• 종양간호연구
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• 제5권1호
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• pp.40-51
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• 2005

The purpose of this study was to explore the relationship between burden and burnout of the family care-givers for caring of terminal patients with cancer. A total of 99 convenience sample was recruited form hospitals. The data were collected by a direct interview with Questionnaire about family burden and burnout. The mean score of burnout of main care-givers was 2.98, and the mean score of burden was 3.03. The care-givers' burnout was significantly different by age, sex, job, duration of treatment, level of acceptance on the stage of death, and ability of daily living activities. The family care-givers' burden was significantly different by the jobs, complication of patients, level of acceptance on the stage of death, and ability of daily living activities. In conclusions, the burnout of family care-givers was highly and positively correlated with the burden.

• 성인간호학회지
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• 제25권3호
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• pp.298-311
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• 2013

Purpose: The purpose of this study was to compare reported physical symptoms, hope and family support of cancer patients between general hospitals and long-term care hospitals. Methods: Subjects were 175 patients diagnosed with cancers from two general hospitals and six long-term care hospitals located in G city. Subjects completed a questionnaire with questions about general characteristics and questions about the disease, physical symptoms, hope and family support. Data was collected from February to April and the data were analyzed using an independent t-test and one-way ANOVA. Results: The subjects in long-term care hospitals showed higher percentage in pain, nausea, fatigue, sleep disorder, and change in appearance. There was a significant difference in family support between two groups. A significant positive correlation was found between hope and family support in subjects in general and long-term care hospitals. Conclusion: Significant differences were found in some physical symptoms and family support between cancer patients in general hospitals and long-term care hospitals. Thus, nurses in long-term care hospitals need provide care suitable for the characteristics of cancer patients in long-term care hospitals.

• 가정∙방문간호학회지
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• 제14권2호
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• pp.91-97
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• 2007

Purpose: This thesis focuses on researching the burden of the Home Health Care that the Family Care-givers have. Method: This study had been conducted for the duration of 3 consecutive months from January 2006 to March 2006 and had investigated 120 person registered as the Home Health Care Clients to a University Hospital located in Incheon City. The thesis adopted the 'feeling of burden' measuring method jointly developed by Seo, Mi-Hye and Oh, Ga-Sil(1993), and FACES-III(Family Adaptability Cohesion Evaluation) developed by Olson(1985) etc. translated by Kim, Yun-Hee(1989) as the measuring method for Family Function. Result: The overall Health Status of the Home Health Care Clients was 2.18 point of average out of 3 point, where as 1.83 for Activities of Daily living and 1.98 for Vital sign, which are below the average. In the mean time, the Competence for Modified Barthel Index marked 30.88 point out of the full mark. The analyzed result of the burden that the family members have was 3.43 point of average out of 5 point which shows that the interviewee feel that they are considerable burden to their families. When it comes to 'the Burden to the family members' and 'the Function of the family' according to the characteristics of the patient, the result shows statistically significant differences, which are varied according to gender, the relationship between the care-givers and the patients. When it comes to the Family Cohesion, the difference was examined as 'statistically significant' according to the Academic background of the patients and the relationship between the patients and the interviewee.(p<0.05). The result also suggests that there exists 'Negative correlation' among the level of patients' health status, the Family Cohesion and the Family Burden. Conclusion: From the result of this study stated above, this thesis is strongly insisting that there is an urgent need for us to develop a health care mediation program, which could eventually reduce the burden of home health care that the patients' family have. At the same time, a follow-up research to prove the effect of the program is imminent.

• 한국노년학
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• 제38권4호
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• pp.1035-1055
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• 2018

