Factors Influencing on Burden of Family Members of Intensive Care Patients : Planned Transfer to General Ward after Intensive Care

일반병동 전실예정의 중환자실 환자 가족의 부담감 영향 요인

  • 이혜숙 (순천향대학교 천안병원) ;
  • 유미애 (아주대학교 간호대학) ;
  • 이수경 (계명대학교 간호대학) ;
  • 손연정 (순천향대학교 의과대학 간호학과)
  • Received : 2014.02.13
  • Accepted : 2014.03.19
  • Published : 2014.05.28


The aim of this study was to identify the levels of family members' burden and to describe factors influencing on famiCX*//8ly caregiver's burden when they are planned to transfer to general ward from the intensive care units (ICU). A descriptive survey was used with a convenience sampling of 101 family members of ICU patients at S university hospital in C city, Korea from August to November, 2010. The data were analyzed with SPSS 18.0 program. The level of object burden in family members had statistically significant differences with level of consciousness, number of patients' monitoring devices, and tracheostomy tube. The level of subject burden had statistically significant differences according to patients' gender, patients' education level, and relationship with patients. Transfer anxiety was showed statistically positive correlation with objective and subjective burden. We found transfer anxiety was statistically significant predictor of family caregiver's objective burden with explanatory power 12.7%. Family members' subjective burden were statistically influenced by patients' gender and transfer anxiety. These factors explained 23.8% out of total variance of family members' objective burden. The structured individualized method of transfer is recommended with further research of ICU families to further examine the dimension of transfer anxiety and how it affects family members' burden and patient outcomes.


