Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
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Respite Care for Family Caregivers of Elders with Dementia : Concept Clarification

재가 치매가족의 휴식 돌봄: 개념명료화

  • Received : 2011.10.05
  • Accepted : 2012.01.17
  • Published : 2012.02.28
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Abstract

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.

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References

  1. Acton, G. J., & Kang, J. (2001). Interventions to reduce the burden of caregiving for an adult with dementia: A meta-analysis. Research in Nursing and Health, 24, 349-360. https://doi.org/10.1002/nur.1036
  2. Chang, S. O., & Lee, S. J. (1996). Concept analysis and development of comfort-application of the hybrid model method. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 5(2), 108-120.
  3. Drentea, P., Clay, O. J., Roth, D. L., & Mittelman, M. S. (2006). Predictors of improvement in social support: five-year effects of a structured intervention for caregivers of spouses with Alzheimer's disease. Social Science and Medicine, 63, 957-967. https://doi.org/10.1016/j.socscimed.2006.02.020
  4. Droes, R. M., Breebaart, E., Meiland, F. J., Van Tilburg, W., & Mellenbergh, G. J. (2004). Effect of meeting centres support program on feelings of competence of family carers and delay of institutionalization of people with dementia. Aging and Mental Health, 8, 201-211. https://doi.org/10.1080/13607860410001669732
  5. Fauth, E. B., Zarit, S. H., Femia, E. E., Hofer, S. M., & Stephens, M. A. (2006). Behavioral and psychological symptoms of dementia and caregivers' stress appraisals: Intra-individual stability and change over short-term observations. Aging and Mental Health, 10, 563-573. https://doi.org/10.1080/13607860600638107
  6. Gottlieb, B. H., & Johnson, J. (2000). Respite programs for caregivers of persons with dementia: A review with practice implications. Aging and Mental Health, 4, 119-129. https://doi.org/10.1080/13607860050008637
  7. Jeon, Y. H., Brodaty, H., & Chesterson, J. (2005). Respite care for caregivers and people with severe mental illness: literature review. Journal of Advanced Nursing, 49, 297-306. https://doi.org/10.1111/j.1365-2648.2004.03287.x
  8. Jeon, Y. H., Brodaty, H., O'Neill, C., & Chesterson, J. (2006). 'Give me a break'-respite care for older carers of mentally ill persons. Scandinavian Journal of Caring Sciences, 20, 417-426. https://doi.org/10.1111/j.1471-6712.2006.00423.x
  9. Kim, H. S. (2010). The nature of theoretical thinking in nursing (3rd ed.). New York, NY: Springer Publishing Company.
  10. Kong, E. H., Cho, E. H., & Song, M. S. (2009). The burden and caregiving satisfaction of primary family caregivers of older adults with dementia: cultural and non-cultural predictors. Journal of the Korea Gerontological Society, 29, 701-716.
  11. Kosloski, K., Schaefer, J. P., Allwardt, D., Montgomery, R. J., & Karner, T. X. (2002). The role of cultural factors on clients' attitudes toward caregiving, perceptions of service delivery, and service utilization. Home Health Care Services Quarterly. 21(3-4), 65-88. https://doi.org/10.1300/J027v21n03_04
  12. Lee, H. H. (2008). A comparative study on the difference between demented seniles in day care center and demented senile-inpatients in nursing farcility by analysing several indexes such as the performance status of daily activities, cognitive function and depressive symptoms. Unpublished master's thesis, Ewha Womans University, Seoul.
  13. Lee, J. M. (2001). A study on the degree of satisfaction at the medical welfare facility use of family supporter for the old with dementia. Journal of Welfare for the Aged, 13, 145-172.
  14. Lee, Y. W., & Park, K. H. (2007). A study on the Influencing Factors of Dementia Caregiver's Life Satisfaction. Journal of nursing query, 16(2), 135-156.
  15. Mason, A., Weatherly, H., Spilsbury, K., Arksey, H., Golder, S., Adamson, J., et al. (2007). A systematic review of the effectiveness and cost-effectiveness of different models of community-based respite care for frail older people and their carers. Health Technology Assessment, 11(15), 1-157.
  16. Montgomery, R. J., Marquis, J., Schaefer, J. P., & Kosloski, K. (2002). Profiles of respite use. Home Health Care Services Quarterly. 21(3-4), 33-63. https://doi.org/10.1300/J027v21n03_03
  17. Neri, M., Bonati, P. A., Pinelli, M., Borella, P., Tolve, I., & Nigro, N. (2007). Biological, psychological and clinical markers of caregiver's stress in impaired elderly with dementia and age-related disease. Archives of Gerontology and Geriatrics, 44(suppl 1), 289-294. https://doi.org/10.1016/j.archger.2007.01.038
  18. Neville, C. C., & Byrne, G. J. (2006). The impact of residential respite care on the behavior of older people. International Psychogeriatrics, 18, 163-170.
  19. Park, C. J. (2006). A study on respite care model for family caregivers with the demented elderly. Journal of Welfare for the Aged, 32, 295-326.
  20. Phinney, A. (2006). Family strategies for supporting involvement in meaningful activity by persons with dementia. Journal of Family Nursing, 12, 80-101. https://doi.org/10.1177/1074840705285382
  21. Raivio, M., Eloniemi-Sulkava, U., Laakkonen, M. L., Saarenheimo, M., Pietila, M., Tilvis, R., et al. (2007). How do officially organized services meet the needs of elderly caregivers and their spouses with Alzheimer's disease? American Journal of Alzheimer's Disease and Other Dementias, 22, 360-368. https://doi.org/10.1177/1533317507305178
  22. Reinhard, S. C., Bemis, A., & Huhtala, N. (2005). Defining respite care. New Jersey: Rutgers Center for State Health Policy.
  23. Rodgers, B. L., & Knafl, K. A. (2000). Concept development in nursing: Foundations, techniques, and applications(2nd ed.). Philadelphia, PA: W.B. Saunders.
  24. Schwartz-Barcotte, D., & Kim, H. S. (Eds.). (1993). An expansion and elaboration of the hybrid model of concept development. In B. L., Rodgers & K. A. Knafl , Concept development in nursing (pp. 107-133). Philadelphia, PA: W.B. Saunders.
  25. Searson, R., Hendry, A. M., Ramachandran, R., Burns, A., & Purandare, N. (2008). Activities enjoyed by patients with dementia together with their spouses and psychological morbidity in carers. Aging and Mental Health, 12, 276-282. https://doi.org/10.1080/13607860801956977
  26. Shanley, C. (2006). Developing more flexible approaches to respite for people living with dementia and their carers. American Journal of Alzheimer's Disease and Other Dementias, 21, 234-241. https://doi.org/10.1177/1533317506290446
  27. Song, M. R., Lee, Y. M., & Cheon, S. H. (2010). An analysis of meaning of respite for family caregivers of elderly with dementia. Journal of Korean Academy of Nursing, 40, 482-492. https://doi.org/10.4040/jkan.2010.40.4.482
  28. Strauss, A. I., & Corbin, J. M. (1990). Basics of qualitative research: Grounded theory, procedures and techniques. Newbury Park, CA: Sage Publications.
  29. Thompson, C. A., Spilsbury, K., Hall, J., Birks, Y., Barnes, C., & Adamson, J. (2007). Systematic review of information and support interventions for caregivers of people with dementia. BMC Geriatrics, 7, 18-29. https://doi.org/10.1186/1471-2318-7-18
  30. World Health Organization. (1992). Mental Health: Dementia. Retrieved November 19, 2010, from http://www.who.int/en/

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