• 대한간호학회지
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• 제42권2호
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• pp.236-247
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• 2012

Purpose: Purposes of this study were: evaluation of family burden of caring for elders who receive long term care services, and examination of differences in burden before and after the introduction of long term care service in Korea. Methods: Data were collected by questionnaires from 416 caregivers of elders who were registered with the Long Term Care Insurance Corporation in six cities. Data were collected in September, 2010 and analyzed using descriptive statistics, paired t-test, and ANOVA with the Scheffe test, and stepwise multiple regression. Results: Family burden decreased significantly after longterm care service was initiated. Subjective burden decreased from 2.93 to 2.69 (t=11.78, $p$<.001), and objective burden, from 3.40 to 3.10 (t=12.73, $p$<.001). Stepwise multiple regression analysis revealed that factors affecting subjective burden were family relations (F=13.60, $p$=.003), age (F=5.47, $p$=.019), job (F=6.98, $p$=.008), and education (F=4.59, $p$=.032), and that factors affecting objective burden were living together (F=17.66, $p$<.001), job (F=13.34, $p$=.003), monthly income (F=6.61, $p$=.010), and type of service (F=6.62, $p$=.010). Conclusion: The results of this first study to investigate caregiver burden after the Korean Long-term Care Insurance System was begun provide positive information for the development of strategies to decrease family burden in long term care.

• 한국융합학회논문지
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• 제8권12호
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• pp.119-127
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• 2017

본 연구는 청주시와 대전광역시에 소재한 7개의 종합병원에서 뇌졸중으로 진단받은 입원환자의 보호자 226명을 대상으로 부양부담감 및 우울감과 신체건강관련 삶의 질을 융복합적으로 파악하고자 조사하였다. 삶의 질은 HRQoL의 단축형인 SF-8을 이용하였다. 다중회귀분석 결과, 환자의 일상생활 의존도가 가장 많은 영향을 주었다. 이러한 결과로 볼 때 뇌졸중 환자 보호자의 신체건강관련 삶의 질을 높이기 위해서는 노인 장기 요양 보험제도 및 간병인 제도와 보건복지부에서 실시하고 있는 보호자 없는 병실을 확대 운영하여 보호자의 간병시간을 줄이고, 질환에 대한 교육과 가족지지모임을 통해 회복에 대한 기대를 높일 필요가 있다.

• 한국콘텐츠학회논문지
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• 제14권5호
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• pp.211-223
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• 2014

본 연구는 일반 병동으로 전실 예정된 중환자실 환자 가족을 대상으로 중환자실 환자 가족의 부담감에 영향을 미치는 요인을 규명하기 위해 시도된 서술적 횡단조사연구이다. 연구대상은 C시에 소재한 일 대학병원 중환자실에서 일정기간 집중치료를 받고 신체상태가 안정적으로 회복되어 일반병동으로 전실 예정된 환자의 가족 중 연구대상자 선정기준에 적합한 101명이 연구 분석대상에 포함되었다. 자료수집 기간은 2010년 8월부터 11월까지였으며, SPSS 18.0 프로그램을 이용하여 자료 분석을 시행하였다. 연구 결과, 중환자실 환자 가족의 객관적 부담감은 전실 시 환자의 의식수준, 환자 몸에 부착된 기계장치의 수, 기관절개관 여부에서 통계적으로 유의한 차이가 나타났으며, 환자 가족의 주관적 부담감의 경우 환자의 성별, 환자의 교육수준, 환자와의 관계 항목에서 통계적으로 유의한 차이가 나타났다. 중환자실 환자 가족의 전실불안은 객관적 주관적 부담감과 통계적으로 유의하게 순상관관계를 보였고, 본 연구의 주요 결과인 회귀분석에서 환자 가족의 부담감 영향요인으로 객관적 부담감의 경우 전실불안이, 주관적 부담감은 환자 성별과 전실불안이 통계적으로 유의한 독립변인으로 제시되었고, 각각의 설명력은 12.7%와 23.8%로 나타났다. 본 연구결과, 일반 병동으로 전실 예정된 환자 가족의 전실불안이 환자 가족의 객관적, 주관적 부담감을 증가시키는 요인으로 나타나, 향후 본 연구결과를 토대로 중환자실 퇴실 환자와 그 가족을 대상으로 각 대상자의 요구도를 반영한 맞춤형 전실교육을 통해 환자가족의 부담감을 적극적으로 낮출 수 있는 방안이 마련되어야 할 것이다.

