• 가족자원경영과 정책
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• 제23권3호
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• pp.109-132
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• 2019

Objectives : The purpose of this study was to identify problems in defining the concept of care and redefine it broadly, to examine the possibility of community care as an alternative way to change the negative image of care concept. Method : The literature review method was used for the study. Results : First, care is limitedly conceptualized as a concept of physical care and care for children and the elderly. Second, child care is perceived only as a burden, and it is avoided to express care needs in the youth period, and the care of the elderly is putting off responsibility between the public and the private sector. Third, through community care, we should be able to feel happiness in life itself and care needs to be recognized as a way of being throughout our life.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2012년도 춘계학술대회 논문집
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• pp.999-1000
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• 2012

• Tuberculosis and Respiratory Diseases
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• 제83권1호
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• pp.104-105
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• 2020

• 대한간호학회지
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• 제26권4호
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• pp.768-781
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• 1996

The problem of care of patients and families with Alzheimer's disease has become a conscious raising social policy issue in Korea. The government of the Republic of Korea has become cognizant of the situation and has begun searching for ways to remedy it. Thus, there is a need for a comprehensive under-standing of the situation in which patients and their families are struggling and the enormous problems of care. With a realization of the urgent need, this study was done to investigate the situation and the care needs of families with patients with Alzheimer's Disease, and to compare the effectiveness of services utilized by the families in terms of cost and effects on patient's conditions and on family live. The Subjects for the study were 29 families with hospitalized patients, 25 families utilizing hospital outpatient clinics, 14 families utilizing day care facilities, and 16 families with homebound patients. A total of 84 families were interviewed by four trained interviewers using structured and semistructured questionnaires. The data produced from these interviews included : the patient's stage of Alzheimer's disease, patient's bizarre behavior, hours spent on patient care per day, family burden and quality of life, direct and indirect costs encountered in the care of patients, and the families' evaluation of the effectiveness of the services received. The data were analyzed to determine the relationships between family charactersistics, patient's conditions and services utilization. The effectiveness of each of the service entities was assessed through families evaluation and hoped for service and comparisons were made between services in terms of the cost-effectiveness ratios. After initial comparison of cost-effectiveness ratios, further analysis was done to compare between groups for incremental effectiveness for each incremental unit of cost to determine the most cost-effective service entities. The findings of the study are as fellows : 1. The choice of living arrangement and the types of services are a function of the stage of Alzheimer's condition and the economic status of the family. 2. Comparision of the cost of care showed that most expenses were encountered in by families with hospitalization, families using outpatient services, and families using day care services in that order. The least expense was involved in the care of homebound patients. The economic burden felt by families was in the same order as expenses. 3. The average number of hours spent on daily patient care was 9.9 hours for the outpatient clinic users, 9.7 hours for homebound patients, and 5.4 hours for day care users. 4. There were significant differences in the patient's conditions (CDRL), bizarre behaviors and the families's burden by living arrangement and /or types of service. However, no significant difference was found between groups in the family's quality of life. 5. The families rated the services of day care center as most effective for the care of the patients and families, except for a few families who had experienced some improvement in the patient's conditions. The outpatient clinic users expressed psychological comforts mainly in that the patient was being taken care of. For those hospitalized patients, families expressed the comfort of being relieved of the burden of care and that the patient is being professionally cared for. Form the analysis of the costs, hours of patient care, patient's bizarre behaviors, family's quality of life and burdens, and family's evaluation of services, it is concluded that up to the mid stage of Alzheimer's condition, the utilization of day care center services is found to be the most cost-effective, and toward the end stage of the Alzheimer's disease, it is hoped that there will be a establishment of long term or short term in-patient facilities for the protection of patients and preservation of the integrity of families for less cost. Thus. it was concluded that the family centered system of care is the most effective for Korea with systematic support systems developed for the care of patients and their families according to the needs of families as the patient's condition deteriorates.

