiver burden and to influence family resilience, family adaptation and perceived health status positively. The developed FRRP is considered to be an efficient nursing intervention for strengthening family resilience of the given population. It warrants future research expanding the range of target population to those caregivers of the patients with other chronic conditions.

Correlates of Social Support, Family Function, and Conditions of Home Care Nursing in Family Caregivers (가정간호대상자 가족의 사회적 지지와 가족기능, 가정간호 특성 간의 관계)

  • Seo, Jun-Young;Kim, Gwang-Suk;Lee, Hyeon-Kyeong;Kim, Hae-Young;Shin, Hye-Sun;Park, Jong-Mi
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.19 no.1
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    • pp.63-73
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    • 2012
  • Purpose: The purpose of this study was to determine the factors related to the social support, family and friend support as well as home care nurse support, in family caregivers of patients with home care service. Method: The participants were 111 family caregivers of patient, who were receiving home care services from home health care centers of 3 different general hospitals located in Seoul. The data was collected, using self-administered questionnaires. Result: The level of family and friend support varied significantly according to patients' mental status, period of home care nursing, frequency of home care service, caregiver's education level, family income, and family functioning level. On the other hand, home care nurse support varied significantly according to patients' mental status, caregiver's age, existence of interchangeable family caregivers, and family functioning level. There was a significantly positive correlation between the social support the family caregivers' perceived and family function while there was a negative correlation between family and friend support and the period of home care service. Conclusion: Thus, the establishment of nursing interventional program, with understanding of their social support, is needed for both patients and their caregivers.

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Quality of Child Care Environment and Toddler's Adjustment in Child Care Centers - Based on Child Care Centers in Inchon- (보육환경의 질과 영유아의 적응 - 인천시 보육시설을 중심으로 -)

  • Hyun, On-Kang;Tae, Jin
    • Journal of the Korean Home Economics Association
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    • v.38 no.3
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    • pp.25-42
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    • 2000
  • To examine toddlers’adjustment in child care centers according to the quality of child care environment, the followings were asked; 1. Are toddlers’adjustment in child care centers different by toddlers’individual characterisitcs, caregiyer’s individual characteristics, and/or care center variabless\ulcorner 2. Are the quality of child care center different by caregiver’s individual characteristics and child care center variables\ulcorner 3. Are toddlers’adjustment in child care centers different according to the quality of child care center\ulcorner Forty caregivers and 108 toddlers in 40 child care centers in Inchon were randomly selected. After 2 hours of observation in each child care center, the quality of child care environment were rated using Infant/Toddler Environment Rating Scate(ITERS) by 2 observers and toddlers’adjustment in child care centers were rated by caregivers using the Preschool Adjustment Questionnaire(PAQ). Toddlers’adjustment in centers were different by toddlers’gender, caregiver’s age, caregiver’s educational level, group size, and the adult/child ratio. The quality of child care environment of child care centers was different by caregiver’s age, caregiver’s career level, the length of working time, group size, and the adult/child ratio. Finally, toddler’s adjustment in child care centers were significantly different by the quality of child care environment of child care centers.

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A Study on The Quality of Family Child Care (가정보육시설의 질적 특성에 관한 연구)

  • Joe, Sun Young;Lee, Young
    • Korean Journal of Child Studies
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    • v.13 no.2
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    • pp.129-144
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    • 1992
  • The purpose of this study was to investigate the current status of family child care. The status of family child care was explored in terms of general characteristics, program quality, and child behavior. The subjects were 17 family child care and their 102 children and 60 parents. Harms & Clifford's (1989) FDCRS(Family Day Care Rating Scale) was used to measure program quality. Child behavior was recorded by time sampling in two 30 min observations during the free play session in each facility. A questionnaire for caregiver and parents was used to investigate general characteristics. The data were analysed by frequency, percentage, and Pearson's r. Results showed that (1) a wide range of variable accounted for the general characteristics of family child care, (2) the level of program quality as rated by the FDCRS was below mid-point, (3) children engaged in solitary behavior much more than in peer interactions or caregiver-child interactions.

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Shifting of Centricity: Qualitative Meta Synthetic Approach on Caring Experience of Family Members of Patients with Dementia (중심성의 이동: 치매 환자 가족의 돌봄 경험에 대한 질적 합성 접근)

  • Ryu, Young Mi;Yu, Mi;Oh, Seieun;Lee, Haeyoung;Kim, Haejin
    • Journal of Korean Academy of Nursing
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    • v.48 no.5
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    • pp.601-621
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    • 2018
  • Purpose: This study aimed to synthesize the caring experiences of Korean family members of patients with dementia through a qualitative meta-synthesis method. Methods: By searching through nine Korean and English databases, we compared 37 qualitative studies on caring experiences of family members of patients with dementia. The selected studies were synthesized through meta-synthesis, proposed by Sandelowski and Barroso (2007). Results: The meta-synthesis elicited four themes: tough life due to care for patients, changes in relationships, adaptation to caregiver's roles, and new perspectives of life through personal growth. Caregivers were shocked when a sudden diagnosis of dementia was made prior to any preparation on their part. They were tied to their patients all the time and their mind and body got exhausted. Their relationship with patients began to change and they looked at them differently. They experienced conflicts with the other non-caring family members and were alienated from them. They were also socially isolated. However, by building their own care strategies and utilizing social resources, they gradually adapted to their caregiver roles. Finally, they experienced personal growth and acquired a new perspective toward life by accepting their roles and finding meaning in their lives. Shifting the caregiver's centricity from themselves to the patient was the process of becoming human beings who actively constructed their realities while giving meaning to their painful lives and interacting with the environment. Conclusion: The results of the study can be useful for nurses in understanding the experiences of caregivers of the patients with dementia and in providing them with practical interventions.

