Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
권호 표지

Factors Affecting On Caregiving Self-efficacy among Dementia Caregivers

치매노인 주부양자의 자기효능감에 영향을 미치는 요인

  • Received : 2010.05.03
  • Accepted : 2010.06.18
  • Published : 2010.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The study evaluated the determinants of caregiving self-efficacy among dementia caregivers. Methods: Data were collected through a structured questionnaire survey from dementia sufferers and caregivers by nurses or social workers caring for dementia sufferers at health centers during July to September 2007. Multiple stepwise regression analysis using SAS Version 9.1 was performed to examine the determinants of caregiving selfefficacy. Results: Factors affecting caregiving self-efficacy were behavioral and psychological symptoms of dementia (BPSD), activities of daily living (ADL), and age of dementia sufferer. Conclusion: To increase dementia caregivers' self-efficacy, there is a need to reduce difficulties of dementia caregivers in caring BPSD and increasing the ADL level of dementia sufferers by providing guidelines of care and intervention programs for BPSD and ADL management.

Keywords

References

  1. Alexopoulos, G. S., Abrams, R. C., Young, R. C., & Shamoian, C. A. (1988). Cornell scale for depression in dementia. Biological Psychiatry, 23(3), 271-84. https://doi.org/10.1016/0006-3223(88)90038-8
  2. Au, A., Lai, M. K., Lau, K. M.,. Pan, P. C., Lam, L., Thompson, L., et al. (2009). Social support and well-being in dementia family caregivers: The mediating role of self-efficacy. Aging & Mental Health, 13(5),761-8. https://doi.org/10.1080/13607860902918223
  3. Bandura, B, A.(1986). Social foundations thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall.
  4. Beekman, N, R. (1999). Family caregiving dementia, and social support. Unpublished doctoral dissertation, The University of Michigan, Ann Arbor, USA.
  5. Cho, M. J., Kim, K. W., Kim, M. D., Kim, B. J., Kim, S. K., Kim, S. G., et al. (2008). Nationwide study on the prevalence of dementia in Korean elders (11-1351000-000227-01). Seoul: Ministry of Health & Welfare, Seoul National Hospital.
  6. Chou, K. L., & Chi, I. (2001). Social comparison in Chinese older adults. Aging & Mental Health, 6, 242-254
  7. Chou, K. R., LaMontagne, L. L., & Hepworth, J. T. (1999). Burden experienced by caregivers of relatives with dementtiia in Taiwan. Nursing Research, 48(4),206-214. https://doi.org/10.1097/00006199-199907000-00003
  8. Epstein-Lubow. G. (2009). Family caregiver health: What to do when a spouse or child needs help. Medicine and Health, Rhode Island, 92(3),106-107
  9. Evon, D., & Burns, J. (2004). Process and outcome in cardiac rehabilitation: An examination of cross-lagged effects. Journal of Consulting and Clinical Psychology, 72, 605-616.
  10. Folstein, M. F., & Folstein, S. E. (1975). 'Mini-mental state'. A practical method for grading the cognitive state of patient for the Clinician. Journal of Psychiatric Research, 12(3), 189-198. https://doi.org/10.1016/0022-3956(75)90026-6
  11. Fortinsky, R. H., Kercher, K., & Burant, C. J. (2002). Measurement and correlates of family caregiver self-efficacy for managing dementia. Aging & Mental Health, 6, 153-160. https://doi.org/10.1080/13607860220126763
  12. Gilliam, C. M., & Steffen, A. M. (2006). The relationship between caregiving self-efficacy and deprssive symptoms in dementia family caregivers. Aging & Mental Health, 10(2),79-86 . https://doi.org/10.1080/13607860500310658
  13. Gonyea, J. G., O'Connor, M., Carruth, A., & BoyIe, P. A. (2005). Subjective appraisal of Alzheimer's disease caregiving: The role of self-efficacy and depressive symptoms in the experience of burden. American Journal of Alzheimer's Disease and Other Dementia, 20(5), 273-280. https://doi.org/10.1177/153331750502000505
  14. Harwood, D. G., Ownby, R. L., Barker, W. W., & Duara, R. (1998). The factor structure of the Cornell Scale for Depression in Dementia among probable Alzheimer's disease patients. The American Journal of Geriatric Psychiatry, 6(3), 212-220.