• Journal of Hospice and Palliative Care
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• 제27권3호
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• pp.103-106
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• 2024

Palliative care is a comprehensive approach aimed at improving the quality of life for patients and their families. The symptom burden and care needs of patients with end-stage, non-malignant diseases are similar to those experienced by patients with advanced cancer. Therefore, the World Health Organization (WHO) has recommended the expansion of palliative care to encompass a broad spectrum of diseases. However, in Korea, the adoption of palliative care for non-malignant conditions remains markedly low, presenting numerous challenges that differ from those associated with cancer. Key barriers to implementing hospice care for non-malignant diseases include the difficulty in predicting end-of-life and a general lack of awareness about hospice palliative care among healthcare providers, patients, and their families. Additionally, there is a risk that suggesting palliative care to patients with non-malignant diseases might be misinterpreted as an endorsement by healthcare providers to cease treatment or abandon the patient. This article explores strategies to broaden the scope of hospice and palliative care for patients with non-malignant diseases.

• 한국사회복지학
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• 제37권
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• pp.217-239
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• 1999

본 연구는 일차적 보호제공자인 가족들이 만성 정신장애인으로 인한 스트레스에 적극적 대처를 하는 것이 그들의 치료와 재활에 중요한 요소라는 전제하에 정신장애인 가족의 적극적 대처에 어떠한 요인들이 관련되는지 알아보고자 하는 것이다. 따라서 총 191명의 만성정신장애인 가족들을 대상으로 그들의 인구사회학적 요인과 정신장애인에 대한 보호부담, 사회적 지지가 적극적 대처와 어떤 관련을 갖는지 그리고 그러한 요인들의 적극적 대처에 대한 영향력은 어느 정도인지 알아보았다. 그 결과, 인구학적 배경에서는 대상 가족의 성별과 교육정도가 적극적 대처와 유의한 상관관계를 보였고 가족이 느끼는 여러 가지 보호부담과의 관계에서는 사회적, 제도적 지원부족에 대한 부담만이 통계적으로 의미 있는 정적인 상관관계를 보였다. 사회적 지지와의 관계에서는 사회적 지지의 하위 척도인 판단적 지지, 정서적 지지, 물질적 지지 모두가 적극적 대처와 높은 정적 상관 관계를 보였다. 적극적 대처에 영향을 주는 요인들을 알아보기 위해 회귀분석을 실시한 결과 인구학적 배경, 보호부담, 사회적 지지는 적극적 대처에 통계적으로 유의한 영향력을 가지는 것으로 나타났고 그 설명력은 26.2%이다. 또한 단계적 회귀분석을 실시한 결과 정서적지지, 사회적, 제도적 지원부족에 대한 부담, 대상자의 교육정도가 적극적 대처에 영향력 있는 예측요인이었고 이 3가지 요인만으로도 21.9%의 설명력을 가지는 것으로 나타났다. 이러한 결과를 통해 본 연구에서는 정신장애인 가족들의 대처를 강화하기 위해 지지집단의 활성화와 정서적 지지, 교육, 가족치료를 포괄적으로 제공하는 교육 및 지지모델의 임상적 활용을 제안하였다.

• 한국산학기술학회논문지
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• 제16권11호
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• pp.7403-7413
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• 2015

본 요양병원 간호사가 경험하는 치매 문제행동 간호에 대한 부담과 소진을 중심으로 직무만족도의 영향요인을 규명하기 위한 서술적 상관관계 연구로, 2014년 1월 27일부터 3월 31일까지 B광역시와 C시에 있는 요양병원 간호사 206명을 대상으로 치매 문제행동 간호에 대한 부담, 소진, 직무만족도에 관하여 구조화된 설문지로 자료를 수집하였고, SPSS WIN 18.0 프로그램을 이용하여 분석하였다. 간호사가 경험하는 대상자의 치매 문제행동 경험빈도는 평균평점 $1.65{\pm}0.42$로 이는 한 달에 4~5번, 일주일에 1~2번 정도 경험하는 것을 의미한다. 치매 문제행동 간호에 대한 부담 정도는 평균평점 $1.46{\pm}0.48$으로 중간정도로 힘들고, 간호사 한 명의 도움으로 치매 문제행동이 해결되는 것을 의미한다. 소진 정도는 평균평점 $2.53{\pm}0.61$이며, 직무만족도 정도는 평균평점 $2.87{\pm}0.45$로 나타났다. 대상자의 치매 문제행동 간호에 대한 부담과 직무만족도의 정도는 역 상관관계를 보였고(r=-.256, p=.003), 소진과 직무만족도의 정도는 강한 역 상관관계로 나타났으며(r=-.718, p<.001), 소진이 직무만족도에 영향요인으로 57%의 설명력을 가졌다(${\beta}$=-.735). 연구 결과에 따라서 요양병원 간호사의 소진과 치매 문제행동 간호에 대한 부담을 감소시키고, 직무만족도를 높이기 위한 연구 및 중재 프로그램 개발이 지속적으로 수행되어야 할 것이다.

