A Study on the Related Factors of the Wellbeing of Family Caregivers in Elderly with Stroke

뇌졸중 노인을 돌보는 주 가족간호자의 안녕감 예측 요인

  • Published : 2006.04.01

Abstract

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.

Keywords

References

  1. Anderson, C. S., Linto, J., Stewart-Wynne, E. G. (1995). A population -based assessment of the impact and burden of caregiving for long-term stroke survivors. Stroke, 26(5), 843-9 https://doi.org/10.1161/01.STR.26.5.843
  2. Aneshensel, C. S., Pearlin, L. I., Mullan, J. T., Zarit, S., H.& Whitlatch, C. J. (1995). Profiles in Caregiving. The Unexpected Career. California: Academic Press
  3. Archbold, P. G., Stewart, B. J. (1986). Family Caregiving Inventory. Department of Family Nursing School of Nursing. Oregon Health Science University
  4. Bak, Y. J., Jeong, M. Y., & Ann, E. H. (2001). A study on the factors affecting sense of well-being of stroke survivor family care taker. J Korean Acad Adult Nurs, 31(2), 315-327 https://doi.org/10.4040/jkan.2001.31.2.315
  5. Barber, C. E., Fisher, B. L., & Pasley, K. (1990). Family care of Alzheimer's disease patients. : Predictors of subjective and objective burden. Family Perspective, 24(3), 283-309
  6. Berg-Weger, M., Rubio, D. M., & Tebb, S. S. (2000). Depression as a mediator: Viewing caregiver well-being and strain in a different light. Fam Soc, 81(2), 162-173 https://doi.org/10.1606/1044-3894.1010
  7. Bugge, C., Alecander, H., Hagen, S. (1999). Stroke patients' informal caregivers. Patient, caregiver, and service factors that affect caregiver strain. Stroke, 30(8), 1517-1523 https://doi.org/10.1161/01.STR.30.8.1517
  8. Brott, T., Adams, H. P., Olinger, C. P., Marler, J. R., Barsan, W. G., Biller, J., Spilker, J., Holleran, R., Eberle, R., Hertzberg, V., Rorick, M., Moomaw, C. J., & Walker, M. (1989). Measurement of acute cerebral infacrtion : a clinical examination scale. Stroke, 20, 864-870 https://doi.org/10.1161/01.STR.20.7.864
  9. Dirksen, S. (1990). Theoretical modeling to predict subjective well-being. Western Journal of Nursing Research, 12, 629-643 https://doi.org/10.1177/019394599001200505
  10. Dupuy, H. J. (1978). Self-representations of general psychological well-being of American adults. Paper presented at American Public Health Association Meeting. Los Angeles. October
  11. Fink, S. V. (1995). The influence of family resources and family demands on the strain and well-being of caregiving families. Nursing Research, 44(3), 139-146
  12. Haley, W. E., Levine, E. G., Brown, S. L., & Bartolucci, A. A. (1987). Stress, appraisal, coping and social support as predictors of adaptational outcome among dementia caregivers. Psychology and Aging, 2, 323-330 https://doi.org/10.1037/0882-7974.2.4.323
  13. Jang, I. S. (1995). A study of the family caregiver's burden for the elderly with chronic disease in a rural area. Unpublished master dissertation, Seoul National University, Seoul
  14. Kim, H. M., & Chang, K. J. (1998). A study on the caregiver burden and qualtiy of life perceived by families with stroke. J Korean Acad Nurs Edu, 4(1), 81-94
  15. Kim, I. J., Suh, M. J., Kim, K. S., Cho, N. O., & Choi, H, J. (2000). Predicting factors of post-stroke depression. J Korean Acad Adult Nurs, 12(1), 147-162
  16. Lee, K. H. (2001). Correlations among the stroke patient family's health status, burden and of life. J Korean Acad Nurs, 31(4), 669-689 https://doi.org/10.4040/jkan.2001.31.4.669
  17. McCullagh, E., Brigstokcke, G., Donaldson, N., Kalra, L. (2005). Determinants of caregiving burden and quality of life in caregivers of stroke patients. Stroke, Sep, 8. Eput ahed of print
  18. Miller, B., Campbell, R. T., Ferran, C. J., Kaufman, J. E., & Davis, C. (1995). Race, control, mastery and caregiver distress, J Gerontol Social Science, 50(B), S374-382
  19. National Statistical Office. (2003). Statistical Yearbook. The National Statistical Office. Seoul
  20. Noh, Y. J. (1988). An analysis study on the quality of life of the middle-aged in Seoul. Doctoral dissertation, Yonsei University, Seoul, Korea
  21. Park, Y. H. (1999). The effects of support group intervention for spouses of stroke patients on caregiver burden and well being. Unpublished doctoral dissertation, Seoul National University, Seoul
  22. Park, Y. H., Yu, S, J., & Song, M. S. (1999). Caregiver burden of families with stroke patients and their needs for support group intervention. J Korean Acad Adult Nurs, 11(1), 119-134
  23. Pruchno, R. A., Bumat, C. J. K., & Peters, N. D. (1997). Understanding the well-being of care-receiver, Gerontologist, 37(1), 102-109 https://doi.org/10.1093/geront/37.1.102
  24. Ruff, S. (1985). Perceived well-being in cancer patients. Unpublished doctoral dissertation. College of Nursing. University of Arizona, Tucson
  25. Smith, C. E. (1994). A model of caregiving effectiveness for technologically dependent adults residing at home. Advanced Nursing Sciences, 17(2), 27-40 https://doi.org/10.1097/00012272-199412000-00006
  26. Stuckey, J. C., Neundorfer, M. M., & Smyth, K. A. (1996). Burden and well-being : the same coin or related currency ? The Gerontologist, 36(5), 686-693 https://doi.org/10.1093/geront/36.5.686
  27. Stull, D. E., Kosloski, K., & Kercher, K. (1994). Caregiver burden and generic well-being : Opposite sides of the same coin? The Gerontologist, 34(1), 88-94 https://doi.org/10.1093/geront/34.1.88
  28. Williams, A. M. (1993). Caregivers of persons with stroke : Their physical and emotional wellbeing. Quality of Life Research, 2, 213-220 https://doi.org/10.1007/BF00435225
  29. Yang, Y, H. (1992). Theoretical structure model for the Caregiver's role stress and health. Unpublished doctoral dissertation, Seoul National University, Seoul