가족의 돌봄 부담을 줄이기 위해 공적돌봄제도가 도입되었지만, 공적돌봄의 확대가 가족돌봄의 감소로 이어지는지에 대해서는 단언하기가 쉽지 않다. 이론적으로 공적돌봄의 역할과 기능에 따라 가족돌봄을 대체 혹은 보완하는지에 대해 다양한 관계가 예측되고 있고(대체모형, 위계적 보상모형, 과업특정모형, 보충모형, 보완모형), 선행연구에서도 국가와 시기, 연구방법에 따라 일관되지 않은 결과들이 보고되고 있다. 이에 본 연구에서는 재가서비스를 이용하는 노인을 중심으로, 한국 사회에서 공적돌봄과 가족돌봄이 어떠한 관계를 보이는지 분석하였다. 분석자료는 고령화연구패널조사의 2-6차 자료를 이용하였고, 분석대상은 공적돌봄을 한번 이상 이용한 경험이 있는 55세 이상의 노인 262명이다. 분석방법은 돌봄이행을 기준으로 구분한 하위집단별로 돌봄내용의 종단적인 변화 정도를 비교하는 방법과, 패널자료의 특성을 이용하여 가족돌봄에 영향을 미치는 미관측 이질성의 영향을 통제하는 고정효과 회귀분석을 적용하였다. 분석결과, 공적돌봄에 의지하는 노인은 이전에 비해 가족돌봄에 덜 의지하는 것으로 나타나, 두 가지 돌봄 사이의 부적인 관계가 확인되었다. 나아가서 이 연구는 공적돌봄에 진입한 사례와 공적돌봄을 유지 또는 이탈한 사례들을 구분하여, 돌봄유형 간 관계가 어떠한 차이를 보이는지 확인하였다. 두 이행과정 모두에서 부적인 관계가 유지되었지만, 공적돌봄에 진입하는 단계에서는 부적인 관계의 정도가 비교적 미미한 수준이었던 반면, 공적돌봄을 유지하거나 이탈하는 단계에서는 상대적으로 강한 부적 관계가 나타났다. 즉, 공적돌봄을 신청하여 수급하는 시점에서는 공적돌봄이 증가하더라도 가족돌봄이 크게 감소하지 않으나, 공적돌봄을 종료하고 가족돌봄에 의지하는 시점에서는 가족돌봄이 크게 증가하였다. 결과적으로, 이는 공적돌봄에 비해 가족돌봄을 선호하는 경향이 반영된 결과로 보이며, 한국 사회에서 공적돌봄과 가족돌봄의 관계는 위계적 보상모형에 가깝다고 할 수 있겠다. 본 연구의 이러한 결과는 공적돌봄과 가족돌봄의 관계가 돌봄이행 단계에 따라 차이를 보인다는 것을 보여준다. 또한, 여러 하위집단 중에서 공적돌봄에서 가족돌봄으로 이행한 사례의 가족 구성원이 다른 집단에 비해 가장 큰 돌봄 부담을 지니고 있음을 확인하였다.

• 가족자원경영과 정책
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• 제18권3호
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• pp.21-40
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• 2014

This qualitative study focused on the motives and patterns of child care leave by analyzing its facilitating and constraining factors. Fourteen participants were interviewed in-depth using non-structured interview questions. Motives for child care leave include mothers' active choice, mothers' inevitable secondary choice, and mothers' instrumental choice. The patterns of child care leave in terms of total period, time, and distribution vary according to individual circumstances and occupational culture surrounding child care leave for female workers. Female workers will occasionally use this child care leave as a rare opportunity to take a rest during their labor lifecycle and to achieve work-family balance.

• 기본간호학회지
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• 제19권1호
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• pp.23-34
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• 2012

Purpose: Respite care is not a discrete intervention, but encompasses a range of services. This research was conducted to clarify the phenomenon of respite care for family caregivers of elders with dementia from a nursing perspective. Method: The Hybrid Model of concept development was applied to clarify the concept of respite care for family caregivers of elders with dementia. The study was conducted in the following three steps, theoretical phase, fieldwork phase, and final analytic phase. Results: The definition of respite care for family caregivers of elders with dementia was delineated through integration of data analyses in theoretical and fieldwork phase, and has three dimensions; tailored supports for caregivers, tailored supports based on physical and cognitive function of elders with dementia and community interventions related to family care function. Conclusion: Through this study, the concept of respite care for family caregivers of elders with dementia is clarified and reformulated as nursing practice phenomena in the Korean context, which indicates ways to develop caring practice forms for a family living with an elder with dementia in a community setting.

• 지역사회간호학회지
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• 제25권2호
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• pp.137-145
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• 2014

Purpose: This study was conducted to evaluate the effect of a social support program on family caregivers' role strain in elderly long-term home care. Methods: The research adopted a non-equivalent control group pretest-posttest design. The number of participants was 25 in the experimental group and 25 in the control group sampled among family caregivers in elderly long-term home care. The experimental group participated in a 10-session social support program, which consisted of physical, emotional, informational, and material support. The effect of the program was evaluated by measuring family caregivers' role strain. Results: The experimental group showed a significant decrease in family caregivers' role strain in elderly long-term home care. Conclusion: The result suggests that the social support program was effective in decreasing family caregivers' role strain in elderly long-term home care. There is a need to develop more effective and systematicsocial support programsfor family caregivers of elderly long-term home care.