• 보건행정학회지
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• 제13권1호
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• pp.1-22
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• 2003

The principal objective of this study was to analyze and conceptualize the socio-psychological burden in utilizing a nursing home for elderly. The subjects were five elderly from a private nursing home located in Seoul and their familial caregivers. An old male and three females were currently staying at the facility, and a female had been discharged already from there. Data were collected through depth interviews, observations and review of records at the facility For analysis, the data were classified by similar contents among significant expressions and factors in common. The subjects' motives to consider admission to the nursing home might be attributed to familial caregivers' burden, a shortage of support, environmental improvement and feeling of helplessness for the case elderly. The concept of burden is including family members' being badly off in living, their weariness, complications among family members, feeling psychological uneasiness, and hospital expenses. The identified image of nursing homes for the elderly in Korea was generally negative at the point of high cost, unreasonable requisites and limitations for admission to the facilities, inferior situations, and especially in that there were few long-term care facilities within the community boundary. From their experience of nursing homes, the interviewees have felt the sentiments of sorry for their old parents, with the thought of being an undutiful, bitterness, and empathy. Additionally, they expressed a sense of anxiety of relative deprivation against the fact that there were no long-term care facilities available for the middle class. On the basis of these, multi-dimensional needs could be identified for the elderly with chronic illnesses.

• 한국가정과학회지
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• 제7권4호
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• pp.41-54
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• 2004

The purpose of this study was to develop the cure program for family caregivers of elderly with dementia, As the lifespan has been expanded, Most of family caregivers had serious problems which are burden for caregiving(economic burden. physical & social burden, negative elderly-family caregiving relationship) and the life quality of the elderly and family caregivers and the future social welfare alternatives for taking care of the elderly. To develop the cure program for family caregivers of elderly with dementia is very important. This program can prevent to be another elderly with dementia. The results can be used as basic data to develop educational programs for family caregivers.

• 노인간호학회지
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• 제20권3호
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• pp.217-228
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• 2018

Purpose: This study was done to examine the effect on turnover intention (TI) of terminal care stress (TCS) on nurses working in long-term care hospitals (LCH). Methods: Participants were 182 nurses from 6 Seoul LCH. Data were collected from October to December, 2017. Self-report questionnaires were used to collect data on general characteristics, TCS, and TI. Results: Subjective satisfaction on the job (r=.52, p<.001), number of monthly terminal care elders (r=.16, p=.043), TCS (r=.16, p=.027), and sub-categories of TCS, 'difficulty for assigning timetable to care for terminally ill patients' (r=.17, p=.025), 'feeling a burden of caring for terminally ill patients' (r=.23, p=.002), and 'conflict with terminally patients' (r=.16, p=.034) showed statistically significant correlation with TI. Multiple regression analysis showed significant influence of subjective satisfaction with job (${\beta}=.52$, p<.001) and TCS (${\beta}=.23$, p=.001) with a 30.3% explanatory power. When sub-categories of TCS were entered, subjective satisfaction with the job (${\beta}=.50$, p<.001) and 'feeling burden of terminally ill patients' (${\beta}=.28$, p<.001) were factors significantly influencing TI with explanatory power of 32.8%. Conclusion: Findings of this study suggest that it is needed to develop standardized practice guidelines and educational programs for terminal care in LCH as well as stress healing programs for nurses.