• Title/Summary/Keyword: Primary caregivers

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A Study on the Health Status, Burnout, and Burden of Primary Family Caregivers of the Elderly In-Patients (입원노인 주 부양자의 건강상태, 소진감 및 부양부담감에 관한 연구)

  • Kim, Kwuy-Bun;Sung, Jung-Min;Sok, So-Hyune R.
    • Research in Community and Public Health Nursing
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    • v.19 no.2
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    • pp.216-225
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    • 2008
  • Purpose: This study was to explore the level of health status, burnout, and burden of primary family caregivers of the elderly in-patients, and to identify the relations among the factors. Method: The subjects were a total of 232 primary family caregivers of elderly in-patients at K and E Medical Center, and were surveyed from March 1 to April 10, 2007. Measures were a health status measuring tool based on CMI developed by Brodman et al. (1945), the burnout measuring tool developed by Pines et al. (1981), and the burden measuring tool revised by Jung, Soo-Jin (1998). Data were analyzed by SPSS-WIN 12.0. Results: Firstly, the mean of health status was 1.69, which means that they were mostly healthy, and the mean of burnout was 2.66, which means that they were a little burned out. The mean of burden was 2.71, which means that they were a little burdened. Second, there were high correlations between health status and burnout, between health status and burden, and between burnout and burden. Third, there were significant difference in health status and burnout according to sex and relationship, and in burden according to sex, education level and relationship. Conclusions: Nurses need to consider the characteristics, health status, burnout, and burden of primary family caregivers.

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Validation of the Korean Version of the General Practitioner Assessment of Cognition (K-GPCog) (한국형 실무자용 노인인지기능 사정도구(K-GPCog)의 신뢰도, 타당도 분석)

  • Park, Jee-Won;Kim, Yong-Soon
    • The Korean Journal of Rehabilitation Nursing
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    • v.13 no.1
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    • pp.5-12
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    • 2010
  • Purpose: The purpose of this study was to examine the psychometric properties of the Korean version of the General Practitioner Assessment of Cognition (K-GPCog) scale. Method: The K-GPCog consists of the 2 subscales, patients and caregivers. Using a sample of 412 community-based Korean older adults, internal consistency reliability was estimated using Cronbach's alpha. To evaluate validity of the K-GPCog, correlational analysis was conducted using Pearson r between K-GPCog and the Korean Dementia Screening Questionnaire (KDSQ). Results: Cronbach's alpha coefficients of the K-GPCog patients' and caregivers' subscales .788 and .794 respectively. Pearson's correlation coefficients were r=-.374, r=-.481, and r=-.493, respectively for the subscales of patients and primary caregivers, and total K-GPCog. The degree of diagnostic agreement about the risk for cognitive disorders of older adults showed 11.7% and 11.2% respectively for the K-GPCog and the KDSQ. Conclusion: The findings provided preliminary evidence of the K-GPCog as a useful screening measure for detecting mild cognitive disorders of Korean older adults. The K-GPCog is particularly useful to identify cognitive disorders from primary caregivers when it is difficult to assess the level of cognition of older adults.

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.

A Study on Changes of Primary Caregivers' Fatigue, Depression and Life Satisfaction by Using Dementia Day Care Service (치매노인의 주간보호서비스 이용에 따른 주부양자의 피로, 우울, 생활 만족도 변화)

  • Lee, Young-Whee;Park, Kyung-Hee;Seong, Yeon-Sil
    • Korean Journal of Adult Nursing
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    • v.20 no.3
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    • pp.443-451
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    • 2008
  • Purpose: This study is to examine how dementia day care service affects fatigue, depression and life satisfaction of caregiver. Methods: The study was conducted using a convenient sampling method from 6 Dementia Day Care Center in Incheon. Thirty nine primary caregivers answered the questionnaires. Pre-test was done before demented elders start using the dementia day care center and post-test was done five months after. Data were analyzed by using descriptive statistics and paired t-test. Results: There was a significant difference in caregivers' fatigue level after using dementia day care service(t=2.188, p=.035). Results of subcategories were as follows; There was a significant difference in caregivers' physical fatigue level(t=2.270, p=.029) and psychological fatigue level(t=2.277, p=.029) after using dementia day care service. However, there was not significant difference in caregivers' neurological fatigue level(t=1.312, p=.197). There was a significant difference in caregivers' depression level(t=3.066, p=.004) and life satisfaction(t=-2.131, p=.040) after using dementia day care service. Conclusion: The results indicated that dementia day care service is helpful for family with demented elders. Therefore it is necessary to expand dementia day care center in terms of its size and numbers in order to support increasing number of demented elders and their families.

