Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Effects of Home Care Services Use by Older Adults on Family Caregiver Distress

재가 장기요양 서비스 이용과 노인 가족돌봄제공자의 돌봄 스트레스: 방문간호 서비스의 영향

  • Kim, Jiyeon (College of Nursing, Ewha Womans University) ;
  • Kim, Hongsoo (Graduate School of Public Health, Department of Public Health Science.Institute of Aging.Institute of Health and Environment, Seoul National University)
  • 김지연 (이화여자대학교 간호대학) ;
  • 김홍수 (서울대학교 보건대학원 보건학과.노화고령사회연구소.보건환경연구소)
  • Received : 2016.02.01
  • Accepted : 2016.09.19
  • Published : 2016.12.31
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Abstract

Purpose: The purpose of this study was to examine the association between utilization of home care services under the national long-term care insurance system and family caregiver distress. Methods: A secondary data analysis was conducted in this study using data collected in 2011 and 2012 from the Korean version of International Resident Assessment Instrument (interRAI) Home Care assessment system. The study sample included 228 clients receiving community based home care and their family caregivers in Korea. Descriptive statistics, $x^2$ test, t-test, and Heckman selection model analysis were conducted using SAS 9.3. Results: Presence of family caregiver distress was significantly associated with days of nurse visits (${\beta}$=-.89, p=<.001) and home helper visits (${\beta}$=-.53, p=.014). Level of caregiver distress was also significantly associated with days of nurse visits (${\beta}$=-.66, p=.028). Other factors which were significantly associated with caregiver distress were depression, cognitive function, inadequate pain control, social support for older adult, and caregiver relationship to the older adult. Conclusion: The results of this study show that visiting nurse service and appropriate support programs for Older Adults and family caregivers experiencing caregiver distress should be developed and provided to families based on the health care needs of older adults and their family caregivers for effective and sustainable home care.

Keywords

References

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