Intensive Care Unit;Family Caregiver;Burden;Transfer Anxiety


  1. 김귀현, 정보제공이 중환자실 퇴실 환자가족의 불안 및 역할스트레스에 미치는 영향:뇌졸중 환자가족을 대상으로, 동의대학교 대학원 석사학위논문, 2006.
  2. 이영신, 서문자, "입원환자 가족원의 부담감에 대한 연구", 간호학 논문집, 제8권, 제1호, pp.17-32, 1994.
  3. 권희경, 중환자실 퇴실시 환자 가족의 전동불안에 영향을 미치는 요인, 서울대학교 대학원 석사학위논문, 2008.
  4. M. L. Mitchell, and M. Courtney, "Reducing family members' anxiety and uncertainty in illness around transfer from intensive care: an intervention study, "Intensive and Critical Care Nursing, Vol.20, No.4, pp.223-231, 2004.
  5. S. R. Ferrario, A. M. Zotti, S. Zaccaria, and C. F. Donner, "Caregiver strain associated with tracheostomy in chronic respiratory failure," CHEST Journal, Vol.119, No.5, pp.1498-1502, 2001.
  6. M. M. Nelson, M. A. Smith, B. C. Martinson, A. Kind, and R. V. Luepker, "Declining patient functioning and caregiver burden/health: The Minnesota Stroke Survey-quality of life after stroke study, "The gerontologist, Vol.48, No.5, pp.573-583, 2008.
  7. R. Holicky, "Caring for the caregivers: The hidden victims of illness and disability, " Rehabilitation Nursing, Vol.21, No.5, pp.247-252, 1996.
  8. W. Chaboyer, E. Kendall, M. Kendall, and M. Foster, "Transfer out of intensive care: a qualitative exploration of patient and family perceptions, "Australian Critical Care, Vol.18, No.4, pp.138-145, 2005.
  9. R. J. Montgomery, J. G. Gonyea, and N. R. Hooyman, "Caregiving and the experience of subjective and objective burden, " Family relations, Vol.34, No.1, pp.19-26, 1985.
  10. 이지원, 임선영, "중환자실 입원환자 가족의 부담감과 요구도", 한국콘텐츠학회논문지, 제14권, 제2호, pp.421-429, 2014.
  11. 김귀분, 한경숙, 석소현, "중환자실 입원 노인 중증도별 주부양가족의 부담감 영향요인 비교", 성인간호학회지, 제21권, 제2호, pp.187-198, 2009.
  12. 김영자, 이평숙, "치매노인을 돌보는 가족의 부담감과 우울반응에 관한 연구", 대한간호학회지, 제29권, 제4호, pp.766-779, 1999.
  13. 김은숙, 김희순, "뇌성마비 환아 어머니의 사회적 지지와 부담감", 재활간호학회지, 제12권, 제1호, pp.39-46, 2009.
  14. 김인자, "뇌졸중 환자 가족간호제공자의 불안과 부담감의 예측요인:자기효능과 돌봄에 대한 지식을 중심으로", 성인간호학회지, 제24권, 제1호, pp.1-10, 2012.
  15. 오순학, 중환자 가족의 부담감과 스트레스에 관한 연구, 이화여자대학교 대학원 석사학위논문, 2004.
  16. D. C. Van Pelt, R. Schulz, L. Chelluri, and M. R. Pinsky, "Patient-Specific, Time-Varying Predictors of Post-ICU Informal Caregiver Burden The Caregiver Outcomes After ICU Discharge Project, "CHEST Journal, Vol.137, No.1, pp.88-94, 2010.
  17. I. M. Soderstrom, B. I. Saveman, M. S. Hagberg, and E. G. Benzein, "Family adaptation in relation to a family member's stayin ICU, " Intensive and Critical Care Nursing, Vol.25, No.5, pp.250-257, 2009.
  18. 김은성, 박영우, 김영애, "중환자실 입원환자 가족의 스트레스, 사회적지지 및 대처에 관한 연구", 임상간호연구, 제13권, 제3호, pp.123-134, 2007.
  19. M. Foster and W. Chaboyer, "Family carers of ICU survivors: a survey of the burden they experience," Scandinavian Journal of Caring Sciences, Vol.17, No.3, pp.205-214, 2003.
  20. 서미혜, 오가실, "만성질환자 가족의 부담감에 관한 연구", 대한간호학회지, 제23권, 제3호, pp.467-484, 1993.
  21. 조경진, 전은미, "정보제공이 중환자실에 입원한 뇌졸중환자 가족의 불안 및 간호만족도에 미치는 영향", 기본간호학회지, 제14권, 제1호, pp.53-61, 2007.
  22. P. Johnson, W. Chaboyer, M. Foster, and R. der Vooren, "Caregivers of ICU patients discharged home: What burden do they face?, "Intensive and Critical Care Nursing, Vol.17, No.4, pp.219-227, 2001.
  23. W. Chaboyer, "Intensive care and beyond improving the transitional experiences for critically ill patients and their families, " Intensive and Critical Care Nursing, Vol.22, No.4, pp.187-193, 2006.
  24. C. D. Spielberger, R. Gorsuch, and R. Lushene, Thestate-trait anxiety inventory(STAI) test manual, Consulting Psychologists, Palo Alto, 1970.
  25. J. Kim and D. Shin, "A study based on the standardization of the STAI for Korea, " New Med J, Vol.21, No.11, pp.69-75, 1978.
  26. W. Chaboyer, L. Thalib, K. Alcorn, and M, Foster, "The effect of an ICU liaison nurse on patients and family's anxiety prior to transfer to the ward: An intervention study," Intensive and Critical Care Nursing, Vol.23, No.6, pp.362-369, 2007.
  27. A. Egol, R. Fromm, and K. K. Guntupalli, "Guidelines for intensive care unit admission, discharge, and triage, "Critical Care Medicine, Vol.27, No.3, pp.633-638, 1999.
  28. 장연수, "중환자실의 입실과 퇴실 기준 개발", 성인간호학회지, 제13권, 제2호, pp.291-304, 2001.
  29. B. A. Leith, "Patients'and family members' perceptions of transfer from intensive care," Heart & Lung:The Journal of Acute and Critical Care, Vol.28, No.3, pp.210-218, 1999.
  30. 김은실, 박정숙, 박청자, "중환자 가족의 부담감, 건강증진행위 및 건강상태에 관한 연구", 대한간호학회지, 제32권, 제5호, pp.654-664, 2002.
  31. M. Elliott, "Readmission to intensive care: a review of the literature," Australian critical care, Vol.19, No.3, pp.96-104, 2006.
  32. M. A. Coyle, "Transfer anxiety: preparing to leave intensive care, "Intensive and Critical Care Nursing, Vol.17, No.3, pp.138-143, 2001.
  33. V. Printz-Feddersen,"Group process effect on caregiver burden, " Journal of Neuroscience Nursing, Vol.22, No.3, pp.164-168, 1990.
  34. 강수진, 이희주, 최스미, "급성기 뇌졸중 환자를 돌보는 가족 돌봄 제공자의 부담감 관련요인", 재활간호학회지, 제5권, 제1호, pp.27-37, 2002.

Cited by

  1. Impact of Delirium on Clinical Outcomes in Intensive Care Unit Patients: An Observational Study in a Korean General Hospital vol.53, pp.6, 2014,
  2. Factors Affecting Caregivers' Burnout Caring for a Family Member in an Intensive Care Unit vol.29, pp.5, 2017,