• Child Health Nursing Research
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• 제6권2호
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• pp.199-211
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• 2000

Today, more chronically ill and handicapped children are being cared for at home by a family member caregiver. The task of caring for a family member may feel burden that the caregiver has less time and money and more work. Family functioning and their burden have influence on coping and adaptation of families with chronically-ill children. This study attempted to identify the levels of burden and family functioning in families of children with cerebral palsy and to examine their relationships. The instruments were burden scale developed by Suh and Oh(1993), and a modified Feetham Family Functioning Survey based on Roberts and Feetham.(1982). The subjects were 98 parents of children, under 15 years, who have cerebral palsy and being treated and living in Pusan. Data were collected through a self-administered question- aire from April 26 to May 29. The collected data were tested using frequencies, percentiles, means, t-test, ANOVA, and Pearson correlation coefficient with SPSSWIN program. The results of this study were as follows ; 1. The mean rating scores of burden and family functioning were 2.79±.51 and 4.12±.69, respectively. 2. The relationships between general character- istics and burden were statistically significant difference : degree of children's handicap(F=6.333, P<.01). The relationships between general characteristics and family functioning were statistically significant differences : familial relation with the children(F=3.628, P<.05), caregiver's health status(F=4.359, P<.05), age of children (F=4.185, P<.05), and duration of treatment (F=6.802, P<.01). 3. In families of children with cerebral palsy, there was significantly negative correlation between the burden of parents and the performance of family functioning(r=-.230, P<.05). There were significantly negative correlations between the burden of parents and the satisfaction of family functioning (r=-.211, P<.05), and between the perceived importance and the satisfaction of family functioning(r=-.481, P<.01); however, there was a positive correlation between the performance and the perceived importance of family functioning(r=.425, P<.01). In conclusion, this study suggests that families of children with cerebral palsy need family-focused nursing interventions as supportive care for relieving their burden and for improving family functioning.

• 한국사회복지학
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• 제29권
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• pp.24-41
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• 1996

• 간호행정학회지
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• 제10권3호
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• pp.375-386
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• 2004

The purpose of this study was to identify the present use of caregiver services, to evaluate the degree of satisfaction with the services according to type of caregiver service, private or public, and to provide data for the development of a plan which will provide good quality service with less economic and psychological burden to the patients and their families. Survey data were collected from 130 patients in 4 general hospitals in Seoul, and their families. Data were collected during April, 2004, using a questionnaire which included the patient satisfaction scale developed by Jun (2001). Data were analyzed using frequencies, percentages, means and standard deviations, $X^2$ analysis, t-test. The SPSS computer program was used to facilitate analysis. The results of this study are summarized as follows; The total score for satisfaction was high for both groups. For the private caregiver group it was $52.38{\pm}11.08$, and for the public caregiver group, $58.14{\pm}9.64$. This difference was significant(t=-3.391, p=.001). In all of areas, the scores for satisfaction of the public caregiver service group were higher than private caregiver service group, ie. caregivers' attitude, role, confidence, performance, and service charge, and all the differences were significant. In conclusion, it was found that long-term hospitalization of older patients with high dependence resulted in more caregiver service. There were more severe patients in the public caregiver group, but the service charges, additional costs and paid holidays were less. Based on these results, patients and their families were significantly more satisfied with public caregiver service because it was not only less expensive but also had a high quality of service. Thus, caregiver services should be systemized so that patients and their families will get the best quality caregiver service

• 지역사회간호학회지
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• 제18권2호
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• pp.232-241
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• 2007

Purpose: The aim of this study was to explore the health-related quality of life of caregivers for demented elders. Method: The subjects of this study were 170 pairs of demented elders and their caregivers. Socio-demographic characteristics of the demented elders and the caregivers, Barthel index and SF-36 were used in this study. Data analysis procedure included t-test, ANOVA, Pearson correlation coefficient, and hierarchical multiple regression. Results: The score of overall health-related quality of life (HRQoL) was 288.62 in norm-based scoring. The major factors that affect HRQoL of the demented elders' caregivers were burden, the age of the caregiver, ADL and gender of the demented elder, and these factors explained 34.5% of HRQoL. Conclusion: The factors significantly affecting the caregivers' HRQoL were burden, the age of the caregiver and ADL. The effective social support system should be considered in respective nursing interventions to decrease the level of burden and to increase HRQoL in demented elders' caregivers. Further studies and efforts will be needed to investigate preceding factors of burden and HRQoL.

