• 제목/요약/키워드: elderly family

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노인 돌봄 가족을 지원하는 지역사회 서비스: 한국과 미국의 비교를 통한 정책 제언 (Community Services Supporting Family Caregivers for the Elderly: Lessons from the Comparison between Korea and the United States)

  • 김성희;우혜영
    • Human Ecology Research
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    • 제51권3호
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    • pp.275-284
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    • 2013
  • The purpose of this study is to provide useful insights into community-level support services for family caregivers in Korea by comparing them with the services in the United States. Similar to most developed countries, life expectancy has led to rapid population aging in Korea over the last several decades. However, despite increased social needs of long-term care for the elderly, many elderly Koreans are still dependent on their family for the long-term care. Yet, existing support programs for family caregivers are very limited. As a result, family caregivers often suffer from a lack of financial resources and emotional support. In this study, we comprehensively review the extensive literature, including relevant studies and documents of community-level support services for family caregivers of the elderly at home in Korea and the United States. One of the most important differences is that compared to Korea, diverse services based on the law of NFCSP to support the family caregivers, such as counseling, organization of support group, and educating have been available in the United States since 2000. Additionally, the legal definition of family caregivers in the United State is broader than that in Korea, where family caregivers are limited to those who are related by blood or marriage. Therefore, more caregivers are eligible for support programs and benefit from the programs in the United States. The findings of the study suggest that policy makers in Korea should legislate for diverse and comprehensive services for family caregivers. Further, it is necessary to define legal terms for family caregivers more broadly to extend beneficiaries of the programs.

농촌노인의 가족관계망 유형과 생활만족도 (The Family Network Types and Life Satisfaction of the Rural Elderly)

  • 이혜자;박경애
    • 한국노년학
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    • 제29권1호
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    • pp.291-307
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    • 2009
  • 본 연구에서는 농촌지역 거주 노인 254명을 대상으로 배우자, 자녀 및 손자녀까지 포함하여 이들 각각의 관계망을 사회관계망의 분석 변수를 적용하여 첫째, 농촌노인의 가족관계망 특성을 가족관계망 형태, 상호작용 빈도, 상호작용 내용으로 구분하여 살펴보았으며 둘째, 가족관계망 특성에 따라 가족관계망의 형태를 유형화 하고 이에 따른 농촌노인들이 느끼는 주관적인 생활만족도에 어떠한 차이가 있는지, 농촌노인의 생활만족도에 영향을 미치는 주된 변인은 무엇인지를 살펴보았다. 그 결과, 첫째, 비동거 자녀와의 전화연락이나 대면접촉 정도가 높고 긴밀하게 이루어지고 있는 것으로 나타났으며 배우자와 자녀 및 손자녀의 지지에 대한 기대정도를 살펴본 결과, 모든 대상에게서 농촌노인들이 가장 높은 지지의 기대를 드러낸 것은 '정서적'인 지지였다. 둘째, 가족관계망의 유형화를 시도한 결과, '관계소원형', '자녀-손자녀중심형', '가족의존형', '부부중심형'의 네 가지 상이한 가족관계망 유형이 나타났고 이중 '부부중심형'의 생활만족도가 가장 높게 나타났다. 농촌노인의 생활만족도에 영향을 미치는 주된 변인은 성별, 건강상태, 경제상태, 학력, 배우자의 정서적 지지, 손자녀와의 대면접촉 정도로 나타났다. 셋째, 연구결과를 바탕으로 농촌노인의 생활만족도를 높이기 위한 사회복지 정책적, 제도적인 차원의 노력을 뒷받침하기위한 몇 가지 제언을 제시하였으며 아울러 본 연구가 갖는 한계점도 밝혀두었다.

시설노인과 재가노인의 가족지지, 자존감 및 건강상태 비교연구 (A Comparative Study on Family Support, Self-esteem, and Health Status between the Institutionalized Elderly People and the Home-staying Ones)

