Purpose: The purpose of this Study was to identify the factors that affect the caregiving burdens felt by the female family caregivers and quality of caregiving. Method: The subjects were 247 female family caregivers who were living with the elderly and were residing in Seoul. Data was collected from June 30, 2000 to Agust 11 by using questionnaire. The collected data was analyzed using descriptive statistics and hierarchial multiple regression with SAS/PC. Result: Situational factors had the greatest influence on the caregiving burdens. While the interactive factors of discrepancy between past and present image of elder and the caregiving belief were proven to be significant, the former had greater influence. The factors affecting the quality of caregiving, this is greatly influenced by situational factors and interactive factors. The discrepancy between past and present image of elder had relatively little influence while caregiving belief had the greatest influence. Among the situational factors, family stress had the greatest influence, while the caregiving burdens had little influence on the quality of caregiving. Conclusion: In order to improve the quality of caregiving in elderly by the female caregiver in the family, and to reduce the caregiving burdens, it is important to consider variables related to interaction as well as those directly concerned with caregiver and the elderly for nursing intervention.
Purpose: The purpose of this study was to identify the factors influencing file-up family stress in the family with a family member having a chronic mental illness. Method: Data was collected by questionnaires from 365 families with a member having a chronic mental illness, in an outpatient clinic of a General Hospital and Government Psychiatric Hospital in Seoul. The data was analyzed using descriptive statistics, pearson correlation coefficients, and stepwise multiple regression. Result: The score of file-up stress showed a significantly negative correlation with the score of level of hardiness (r=-.31, p=.00), family support (r=-.13, p=.00), family cohesion (r=-.25, p=.00), and sense of coherence (r=-.26, p=.00). The most powerful predictor of file-up stress was family hardiness and the variance was 11.1%. Acombination of hardiness, family support, and sense of coherence account for 14.8 % of the variance in file-up stress of the family with a member having a chronic mental illness. Conclusion: This study suggests that family support, hardiness, cohesion, and sense of coherence are significant influencing factors on file-up stress in the family with a member having a chronic mental illness.
The purpose of this study was to examine the effect of emotional and informational support intervention on role stress and depression of primary family caregivers caring stroke patients and to develop an effective nursing intervention method for them. This study selected the quasi-experiment, based on pre-test and post-test design of non-equivalent control group as a method of study. This study was conducted with 69 primary family caregivers caring stroke patients hospitalized in K and D hospitals in Daegu from August 20 to October 25, 2000. Out of them, 34 were placed in the experimental group, and 35 in the control group. The emotional and informational intervention program was divided into two aspects-emotional support and informational support- and executed three times, using prepared instruments and a guidebook. The intervention program consisted of the 1st intervention for one or one-half hour, the 2nd intervention for 30 minutes in two or three days after the 1st intervention. and the 3rd intervention for 30minutes in another two or three days after the 2nd intervention. Pre-test was carried out just before the 1st intervention, and the post-test was carried out right after the 3rd intervention, in order to collect data. The measuring instrument of role stress used was one that was modified to the role stress instrument of Yang Young-hee(1992) and the stress instrument of Choi Eun-sook (1992). The reliability was Cronbach's $\alpha=.8271$. The measuring instrument of depression used was one that was developed by Beck(1967) and standardized by Han Heung-moo et al(1986). The reliability was Cronbach's $\alpha=.8693$. Data were analyzed with percentage, mean, standard deviation, $x^2-test$, t-test and Paired t-test by using SPSS 9.0 program. The results of this study are summarized as follows: 1. Role stress score of the experimental group was revealed to be significantly lower than that of the control group 2. Depression score of the experimental group was revealed to be significantly lower than that of the control group Accordingly, the emotional and informational support intervention can be a way to reduce role stress and depression of primary family caregivers caring stroke patients.
Adult child caregivers and spousal caregivers might deal with differential challenges. Studies about caregivers' psychological outcomes, however, tended to investigate associations between caregiving and its outcomes by pooling adult child caregivers and spousal caregivers together. By using a U. S. sample of family caregivers who assisted a relative with dementia, this study examined whether the relationship of caregivers to care receivers (daughter caregivers or spousal caregivers) made a difference in levels of depressive symptoms. The result showed that wife caregivers were more likely to be depressed than daughter caregivers. For daughter caregivers, role overload, role captivity, and behavior problems significantly influenced on depression. Besides these variables, the level of education was a significant predictor for wife caregivers. Role captivity and behavior problems significantly impacted on depression for husband caregivers. Thus, role captivity and behavioral problems were common predictors for all the caregivers. Specifically, higher levels of role captivity and behavioral problems were likely to make caregivers more depressed. The implication of these results were discussed.