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Viewpoints of Family Caregivers about Posttraumatic Growth in Cancer Patients

  • Tahory, Hale;Mohammadian, Robab;Rahmani, Azad;Seyedrasooli, Alehe;Lackdezajy, Sima;Heidarzadeh, Mehdi
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.2
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    • pp.755-758
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    • 2016
  • Background: There is little information about the objectivity of posttraumatic growth experienced by cancer patients. So, the aim of present study was to investigate the viewpoints of family caregivers regarding posttraumatic growth in cancer patients. Materials and Methods: This descriptive study was conducted in one referral medical center in East Azerbaijan Province in northwest of Iran. 120 primary family caregivers of cancer patients participated with a convenience sampling method. The Posttraumatic Growth Inventory (PTGI) and Perception about Prognosis Scale (PPS) were applied for data collection with analysis performed using SPSS statistical software. Results: Family caregivers believed that their patients had a good prognosis (score 3.95 from 5). The total score of PTGI was 60.7 (SD=18.8) that indicates a moderate level of growth as reported by family caregivers. Conclusions: Family caregivers of cancer patients have incorrect viewpoints about the prognosis of their patients and reported moderate levels of growth. These findings showed that posttraumatic growth among cancer patients is an objective phenomenon.

The Effects of Symptoms of the Dementia Elderly on the Primary Caregivers' Care-Stress: The Expert Support and the Family Support as a Moderator (주부양자가 인지한 치매환자의 증상정도가 케어스트레스에 미치는 영향: 전문가지지 및 가족지지의 보호효과 검증)

  • Kim, Jaeyop;Kwak, Juyeon;Choi, Yoonhee
    • 한국노년학
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    • v.38 no.4
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    • pp.1127-1148
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    • 2018
  • Care-stress among the dementia caregivers has been an important issue. The purpose of this study is to examine the effects of the dementia elderly's symptoms on the primary caregivers'care -stress. In addition, the moderators, the expert support and the family support, were used to examine the moderating effects between the symptoms and the care-stress. The data was obtained at 10 day-care facilities and services in Seoul, Gyeonggi and Busan province in South Korea. A total of 191 participants were analyzed. They were the spouses or the adult children of the dementia elderly who were diagnosed with dementia within five years. This study was conducted in multiple regression analysis. The main findings are as follows. First of all, the symptoms that the dementia elderly show were significantly associated with the primary caregivers' care-stress. Also, the interactive variable with the expert support was statistically significant. However, it was not significant with the family support. This means that only the expert support from doctors, nurses or social workers decreased the caregivers' care-stress. The implications of this study are 1) the necessities of the education that covers the specific symptoms of the dementia patients', 2) the extension of the supportive policies for caregivers' care-stress, 3) the necessities of more allocation of the dementia specialists in the practical settings and cooperative systems among the dementia specialists in various fields, and 4) the enhancement of the family function among families who have a dementia elderly as a family member.

The Burden and Caregiving Satisfaction of Primary Family Caregivers of Older Adults with Dementia: Cultural and Non-Cultural Predictors (치매노인을 돌보는 주가족 간호자의 부담감과 간호만족감: 문화적, 비문화적 요인)

  • Kong, Eun-Hi;Cho, Eunhee;Song, Misoon
    • 한국노년학
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    • v.29 no.2
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    • pp.701-716
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    • 2009
  • The aim of this study was to investigate the burden and caregiving satisfaction of primary family caregivers of older adults with dementia, and to identify cultural predictors and non-cultural predictors of burden and caregiving satisfaction. This study included 112 primary family caregivers of community-dwelling older adults with dementia who utilized 13 dementia day care centers in Seoul or Gyeonggi-do. Data were collected by survey questionnaires. The majority of the primary caregivers were female (81%) and daughters-in-law (46%). The mean burden score was 49.4 and the mean caregiving safisfaction score was 42.3. Regression analyses revealed that the significant predictors of primary caregivers' burden were the non-cultural factors of caregiver's perceived health (β= .421, p= .049) and care recipient's memory and behavioral problems (β= .183, p= .041). The cultural factor of familism (β= .466, p= .005) was the only significant predictor of caregiving satisfaction. There is more need to develop programs which improve caregiver's burden and caregiving satisfaction. Strategies to increase caregiver's utilization of the programs also need to be developed.