  15. Huang, H., Shyu, Y. L., Chen, S., & Hsu, W. (2009). Caregiver self-efficacy for managing behavioural problems of older people with dementia in Taiwan correlates with care receivers' behavioural problems. Journal of Clinical Nursing, 18(18), 2588-95. https://doi.org/10.1111/j.1365-2702.2008.02547.x
  16. Kim, S. Y., Kim, J. S., & Youn, H. S. (2004). Predictors of depression and life satisfaction among family caregivers for demented elderly. Journal of the Korea Gerontological society, 24(2), 111-128.
  17. Kim, Y. I. (2009). A study on quality of lite and burden of primary caregiving of primary caregiver of demented elderly. Unpublished master's thesis, Wonkang University, Iksan.
  18. Kim, J. M., Shin, I. S., & Yoon, J. S. (2001). Determinants of care burden of caregiver in patients with dementia. Journal of Korean Neuropsychiatric Association, 40(6), 1106-1113.
  19. Kramer, B. J., & Kipnis, S. (1995). Eldercare and work-role conflict: Toward an understanding of gender differences in caregiver burden. The Gerontologist, 35(3), 349-348. https://doi.org/10.1093/geront/35.3.349
  20. Kwon, J. D. (1994). Study on the assessment of caregiver burden in caring for the demented elderly in Korea. Unpublished doctoral dissertation, Yonsei University, Seoul.
  21. Kwon, Y. C., Park, J. H. (1989). Korean version of Mini-Mental State Examination (MMSE-K), Part I: Development of the test for the elderly. Journal of Korean Neuropsychiatric Association, 28(1), 125-35.
  22. Lawton, M. P., & Brody, E. M. (1969). Assessment of older people; Self-Maintaining and Instmmental activities of daily living. The Gerontologist, 9(3), 179-86. https://doi.org/10.1093/geront/9.3_Part_1.179
  23. Ma, P. S. (1999). A study on the people in charge of the demented- Especially people in the day care center or short stay service-. Unpublished master's thesis, Ewha Womans University, Seoul.
  24. National Health Insurance Corporation (2010, February 1). Analysis on medical cost per disease of elderly in Aging society. Retrieved March 3, 2010, from http://www.nhic.or.kr/ portal/site/main/menuitem.31f14893bf4f6c38b31148b4062310a0/
  25. National Statistical Office (2006). Future Population estimates. Retrieved April 5, 2010, from. http://www.kostat.go.kr/ nso_main/nsoMainAclion.do?method=search&catgrp=nso2009&catid1=k09_0000&catid2=k09i_0000&forward=search
  26. Park, J. H., Cho, S. W., & Shon, H. S. (1995). Reliability of functional status measurements in Elderly people. Journal of Korean Neuropsychiatric Association, 34(2), 475-483.
  27. Rabinowitz, Y. G., Mausbach, B. T., & Gallagher-Thompson, D. (2009). Self-efficacy as a moderator of the relationship between care recipient memory and behavioral problems and caregiver depression in female dementia caregivers. Alzheimer Disease Associated Disorders, 23(4), 389-394. https://doi.org/10.1097/WAD.0b013e3181b6f74d
  28. Schulz, R., & Beach, S. R. (1999). Caregiving as a risk factor for mortality. Journal of the American Medical Association, 282, 2215-2219. https://doi.org/10.1001/jama.282.23.2215
  29. Sherbourne, C. D., & Stewart, A. L. (1991). The MOS social support survey. Social science in Medicine, 32(6), 705- 714. https://doi.org/10.1016/0277-9536(91)90150-B
  30. Steffen, A. M., Mckibbin, C., Zeiss, A. M., Gallagher-Thompson, D., & Bandura, A. (2002). The revised scale for Caregiving self-efficacy: Reliability and vality studies. The Journals of Gerontology. Series B. Psychological Siences and Social Science, 57(1), 74-86. https://doi.org/10.1093/geronb/57.1.P74
  31. Sung, K. H. (2006). Burden and depression of caregivers according to cognitive function and daily living ability of dementia patients. Unpublished master's thesis, Ewha Womans University, Seoul.
  32. Teri, L., Truax, P., Logsdon, R, Uomoto,J., Zarit, S., & Vitaliano, P. P. (1992). Assessment of behavioral problems in dementia: The revised memory and behavior problems checklist. Psychology and Aging, 7(4),622-31.