• Title/Summary/Keyword: Caregivers

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Influences of characteristics of the long-term care elderly and caregivers on caregivers' stress (장기요양보호 노인 및 부양자특성이 부양자의 스트레스에 미치는 영향)

  • Kim, Yong-hee;An, Jeong-shin
    • 한국노년학
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    • v.29 no.3
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    • pp.1183-1196
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    • 2009
  • The purpose of this study was to investigate the influences of characteristics of the long-term care elderly and caregivers on caregivers' stress. The data of this study were collected from 105 long-term care elderly caregivers with 3 grade in Pusan, Daegu, and Gyung-buk area. The results showed that each stress of caregivers was influenced by diverse characteristics in various ways. Time-dependent stress of caregivers was influenced by elderly dependency and caregivers' health. Self-development stress of caregivers was influenced by elderly dependency, caregivers' health, caregivers' age, and relationship quality. Physical stress of caregivers was influenced by elderly dependency and caregivers' health. Social stress of caregivers was influenced by elderly dependency, caregivers' health, and relationship quality. Emotional stress of caregivers was influenced by relationship quality between the elderly and caregivers. These results indicated that the caregivers' stress was influenced not only physical characteristics of the elderly and the caregivers but also relational characteristics.

The Influence of Culture on the Experiences of Korean, Korean American, and Caucasian-American Family Caregivers of Frail Older Adults: A Literature Review

  • Kong, Eun-Hi
    • Journal of Korean Academy of Nursing
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    • v.37 no.2
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    • pp.213-220
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    • 2007
  • Purpose. The purpose of this review is to explore cultural influences on the experiences of Korean, Korean American, and Caucasian American family caregivers caring for frail older adults in terms of the selection of a primary caregiver, caregiving motivation, support/help-seeking, and negative emotional responses (depression and burden). Methods. Seven electronic databases were searched to retrieve studies from 1966 to 2005. Thirty-two studies were identified. Results. This review supported cultural influences on the selection of primary caregiver, caregiving motivation, and support/help-seeking among the three caregiver groups. In Korean caregivers, the major primary caregivers were daughters-in-law while among Korean American and Caucasian American caregivers, the major primary caregivers were daughters or spouses. As a major caregiving motivation, Caucasian American care¬givers reported filial affection while Korean caregivers and Korean American caregivers reported filial obligation. Korean caregivers reported higher extended family support, while Caucasian American caregivers reported higher utilization of formal support. Korean caregivers showed the highest levels of depression followed by Korean American caregivers and Caucasian American caregivers. Conclusion. In order to develop culturally appropriate interventions and policies, more research is needed to further explain these differences among the three groups, especially regarding support/help-seeking and negative emotional responses.

A Study of Depression and Quality of Life in Family Care Givers of the Stroke Elderly Patient (뇌혈관질환 노인을 돌보는 가족원의 우울과 삶의 질에 영향을 미치는 요인에 관한 연구)

  • Roh Kuk hee
    • Journal of Korean Public Health Nursing
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    • v.14 no.1
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    • pp.41-60
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    • 2000
  • This study was designed and undertaken to identify the related factors of family caregivers' depression & quality of life with stroke elderly patient. The data was collected from August 16th to September 5th. 1999. The subjects in this study were 70 caregivers and 70 patients with stroke who were hospitalized in 2 oriental medicine hospitals and 3 hospitals located in Junla-buk do. The data was analized using percentage. means. t-test. ANOVA and pearson's correlation coefficients, step-wise multiple regression done with the SAS program. The results of this study are as follows; 1. The score for family caregivers' depression was 45.2 when total score was 80. The family caregivers who got more than 50 scores belongs to highly depression group amount to $29\%$. 2. The score for family caregivers' quality of life was 37.04 when total score was 56. 3. In the significant relationship between family caregivers' depression and general characteristics of the family caregivers ; age. sex, income. In the significant relationship between family caregivers' quality of life and general characteristics of family caregivers: age, education, income. In the significant relationship between family caregivers' depression and quality of life and general characteristics of stroke elderly patient ; sex. 4. The depression degree showed significant differences in the variables of family caregiver's physical health(r=-0.307, p=0.011), stress(r=0.463. p=0.011). social support (r=-0.241. p=0.046) and elderly stroke patient's ADL(r=-0.313, p=0.009). The quality of life degree showed significant differences in the variables of family caregivers' depression(r=-0.564, p=0.001), stress(r=-0.322, p=0.008), social support (r=0.353. p=0.003). 5. The most important variable affecting family caregiver's depression was caregivers' physical symptom which accounted for $32.0\%$ of the total variance in which multiple regression analysis. Total variance affecting the family caregivers' depression was $49\%$. The most important variable affecting family caregivers' quality of life was caregivers' depression which accounted for $48\%$ of the total variance in which multiple regression analysis. Total variance affecting the family caregivers' quality of life was $61\%$.