The purpose of this study is to analyse the family caregivers' stress pathways by types of long term care services for the elderly, and then to discuss the findings of analysis. For this research, primary caregivers that provide care the elderly requiring long term care services sanctioned by National Health Insurance Corporation were drawn and surveyed. Among collected data, data for 258 primary caregivers by type of long term care services were used for this study. The results of this study can be summarized as follows. First, on average, the elders that utilize care service in institutions for the elderly were higher proportion of women, older, higher rate of bereavement, more children than the elders that utilize in-home care service, but some cases were vice-versa. Second, the elders that utilize care service in institutions more ADL dependency, higher proportion of severe dementia or severe stroke, higher care rank by National Health Insurance Corporation than the elders that utilize in-home care service on average. Third, primary caregivers with elders that utilize in-home care service were higher proportion of women, older, lower education level, higher rate of spouse and daughter-in-law in relationship with care recipient, less health, lower income than primary caregivers with elders that utilize care service in institutions. Fourth, subjective indicators representing caregivers' reactions to caregiving for the elderly significantly impact on caregivers' stress(ie, depression), and pathway of caregivers' stress are differentiated by type of long term care services. Fifth, stressors that have direct impacts on depression as caregiving family are differentiated by type of long term care services. Therefore, policies or programs to reduce negative mental health or stress of caregivig families should be designed differently by reflecting pathway of various stressors and stress by use types of long term care services for the elderly.
Hemodialysis is a way of treatment for the patients with acute and chronic renal failure. "Marginal man" depicts the enormous amount of stress that hemodialytic patients suffer. It is known that family with chronic illness get stressed along with the patients and they need nursing care also. This qualitative study was conducted in order to identify the family adaptation process in patients with hemodialysis. 6 dyads of hemodialytic patients and caregivers were interviewed for this research. By way of grounded theoretical strategy the data was collected from October 20, 1999 to November 20, 1999. at a hemodialytic unit that was located in Iksan, Chonbuk by the researcher. The main research questions were "What's the adaptation experience of a patient since after being received with hemodialysis?" to the patients, and "What's the family adaptation experience of hemodialysis?" to the caregivers. The collected data was analyzed by grounded theoretical strategy built by Glaser & Strauss in 1967. Results were as follows; 7 grounded concepts were observed from the patients with hemodialysis and 4 grounded concepts were found from the caregivers. Two categories were derived ; 1) Holding hope that is related with treatment 2) Changing a value system.
Kim, Joung-Soon;Lee, Su-Ill;Kim, Ki-Tae;Park, Nam-Hee
Research in Community and Public Health Nursing
/
v.16
no.3
/
pp.260-269
/
2005
Purpose: This study were to understand the caregiving situation of families with the demented elderly and to develop a self-help program for them. Method: A self-help program was designed to increase caregivers' confidence and skills in problem solving. In addition, it was designed to provide information about the demented elderly. The self-help program of this study was composed of nine sessions. Result: Family caregivers of elderly patients with dementia obviously experience high level of stress. which often leads the caregivers to negative outcomes such as depression, interference with social activities and health difficulties. That is, caring is stressful for caregivers because the demands of the caregiving situation tend to overwhelm the caregivers' coping resources. Therefore, families with demented elderly persons need assistances in order to be relieved from their care burden. Conclusion: The self-help program includes the understanding of dementia, the family caregiving experiences of the demented elderly persons, the time for self-care, the search for helping, the improving of interpersonal relations and communications.
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.
Objectives: The purpose of this study is to identify the factors affecting job satisfaction, job stress, turnover intention, work-family and family-work relationship of married dental hygienists with young children. Methods: 242 copies of self-reported questionnaires were analyzed. Statistical analysis of collected data was conducted using the statistical program of Stata 13.0 (StataCorp., College Station, TX, USA). Results: Turnover intention was higher when the child age was lower and the child support and parenting stress were higher. But when working hours were adjustable, the turnover intention was low. Job stress was higher as the position, monthly income and night working hours were higher. Job satisfaction was higher as night work was fewer, work time was adjustable and family life satisfaction was higher. When parenting stress was high, job satisfaction was low and job stress and turnover intention were high. Work-family relationships were more affected by lower monthly income and parents-first child caregivers. Workplace factors affecting the family life were monthly income, caregiver and number of night work. The higher the parenting stress, the greater the mutual influence between family and work life. Age, family life, parenting stress and turnover intention were identified to affect family-work relationship. Parenting stress and job stress were identified to be influential on work-family relationship. Conclusions: Married dental hygienists are leaving the clinical setting due to their marriage and childbirth, or showing the effects on family-work and work-family relationships due to parenting. Efforts should be made to efficiently utilize professional manpower and to improve the psychological and physical working environment surrounding the married dental hygienists.
Purpose : This investigation was to identify the relationship of social support, stress, health and quality of life in caregivers of home-stay cancer patient. Method : We used a questionnaire and obtained data from the records of 79 caregivers of home-stay cancer patient in a community. Window SPSS-PC was used for the data analysis and the statistical method used were the t-test, ANOVA and Pearson's correlation coefficient. Result : The mean score of family support(3.24) was higher than nurse's support(3.03). The mean score of stress was 3.52 and that of health status was 2.98. The mean score of quality of life was 2.34. The health status of caregivers of cancer patient was influence by age(F=3.17, p=0.018) and education(F=3.59, p=0.032). There was a correlation between nurse's support and family support(r=.263, p<0.05). There was a correlation between stress and health status(r=0.597, p<0.01). The quality of life was correlated with stress(r=-.678, p<0.01) and health status(r=-0.741, p<0.01). Conclusion : The above result indicate that we must consider of social support, stress and health status to promote of quality of life of the caregiver of cancer patient.
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