• Asian Pacific Journal of Cancer Prevention
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• 제14권1호
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• pp.209-215
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• 2013

Objectives: Terminal cancer patients and their caregivers often experience traumatic stress and need many types of assistance. In the present study we interviewed terminally ill cancer patients and caregivers to determine how much burden they experienced and to find out what factors are most important for satisfaction. Design: We constructed a questionnaire including overall care burden and needs experienced, and administered it to 659 terminal cancer patients and 659 important caregivers at 11 university hospitals and 1 national cancer center in Korea. Results: Finally, 481 terminal cancer patients and 381 caregivers completed the questionnaire. Care burden was not insubstantial in both and the caregiver group felt more burden than the patient group (P<0.001). While the patient group needed financial support most (39.0%), the caregiver group placed greatest emphasis on discussion about further treatment plans (44.8%). Stepwise multiple logistic regression analyses showed that in the patient group, patient's health status (OR, 2.03; 95%CI, 1.16-3.56) and burden (OR, 2.82; 95%CI, 1.76-4.50) influenced satisfaction about overall care, while in the caregiver group, high education level (OR, 1.84; 95%CI, 1.76-4.50), burden (OR, 2.94; 95%CI, 1.75-4.93) and good family function (OR, 1.94; 95%CI, 1.24-3.04) were important. Conclusions: Our study showed that burden was great in both terminal cancer patients and their caregivers and was perceived to be more severe by caregivers. Our study also showed that burden was the factor most predicting satisfaction about overall care in both groups.

• 융합정보논문지
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• 제9권5호
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• pp.77-85
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• 2019

본 연구는 재활병원에 입원하여 뇌신경계 재활 치료를 받고 있는 환자의 가족부담감 정도와 일반적 특성, 질병특성에 따른 부담감의 차이를 파악하고, 융합적인 영향요인을 규명하기 위한 서술적 조사연구이다. 재활병원에서 재활 치료중인 환자의 주 돌봄제공자인 가족 113명을 대상으로 설문조사하여 SPSS statistics 22 프로그램을 이용하여 분석하였다. 본 연구 결과는 환자가족의 부담감 수준은 평균 3.16로 나타났고, 가족의 부담감은 돌봄자의 연령, 교육수준, 돌봄자와의 관계에서 유의한 차이가 있었으며, 환자의 질병관련 특성에 따른 가족부담감은 유의한 차이가 없었다. 마지막으로 가족의 부담감에 미치는 영향 요인을 확인한 결과 돌봄자의 연령, 학력, 종교, 환자와의 관계가 예측요인으로 나타났다. 재활치료중인 가족부담감을 낮추는 중재 프로그램 개발에 일반적 특성을 고려할 필요가 있을 것이다.

• 대한간호학회지
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• 제32권5호
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• pp.665-672
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• 2002

It was identified that how many homebound bedridden elderlies and their primary caregivers were depressed, and which factors affected the bedridden elderly's depression. Method: The subjects were 191 homebound bedridden elderlies and their primary caregivers. The affecting factors were classified into two categories : bedridden elderly and their primary caregiver related factors. Then bedridden elderly's factors were classified demographic and disease-related factors again. The stepwise regression was used to identify significant factors. Result: The prevalence of bedridden elderly's and caregiver's depression was 77.8% and 67.0%, respectively. And the model explained 33.3% of variance of bedridden elderly's depression. Cognitively-impaired female elderlies who had depressed caregivers were found to be more depressed. And caregivers who perceived burden were identified to be more depressed. Conclusion: It is recommended that the health professionals need to identify bedridden elderlies and caregivers at risk of depression. Especially elderlies who is in poor cognition, those who are female, and those whose caregivers were depressed might be considered carefully in all counseling or follow-up. Also the primary caregivers must be helped to access already available formal and informal support.