• 한국노년학
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• 제29권3호
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• pp.1183-1196
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• 2009

본 연구는 장기요양보호 노인특성 및 부양자특성과 부양스트레스의 전반적 경향을 살펴보고, 부양자의 스트레스에 대한 노인 및 부양자특성의 상대적 영향력을 알아보기 위해 실시되었다. 이를 위해 부산, 대구, 경북지역에 거주하는 장기요양보호 3등급 노인의 부양자 105명을 임의 표집하여 질문지법을 사용하여 자료를 수집하였다. 연구결과 부양자의 시간의존 스트레스는 노인의 의존도와 부양자의 건강이 그리고 자기발전스트레스는 노인과 부양자의 관계의 질, 노인의 의존도, 부양자연령, 그리고 부양자건강 순으로 영향을 받는 것으로 나타났다. 또한 신체적 스트레스는 부양자건강과 노인의 의존도 순으로, 그리고 사회적 스트레스는 부양자건강, 관계의 질, 그리고 노인의 의존도 순으로, 마지막으로 정서적 스트레스는 관계의 질에 유의한 영향을 받는 것으로 나타났다. 본 연구결과를 기초로 장기요양보호노인의 부양자 스트레스 감소를 위한 실천적 함의가 논의되었다.

• 대한간호학회지
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• 제37권2호
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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.

• 한국보건간호학회지
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• 제14권1호
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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 $61\%$.

• 대한가정학회지
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• 제35권2호
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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.

• 대한통합의학회지
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• 제7권4호
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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.

• 한국간호교육학회지
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• 제24권2호
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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.

• 대한간호학회지
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• 제36권2호
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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.

• 성인간호학회지
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• 제27권3호
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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.

• 대한간호학회지
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• 제30권3호
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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.

• 한국노년학
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• 제29권4호
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• pp.1591-1609
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• 2009

본 연구는 미국의 치매노인 부양자들을 대상으로 하여 치매환자가 배우자인 경우와 부모인 경우를 분리하여 이들 두 집단의 우울증이 어떠한 차이를 보이는지 또 우울증에 영향을 미치는 요소가 어떻게 다른지를 회귀모형을 통해 분석해보았다. 분석결과에 의하면, 치매에 걸린 남편을 돌보는 아내 부양자가 치매에 걸린 부모를 돌보는 딸 부양자보다 우울증 점수가 더 높은 경향성을 보여주었다. 한편, 배우자 부양자와 딸 부양자 집단의 우울증 점수에 영향을 미치는 요소들에 어떠한 공통점과 차이점을 갖고 있는지 알아보기 위해 각각의 회귀분석을 실시한 결과는 다음과 같다. 먼저, 딸 부양자의 경우 역할부담감, 역할구속감, 그리고 문제행동이 그들의 우울증에 유의미한 영향을 주었고, 아내 부양자의 경우에는 역할부담감, 역할구속감, 문제행동, 그리고 교육수준이 우울증에 유의미한 영향을 주는 변수였으며, 마지막으로 남편 부양자에게는 오직 역할구속감과 문제행동만이 그들의 우울감에 유의미한 영향을 미치는 변수로 나타났다. 따라서 모든 부양자 집단의 우울증에 공통적으로 영향을 주는 유의미한 예측변수는 역할구속감과 문제행동이었다. 즉 부양자의 역할구속감이 클수록, 그리고 피부양자인 치매환자의 문제행동 수준이 높아질수록 부양자의 우울증 점수는 높아지는 경향성을 보였다.