Effects of Education on Knowledge and Practice of Caregivers of the Stroke Patient (뇌졸증 환자 돌보기 교육이 보호자의 지식과 실천에 미치는 효과)

  • Choi, Jae-Sun;Seo, Young-Mi;Kwon, In-Soo
    • Journal of Korean Academy of Nursing
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    • v.36 no.7
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    • pp.1175-1182
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    • 2006
  • Purpose: This study was conducted to evaluate the effects of stroke patient care education on the knowledge and practice of caregivers of stroke patients. Method: Data was collected from December 15, 2004 to March 30, 2005. The research design was a non-equivalent control group non-synchronized design. The subjects were forty primary caregivers of stroke patients who were hospitalized in a neurology unit of a university hospital. Forty caregivers, twenty in the experimental group and twenty in the control group were assigned. The experimental group participated 2 times in an education class given by the researcher Data analysis included -test, and t-test using the SPSS program. Result: Knowledge(t=5..87, p=0.00) and practice(t=5.53, p=0.00) of the experimental group were significantly different from the control group. Conclusion: The stroke patient care education developed in this study shows a significant promotion of knowledge and practice of caregivers. Thus this program can be recommanded as an intervention model for stroke patients and caregivers.

The Study on the Mediating Effect of Parenting Stress and Family Strength in the Relationship between Social Support and Happiness of the Primary Caregivers of Disabled Children (장애자녀 주양육자에 대한 사회적지지와 행복감의 관계에서 양육스트레스와 가족건강성의 매개효과 연구)

  • Han, Hee-Chang;Kim, Woong-Soo
    • Journal of Digital Convergence
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    • v.19 no.10
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    • pp.419-425
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    • 2021
  • This study explores effective ways to improve the happiness of the primary caregiver of disabled children based on the comprehensively identification of their influencing factors. Based on the results of a comprehensive review of the relationship between the influencing factors, this study seeks to explore directions and policy alternatives that are effective in improving the happiness of the primary caregiver of disabled children. The effects of social support, parenting stress, family strength, and happiness were examined in this study using data collected from 430 primary caregivers of disabled children in three regions of Jeollabuk-do. The main findings of the analysis are as follows: First, it was discovered that social support has a direct effect on the happiness of the primary caregiver of disabled children, as well as an indirect effect via family strength. Second, the primary caregivers of disabled children's family strength was discovered to have a partial mediating effect on the relationship between social support and happiness. Convergence suggestions were presented based on the research findings to promote social support, family strength, and feelings of happiness for primary caregivers of children with disabilities.

A Study on Differences in the Caregiving Burden of Primary Caregivers by Type of Caregiving -Focused on Caregivers in Home Stay, Day Care Center, and Nursing Home Situations- (부양형태에 따른 주부양자의 부양부담의 차이 및 영향 변수에 관한 연구 -재가, 주간보호시설, 시설거주 노인의 주부양자를 대상으로-)

  • Kim, Yun-Jeong
    • The Korean Journal of Community Living Science
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    • v.18 no.1
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    • pp.71-85
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    • 2007
  • This study investigates differences by type of caregiving using data on three groups of caregivers, 177 from home stay situations, 189 from day care centers, and 138 from nursing homes. First, the result shows that characteristics of both caregivers and elders differ by type of caregiving. Second, caregivers in the home stay situation have the highest caregiving burden of the three groups. Third, from examination of the related variables, the caregiving burden of home stay caregivers is affected by family income, caregivers' health, type of job, and whether or not the elder has symptoms of dementia. Also, the study reveals that emotional services for elders reduce the aggravation of family relations and economic burden, but that instrumental services highly increase economic burden. It reveals that caregivers of elders in day care centers, especially those who are in bad health, are more likely to experience feelings of constriction, aggravation of family relations and economic burden. On the other hand, caregivers who receive more emotional services have better experiences in family relations, including relations with the elder. In case of the elders of nursing homes, if the main caregiver is a daughter-in-law, aggravation of family relations is higher than if the main caregiver is a spouse. Finally, the caregiver's burden is affected by their own health and income, and by whether the elder has symptoms of dementia or stroke.

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