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The Quality of Caregiver's Behaviors and Children's Social Behaviors (보육교사 행동의 질적 수준과 아동의 사회적 행동 특성)

  • 곽주영
    • Journal of the Korean Home Economics Association
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    • v.35 no.2
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    • pp.385-399
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    • 1997
  • The purpose of this study was to investigate the relationship between the quality of caregiver's behaviors and children's social behaviors. the quality of caregiver's behaviors were observed during indoor free-play time in the 8 classes at 7 child care centers. Forty children were selected from two classes of high quality caregivers and 2 of low quality caregivers based on the quality of caregiver's behaviors. Children's social behaviors were measured in terms of social competence, social maladjustment, and social interaction. results of the study were as follows: First, children of high quality caregivers were more socially competent than of low quality caregivers. second, there were no significant differences in social maladjustemnt according to the quality of caregiver's behavior. Third, children of high quality caregivers showed more positive and dependent interaction with caregivers high quality caregivers showed more positive and depedndent interaction with caregivers than of low quality teachers. Also, children of high quality caregivers engaged less in aimless behavior and negative interaction with peers than of low quality caregivers.

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Stress and Psychological Status between a Stroke and a Fracture Patient's Caregivers (뇌졸중환자와 골절환자 보호자의 스트레스 및 심리상태)

  • Jung, Jaehun
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.4
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    • pp.213-222
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    • 2019
  • Purpose : The purpose of this study was to compare stress and psychological status between a stroke and a fracture patient's caregivers. Methods : Data was collected from September to December 2018 and participants of this study were 60 stroke and 61 fracture patient's caregivers. Stress was evaluated with the Global Assessment of Recent Stress scale-Korean Version and psychological status was measured with the Symptom check List-90-Revision. Results : The stroke patient's caregivers scored significantly higher than the fracture patient's caregivers in stress relevant to interpersonal, change in relationship, sickness or injury, financial, change/no change in routine (p<.05). The stroke patient's caregivers scored significantly higher in somatization, interpersonal sensitivity, depression, anxiety, paranoid ideation, and psychoticism than the fracture patient's caregivers (p<.05). Conclusion : It was found that the severity of mental health in the stroke patient's caregivers is necessary to develop a customized mental health improvement program for stroke patient's caregivers.

Influencing Factors on the Family Caregivers' Burden of Inpatients with Acute Stroke (급성기 뇌졸중 입원환자 가족 간호제공자의 부담감 영향요인)

  • Lim, Jung Soon;Chung, Bok Yae
    • The Journal of Korean Academic Society of Nursing Education
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    • v.24 no.2
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    • pp.149-159
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    • 2018
  • Purpose: The purpose of this study was to explore the influencing factors on the family caregivers burden who have has inpatients with acute stroke. Methods: Subjects were 126 family caregivers who have has inpatients with acute stroke. Data were collected by questionnaires. The collected data were analyzed by t-test, ANOVA, Scheffe's test, Pearson's coefficients and multiple regression. Results: The Anxiety of family caregivers was identified as a determinant of family caregivers burden who have has inpatients with acute stroke by the multiple regression analysis (${\beta}=.58$, p<.001). Gender and low cognitive function of inpatients were significantly related to family caregivers burden. And knowledge about care (r=-.27, p=.002) was correlated with anxiety significantly. Conclusion: The family caregivers burden is not only an important issue for nursing but also major nursing problem to be addressed nurses. Family caregivers with acute stroke inpatients feel more anxiety than family caregivers with other illnesses. The anxiety of family caregivers is important especially to the family caregivers who have to care acute stroke inpatients to reduce their burden.