  • 김귀분;이경호
    • 동서간호학연구지
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    • 제5권1호
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    • pp.36-49
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    • 2000
  • This study aims to provide the fundamental data for substantial nursing intervention in the elderly through a comparative appreciation on family support, self-esteem, and health status between the institutionalized elderly people and the home-staying ones. The subjects of this study are the institutionalized 108 elderly people of E and C Public Homes and the home-staying 109 elderly ones of O-Nho In Jeong(a kind of public recreational facilities for the aged) over the age of 65. The instruments for this research are based upon the tool(11 items, 5 points for each) for measuring family support developed by Choi, Young Hee(1984), a self-esteem scale done by Rosenberg (1965), the tools(20 items) for checking the health status of the elderly done by Lee, Young-Ja(1989). The sampling for this study has been carried on from July, 2000 until November, 2000. Questionnaire data were drawn up by personal interviews. The analyses of collected data are based on general characteristics calculated at the rate of 100 percentage to the average, t-test, ANOVA(some difference on a level with p<.05 being subsequently confirmed by DMR) for family support, self-esteem and health status, and Pearson Correlation to verify the hypothetical correlation among the subjects' family support, self-esteem and health status. The results of this study are as follows: 1. The difference between two groups in the light of family support, self-esteem and health status. (1) Family support - The rate of the family support that the institutionalized elderly people perceive turned out to be 22.13, that of the home-staying ones 30.99. (2) Self-esteem - The rate of the self-esteem that the former perceives proved to be 25.59, that of the latter 32.28. (3) Health Status - The rate of the health status that the former perceives turned out to be 39.67, that of the latter 51.60. 2. Family support, self-esteem, health status in terms of demographic characteristic (1) Family support - The group of institutionalized elderly people shows a tendency to be chiefly influenced by the death or life of the spouse and the number of the children; the group of the home staying ones to be chiefly influenced by the educational level (2) Self-esteem - The group of institutionalized elderly people shows a tendency to be chiefly influenced by educational level; the group of the home staying ones to be chiefly influenced by the amount of pocket money, the pocket money provider and the family main supporter. (3) Health Status - The group of institutionalized elderly people shows a tendency to be chiefly influenced by educational level; the group of the home staying ones to be chiefly influenced by age, the death or life of spouse, religion, and the educational level. 3. Correlation among family support, self-esteem, and health status The rate of correlation between family support and health status proved to be the highest (r=.549). After came the rate of correlation between health status and self-esteem, which turned out to be(r=.506). The last came the rate of correlation between family support and self-esteem, which proved to be(r=.406). According to this study, there is a conspicuously close correlation among family support, self-esteem, and health status for the elderly. Thus, it would be indispensable to seek out a variety of nursing intervention ways how the elderly could promote family support, self-esteem, and health status.

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급성기 노인 입원 환자의 자기효능감과 가족지지가 우울에 미치는 영향 (Self-efficacy and Family Support as Predictors of Depression in Elderly Patients admitted to Hospital)

  • 박병남;박진희
    • 가정∙방문간호학회지
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    • 제21권1호
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    • pp.52-59
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    • 2014
  • Purpose: The purpose of this study was to identify the prevalence and the predictors of depression in elderly patients admitted to hospital. Methods: A sample of 157 subjects aged 65 and over was selected from a university hospital in Korea. Data were collected through self-reported questionnaires during the period from April to August 2012. The data were analyzed using t-tests, ANOVAs, Pearson's correlation coefficients, and multiple regressions with the SPSS/Win program. Results: The prevalence of depression was 54.8%; the mean score for depression was 17.30. Depression in elderly patients had a significant correlation with age, educational level, marital status, and perceived economy level from the demographic characteristics, self-efficacy, and family support. A hierarchical multiple regression analysis revealed that a combination of self-efficacy and family support accounted for 27% of the depression in elderly patients. Conclusion: The findings of this study suggest that programs designed to effectively prevent and manage depression among elderly patients should consider variables such as self-efficacy and family support.

종합병원 입원노인의 회복력과 가족지지가 무망감에 미치는 영향 (The Effects of Resilience and Family Support on the Hopelessness of Elderly Inpatients in General Hospitals)

  • 조정의;하영미
    • 가정∙방문간호학회지
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    • 제23권2호
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    • pp.129-138
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    • 2016
  • Purpose: The purpose of this study was to examine the relationships between resilience, family support, and hopelessness, as well as to identify the effects of resilience and family support on the hopelessness of elderly inpatients in general hospitals. Methods: A total of 177 elderly persons were recruited from three general hospitals. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson;s correlation coefficient, and multiple regression analysis. Results: The score on the hopelessness of hospitalized elderly persons was $2.88{\pm}0.88$ (range: 1-5). Multiple regression analysis results showed that participants; hopelessness was significantly influenced by resilience and family support, explaining 35.4% of the total variance. Conclusion: Based on the findings of this study, there is a need for the development of a resilience and family support program, aimed at reducing hopelessness among elderly persons, in order to promote their mental health.

재가 노인의 사회적 지지와 사기 (Perceived Social Support and Morale of the Elderly Staying at Home)

  • 유양경
    • 대한간호학회지
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    • 제34권2호
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    • pp.297-306
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    • 2004
  • Purpose: This study was done to identify the relationship between social support and morale in the elderly. Method: A structured questionnaire was carried out from April, 2003 to June, 2003 on 203 elderly. The data was analyzed with a SPSS program for descriptive statistics, Pearson's correlation coefficients, t-test, ANOVA, and stepwise multiple regression was done Result: The level of social support was moderate, and family support was the highest score. In types of support, appraisal support was the highest score. The level of morale was slightly lower than moderate, and the score of social support showed significantly positive correlation with morale. In general characteristics, several variables were significantly related to social support and morale. The most powerful predictor of morale was material support by family and the variance was 19.6%. A combination of material support by family, emotional support by relatives, level of satisfaction with pocket money, perceived health, level of intimacy with one's children, and material support by friends account for 43.3% of the variance in morale of the elderly. Conclusion: To increase the morale of the elderly, it is necessary to consolidate material support by family and relatives.