Factors Affecting Quality of Life in Family Caregivers of Patients in Intensive Care Units (중환자실 입원환자 가족의 삶의 질 영향요인)

  • Kong, Kyeong Mi;Boo, Sunjoo;Lee, Youngjin;Ahn, Jeong-Ah
    • Journal of Korean Critical Care Nursing
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    • v.17 no.2
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    • pp.12-24
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    • 2024
  • Purpose : This study aimed to identify factors influencing the quality of life of family caregivers of intensive care unit (ICU) patients. Methods : We conducted a study using a cross-sectional design. The study involved 109 family caregivers of ICU patients at a university-affiliated hospital in Gyeonggi-do, South Korea. Data were collected through self-report questionnaires between July 2020 and April 2021 and analyzed using descriptive statistics, independent t-tests, one-way ANOVA, Pearson's correlation coefficients, and multiple regression analysis. Results : The study revealed significant differences in quality of life based on economic status (F=11.63, p<.001), cohabitation with patients (t=-2.04, p=.044), sleep duration after patient's admission to the ICU (t=-2.48, p =.025), and subjective health status (F=30.06, p<.001). There were significant negative correlations observed between quality of life and post-traumatic stress symptoms (r=-.38, p<.001) as well as caregiver burden (r=-.46, p<.001). Factors affecting quality of life were subjective health status, economic status, and caregiver burden (adj. R2=0.52, F=15.64, p<.001). Conclusion : These findings underscore the need to develop and implement intervention programs tailored to the health conditions and economic status of family caregivers, with a focus on alleviating caregiver burden. Such initiatives are essential to ultimately improve the quality of life for family caregivers of ICU patients.

The Effects of Maternal Parenting Knowledge and Mother-Caregiver Relationship on Parenting Stress (영아기 자녀를 둔 어머니의 양육지식과 어머니-교사 관계가 양육스트레스에 미치는 영향)

  • Kim, Jeong Mi;Moon, Sung Mi;Kim, Yu Kyung;Ahn, Sun Hee
    • Korean Journal of Child Studies
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    • v.34 no.5
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    • pp.79-98
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    • 2013
  • This study examined the effect of parenting knowledge and mother-caregiver relationship on maternal parenting stress. The participants in this study consisted of 297 mothers of 1~3 years old children at daycare centers in Daegu, Korea. The participants completed questionnaires on their parenting knowledge, mother-caregiver relationship, and parenting stress. The results indicated that mothers' parenting knowledge and parenting stress were not-significantly related, but mother-caregiver relationship and mothers'parenting stress were significantly related. A close look at the effect of parenting knowledge and mother-caregiver relationship on maternal parenting stress, while maternal parenting knowledge did not influenced directly parenting stress, mother-caregiver relationship was a significant variable predicting mother's parenting stress. In particular, when a mother and caregiver develop a positive relationship, maternal parenting stress was lower. These results seem to indicate that the positive relationship between mother and caregiver is very important.

Dyadic Interventions for Heart Failure Patients and Their Family Caregivers: A Systematic Review (심부전 환자와 가족 돌봄제공자를 위한 다이애딕 중재에 관한 체계적 고찰)

  • Kim, Da-Young;Kim, Sun-Hee;Park, Eun Ju;Son, Youn-Jung
    • Journal of Korean Critical Care Nursing
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    • v.14 no.3
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    • pp.113-127
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    • 2021
  • Purpose : This systematic review was conducted to identify which dyadic intervention could be implemented for heart failure patient-family caregiver dyads to improve patient and/or their family caregivers outcomes. Method : Eleven databases were searched from their inception to July, 2021. This review considered any randomized controlled trials that evaluated the effectiveness of intervention including heart failure patient-family caregiver dyads. Two reviewers independently evaluated the methodological quality using the Cochrane Collaboration's tool for assessing risk of bias and extracted details of the included studies. The studies included in this review were not suitable for meta-analysis and therefore the results were presented as a narrative summary. Results : Six studies including 900 dyads were included and mainly primary family caregiver of patients was spouse. Majority of dyadic intervention were focused on psychoeducational intervention excepting one study on mobile health intervention. All studies included in this review focused on patients' outcomes compared to family caregivers' outcomes and dyadic outcomes. Individual interventions improved quality of life among heart failure patients and their family caregivers in two articles. The overall quality of selected articles was low. Conclusions : This study provides moderate support for the use of a dyadic intervention to improve quality of life among heart failure patients and their family caregivers. More rigorous high-quality studies investigating interventions to meet the needs of patient and family caregivers in heart failure care are needed.