A Study on the Related Factors of the Wellbeing of Family Caregivers in Elderly with Stroke (뇌졸중 노인을 돌보는 주 가족간호자의 안녕감 예측 요인)

  • Park, Yeon-Hwan;Yu, Su-Jeong;Kim, Shin-Mi;Lee, Yun-Jung
    • Journal of Korean Academy of Nursing
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    • v.36 no.2
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    • pp.373-380
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    • 2006
  • Purpose: The purpose of this study was to identify the factors related to the wellbeing of the family caregivers of the elderly with a stroke. Methods: The subjects of this study were 199 elderly treated in four oriental hospitals in Korea, and their primary family caregivers. The data was collected by interviewsand a self reported Questionnaire, during the period from October, 2003 to April, 2004. Results: The results of this study were as follows. The mean score of wellbeing of family caregivers was 60.6412.63. The factors related to wellbeing of family caregivers were sex, age, education, depression, illness severity, ADL, paralysis, and speech disability in elderly characteristics. Among family caregivers characteristics, education, relation, and burden were significantly related. In situational variables, family income and the previous relationship between the elderly and family caregivers were related to wellbeing. Stepwise multiple regression analysis revealed that the most powerful predictor of wellbeing was the burden of family caregivers. A combination of the depression of elderly and age of family caregivers accounted for 50.3% of the variance of wellbeing. Conclusions: On developing the nursing intervention for improving wellbeing of family caregivers, many factors should be considered, especially caregiver burden, and elderly depression.

Factors Affecting Caregiver Burden in Caregivers of Patients with Parkinson's Disease (파킨슨병 환자 부양자의 부양부담에 영향을 미치는 요인)

  • Kim, Dong Won;Bae, Eun Sook
    • Korean Journal of Adult Nursing
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    • v.27 no.3
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    • pp.283-293
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    • 2015
  • Purpose: Depression is a common sign of suffering among the patients with Parkinson's disease (PD). Frequent and severe neuropsychiatric symptoms lead to high levels of distress in patients and their caregivers, which results in the high levels of caregiver burden. The aim of this study was to determine the predictors of caregiver burden in caregivers of the patients with Parkinson's disease (PD). Methods: The study included 183 consecutive PD patients and their caregivers. Patients were assessed using the Hoehn and Yahr scale, Mini Mental State Examination (MMSE), Beck Depression Inventory (BDI), and Schwab and England Activities of Daily Living Scale. Caregivers' depressive symptoms were evaluated using the Caregiver Burden Inventor (CBI), BDI, and World Health Organization Quality of Life Scale. Results: All of the patients reported one or more neuropsychiatric symptoms. Patients' and caregivers' depressive symptoms, caregivers' age and education, time for caregiving, and quality of life were significantly associated with the increased caregiver burden. After controlling the level of education as a potential confounding variable, depression in both patients and caregivers, time for caregiving, and quality of life explained 45.6% of the variance in caregiver burden. Conclusion: Substantial attention needs to be given to the early identification of depression in PD patients and their caregivers to improve caregivers' quality of life and burden.

Health Status of Women Caregivers and Negative and Positive Impacts of Family Caregiving (여성 가족부양자의 건강상태 및 가족부양의 부정적.긍정적인 영향)

  • 김진선
    • Journal of Korean Academy of Nursing
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    • v.30 no.3
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    • pp.632-646
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    • 2000
  • The purpose of this study was to examine the health status of the daughter and daughter- in-law caregivers who care for a cognitively and/or functionally impaired elderly, individual to identify factors that were related to reported health outcomes, and to investigate the negative and positive impacts of family caregiving. Data was collected from 120 daughter and daughter-in-law caregivers and care-recipients using face to face interviews. Most caregivers were daughters- in-law (77.5%) and most care-recipients were female (88.3%). Sixty-eight percent (n=81) of caregivers reported depressive symptomatology. General health also deteriorated by caregiving. Caregivers reported several negative impacts (difficulties): care-recipients' problematic behaviors, deterioration of their own health, pressure from social norms related to family caregiving in Korea, intrafamily conflict, and economic problems. Contrary to the popular belief, caregivers reported diverse positive impacts of family caregiving (68.3%): a sense of filial responsibilities, recognition from elderly, family members, relatives, and society, education for the children, and familial harmony. Higher depression score was predicted by lower family income, the presence of cognitive impairment of care-recipients, and higher level of social conflict of caregivers. Poor general health of caregivers was predicted by older caregivers' age, lower competing roles of caregivers, and poor emotional health. While not seeking to deny the negative aspects of family caregiving, it is also necessary to understand positive aspects of family caregiving to see complete picture of caring for an elderly family member.

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The Impact of Family Caregiving for the Elderly with Dementia on Depression in the United States: Does the Relationship of Caregivers to Care Recipients Matter? (미국 치매노인 부양자의 우울증에 영향을 미치는 요소: 배우자 부양자와 딸 부양자 비교 연구)

  • Baek, Ju-Hee;Zarit, Steven H.
    • 한국노년학
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    • v.29 no.4
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    • pp.1591-1609
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    • 2009
  • 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.