노년기 생활설계 프로그램 개발을 위한 기초연구 -노인의 생활문제인지와 생활계획의 분석을 중심으로- (Life planning program for elderly -Analysis of life problem and life planning of elderly-)

  • 홍성희
    • 대한가정학회지
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    • 제35권3호
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    • pp.151-169
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    • 1997
  • The purpose of this study was to analyze contributing factors to elder's life problem and their life planning. The sample in this study consisted of 556 elderly husband and wives over 55 years old loving in Seoul, Daejeon, Jeonju and Daegu. Statistics employed for the analysis were frequencies, means, and multiple regression analysis. The results could be summarized as follows. Elderly's life problem and planning were negatively related in economic and leisure domain. And family relationship and self-esteem had significant effects on the perception of life problem, while hoe ownership, total income and total asset had not effect on perception of life problem of elderly. Also, family relationship, self-esteem and locus of control had effect on life planning of elderly. These findings pointed that psychological variables as family relationship and self-esteem play a more important role than economic variables in life of elderly.

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노부부의 의사소통효율성 및 관련 변인 연구 (A Study on the communication efficiency of eldery couples and the related variables)

  • 박은아;이정우
    • 가족자원경영과 정책
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    • 제7권2호
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    • pp.25-44
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    • 2003
  • The purpose of the present study was to suggest the efficient communication methods for improving the quality of marriage and life in the elderly couples. For this study we considered variables connected with the communication efficiency of elderly couples. We investigated 462 elderly men and women whose spouse is alive and Seoul and the National Capital region. The major findings of this study are summarized as follows. 1) The communication efficiency of elderly couples was over than middle level so we could find that they communicate efficiently. 2) The communication efficiency of elderly couples differs significantly according to sex, education level, economic condition, health status, family type, social activity, sociotropy Personality, self-esteem, internal-external controllability, marital intimacy, relative comparison in the level of living. 3) The communication efficiency of elderly couples was dependently affected by intimacy, economic status, relationship; this variables had 40% explanation for communication efficiency.

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가족 동거 여부에 따른 남녀 노인의 식 행동과 영양소 섭취 실태 비교 분석: 국민건강영양조사 2013~2016 (Comparison Analysis of Dietary Behavior and Nutrient Intakes of the Elderly according to Their Family Status: The Korea National Health and Nutrition Examination Survey 2013-2016)

  • 오지홍;정복미
    • 대한지역사회영양학회지
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    • 제24권4호
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    • pp.309-320
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    • 2019
  • Objectives: This study was undertaken to compare dietary life of the elderly living alone and in a family, and to compare differences based on gender, for the 2013-2016 Korea National Health and Nutrition Examination Survey (KNHANES). Methods: The subjects included 2,612 elderly people aged over 65 years who participated in the health survey, health examination and nutrition survey. Subjects on a diet therapy were excluded. This study analyzed the general characteristics, dietary habits, daily energy and nutrient intakes, CPF ratio, estimated average requirement (EAR), nutrient adequacy ratio (NAR) and mean adequacy ratio (MAR), index of nutrient quality (INQ), and food consumption of the elderly living alone and in a family. We also compared the differences based on gender. Results: Daily intake of food, water, dietary fiber, potassium, retinol, and riboflavin were low in the male elderly subjects living alone. The elderly living with family revealed higher NAR and MAR as compared to the elderly living alone. Although all MAR values were <1, the elderly living alone had lower values. Considering the intake of food, the consumption of seaweed, fish and shellfish, and oils (animal) was higher in elderly men living with families, whereas women living with families consumed more vegetables, fruits, seaweeds and seafood, as compared to their counterparts living alone. Furthermore, analyzing the foods consumed by the elderly people living alone, female subjects consumed more seaweed, milk and animal oil as compared to male subjects. Conclusions: The results of this study indicate that the elderly living alone have poor nutrient intake as compared to the elderly living with families. Based on this research data, we recommend that it is necessary to improve the health and nutritional status of the elderly living alone.

지역사회 경증치매노인의 행동심리증상과 가족의 부양스트레스 및 자기효능감 (Behavioral and Psychological Symptoms of the Elderly with Mild Dementia in Local Communities and Care-giving Stress and Self-efficacy of Family Members)

  • 임동영;장현정
    • 한국콘텐츠학회논문지
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    • 제19권4호
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    • pp.651-662
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    • 2019
  • 본 연구는 경증치매노인의 행동심리증상과 가족의 부양스트레스 및 자기효능감의 관계를 파악함으로써 치매노인 가족의 부양스트레스를 감소시키는데 기초자료를 제공하기 위함이다. 이에 따른 관계를 규명하기 위한 분석은 기술통계, t-test, ANOVA를 이용하였다. 경증치매노인의 행동심리증상에 대한 가족의 부양스트레스와 자기효능감에 대해 알아본 결과, 치매노인의 행동심리증상과 가족의 부양스트레스는 양의 상관관계 (r=.655, p<.001), 치매노인 가족의 부양스트레스와 자기효능감은 음의 상관관계(r=-.334, p<.001)가 있었다. 본 연구결과를 토대로 경증치매노인의 행동심리증상에 대한 적절한 대처법 개발을 통해 지역사회 경증치매노인 가족의 부양스트레스를 감소시키고 자기효능감을 향상시키기 위한 방안이 필요할 것으로 사료된다.