• 가족자원경영과 정책
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• 제25권2호
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• pp.1-12
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• 2021

본 연구의 목적은 정확한 시간량에 기초하여 가족돌봄의 실태를 파악하고, 그것의 영향요인 및 결과를 검증하는 것이다. 이를 위해 2019년도 생활시간조사를 활용하여 장기돌봄을 필요로 하는 성인돌봄을 중심으로 가족돌봄을 검토하였다. 분석결과는 다음과 같다. 첫째, 성인가족 돌봄에 투입하는 평균시간은 하루에 115분으로 나타났고, 가족돌봄자는 여성의 비중이 높고 평균연령이 상대적으로 높으면서 비취업자가 많고, 가구소득은 상대적으로 낮았다. 둘째, 영향요인 분석결과, 여성이면서 고연령인 경우, 기혼상태이면서 가구소득이 낮을수록 가족돌봄자가 될 가능성뿐만 아니라 돌봄시간도 증가하였다. 셋째, 가족돌봄과 다른활동시간간 관계를 분석한 결과, 가족돌봄 시간은 유급노동이나 여가시간과 대체관계에 있는 반면, 가사노동시간과는 보완관계에 있었는데 이것은 고강도 가족돌봄일 때 더욱 명확하였다. 이러한 결과를 바탕으로 본 연구는 정기적인 가족돌봄실태조사의 실시, 가족돌봄지원정책의 확대, 그리고 돌봄대상과 속성뿐만 아니라 돌봄자의 속성에 따른 돌봄시간의 차등적 지원을 제안하였다.

• 지역사회간호학회지
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• 제29권4호
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• pp.530-538
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• 2018

Purpose: This study tried to identify changes in family burden after the introduction of the long-term care insurance and to examine the factors influencing subjective and objective caring burden and depression of family caregivers of elders receiving home-based long-term care. Methods: Data were collected from 203 family caregivers of elders from August 1 to 31, 2015 using questionnaires. They were analyzed in descriptive statistics, t test, ANOVA test, and multiple regression analysis. Results: The mean score of depression was 7.24, which suggested mild depression level. The subjective family burden was 2.71 and the objective burden 3.04. The factors affecting depression included subjective burden (t=5.08, p<.001), objective burden (t=2.80, p=.006), time of elderly care per day (t=-3.61, p< .001), caregiving duration (t=3.33, p=.001), age (t=3.13, p=.002), family relationship (t=2.48, p=.014), and economic status (t=1.99, p=.047). Conclusion: The family burden was most important influencing factor on caregiver's depression. Therefore, services and supports to alleviate caregivers' burden in the home-based care should be added to long-term care.

• Journal of Hospice and Palliative Care
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• 제26권2호
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• pp.60-68
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• 2023

Purpose: For the dignity of patients nearing the end of their lives, it is essential to provide end-of-life (EoL) care in a separate, dedicated space. This study investigated the utilization of specialized rooms for dying patients within a hospice unit. Methods: This retrospective study examined patients who died in a single hospice unit between January 1, 2017, and December 31, 2021. Utilizing medical records, we analyzed the circumstances surrounding death, the employment of specialized rooms for terminally ill patients, and the characteristics of those who received EoL care in a shared room. Results: During the 1,825-day survey period, deaths occurred on 632 days, and 799 patients died. Of these patients, 496 (62.1%) received EoL care in a dedicated room. The average duration of using this dedicated space was 1.08 days. Meanwhile, 188 patients (23.5%) died in a shared room. Logistic regression analysis revealed that a longer stay in the hospice unit was associated with a lower risk of receiving EoL care in a shared room (odds ratio [OR]=0.98, 95% confidence interval [CI] 0.97~0.99; P=0.002). Furthermore, a higher number of deaths on the day a patient died was associated with a greater risk of receiving EoL care in a shared room (OR=1.66, 95% CI 1.33~2.08; P<0.001). Conclusion: To ensure that more patients receive EoL care for an adequate duration in a private setting, additional research is necessary to increase the number of dedicated rooms and incorporate them into the hospice unit at an early stage.