The Journal of Korea Institute of Information, Electronics, and Communication Technology (한국정보전자통신기술학회논문지)

Korea Information Electronic Communication Technology (한국정보전자통신기술학회)
권호 표지
DOI QR코드

DOI QR Code

Caregiver Burden of Patients with Dementia and Day Care Center of Small Size Model within a Zone of Life

치매환자 부양자부담과 생활권 내 소규모 주·야간 돌봄 서비스 모델

  • Na, Seung-kwon (Department of Electronics and Communication, Korea Polytechnic College Gangneung Campus) ;
  • Park, Eun-Ju (Department of Medical system information, Sangji Youngseo College)
  • Received : 2016.07.04
  • Accepted : 2016.08.23
  • Published : 2016.08.30
Download PDF
⟨ Previous Next ⟩

Abstract

The aim of this study, in order to reduce the support burden of dementia primary caregiver, within the framework of long-term care insurance system to present its founding model for the development of new services. Previous research as analytical materials and based on the CARE study between 2012 to 2013. Primary caregiver burden of patient are both physical, psychological and economic aspects as well as difficulties in many aspects and had influence on many factors such as age, care burden, economic, health, and social support. It also came high-risk primary caregiver suffer from depression. This primary caregiver to take advantage of the elderly long-term care insurance system implemented at the time of the institutional support necessary for since 2008, presented additional services in this study. Of increasing the small sizes day care center (tentative name) to open an as established in the settlements at a scale of less than nine, within 5 minutes from the residence, limited dementia by expertise in the disease home care services scale model of the current system service It was to improve the quality of existing shares, small group sizes for day care centers and community life apart.

본 연구의 목적은 치매환자 부양자의 부담을 감소시키기 위해 장기요양보험 제도의 틀 안에서 새로운 서비스 개발을 제시하는 것이다. 분석 자료로 선행연구와 2012-2013년에 걸쳐 조사된 Caregivers of Alzheimer's Disease Research(CARE study)를 사용하여 부양자의 특성과 부담을 조사하였다. 치매환자의 주부양자 부담은 신체적, 심리적, 경제적 측면뿐만 아니라 다양한 측면에서 어려움을 겪고 있으며 연령, 경제력, 건강상태, 사회적지지 등 여러 요인이 부양부담에 영향을 미치고 있었다. 또한 부양자가 우울증을 겪을 위험도 높게 나왔다. 이에 부양자에 대한 제도적 지원이 필요한 시점에서 2008년부터 시행된 노인장기요양보험 제도를 활용하여 본 연구에서 추가적인 서비스를 제시하였다. 현 제도의 재가서비스 확장 모델로 소규모 주 야간보호서비스(가칭)를 신설하는 것으로 9인 이내의 규모로 주거지에서 5분 이내 거리에 개설을 하고 치매환자에만 국한시켜 질환에 대한 전문성을 높이고 서비스의 질을 향상시켜 기존의 주 야간보호서비스와 소규모 노인요양공동생활가정과 차별화하는 것이다.

Keywords

References

  1. D. Sunwo, H. J. Song, N. M. Hwang, E. J. Kang, Y. J. Seo & T. I. Kim, "The development of health care system for older Koreans," Korea Institute for Health and Social Affairs, pp. 297, 2005.
  2. Ministry of Health and Welfare, The 2nd (2013-2015) national comprehensive plan for dementia care in Korea. July, 2012.
  3. S. J. Han, S. U, Lee, J. Y. Kim & H. S. Kim, "Factors Associated with Family Caregiver Burden for Patients with Dementia: A Literature Review." J Korean Gerontol Nurs, Vol. 16, No. 3, pp. 242-254, 2014. https://doi.org/10.17079/jkgn.2014.16.3.242
  4. G. Epstein-Lubow, C. G. Beevers, D. S. Bishop, I. W. Miller, "Family Functioning is Associated with Depressive Symptoms in Caregivers of Acute Stroke Survivors." Archives of Physical Medicine and Rehabilitation, Vol. 90, pp. 947-955, 2009. https://doi.org/10.1016/j.apmr.2008.12.014
  5. Y. K. Lee, "Implications of and future development plans for the newly-introduced special beneficiary group for older people with dementia in long-term care in surance in Korea." Health.Welfare Issue & Focus, 245, 2014.
  6. National Assembly Budget Office, "Status and challenges of improving dementia Management." Business Valuation, 14-02, 2014.
  7. Development of community-based services for senior citizen-centering on integrated intermediate tool. Korean Research Memory. 2014. Catholic University of Pusan, Korea.
  8. S. H. Zarit, M. A. P. Stephens, A. Townsend & R. Greene, "Stress reduction for family caregivers; effects of adult day care use." Journal of Gerontology, Vol. 53, No. 5, pp. 267-277, 1998.
  9. L. A. Strain, N. L. Chappell & A. Blandford, "Ahanges in lifesatisfaction among participants of adult day care and their informal caregivers." Journal of Gerontological Social Work, Vol. 11, No.3/4, pp. 115-129, 1988.
  10. Guttman, "Adult day care for alzheimer's patients; Impact on family caregivers." 1991, New York; Garland.
  11. H. J. Lee, "The Change of Caregiver's Burden for the Dementia Elderly by the Use of Daycare Center." Dept, of Social Welfare The Graduate School Chung Ang University, 2005.
  12. I. Y. Yoo & M. H. Kim, "Influencing factors on care burden in the caregivers of demented elderly." Journal of Korean Gerontological Nursing, Vol. 8, No.1, pp. 45-57, 2006.
  13. J. M. Kim, I. S. Shin, S. W. Kim, S. J Yang, S. K. Jeong & J. S. Yoon, "Development of 'Korean Version of Caregiver Activity Survey (CAS-K)' in Caregivers of Community Dwelling Elderly with Dementia." Korean Neurol Assoc, Vol. 22, No. 4, pp. 322-327, 2004.
  14. S. Zarit, P. Todd & J. Zarit, "Subjective burden of husband and wives as caregivers; A longitudinal study." Gerontologist, Vol. 26, pp.260-266, 1986. https://doi.org/10.1093/geront/26.3.260
  15. S. O. Kim, "After using dementia day care center study on caregivers of elderly care burden," Dept, of Social Welfare Practice The Graduate School, Hanshin University, 2001.
  16. J. S. Lee & A. S. Park, "A study of factors influencing on family caregiver's burden for the elderly with dementia-focused on the day care center and nursing home user's family." Journal of Welfare for the Aged, Vol. 40, pp. 225-248, 2008.
  17. J. S. Lee & A. S. Park, "A study of factors influencing on family caregiver's burden for the elderly with dementia-focused on the day care center and nursing home user's family." Journal of Welfare for the Aged, Vol. 40, pp. 225-248, 2008.
  18. O. D. Kwon, T, W. Kim, K. Y. Park, S. D. Yi, H. A. Yi & H. W. Lee, "Factors Affecting Caregiver Burden in Family Caregivers of Patients with Dementia." Dementia and Neurocognitive Disoders, pp. 107-113, No. 12. 2013. https://doi.org/10.12779/dnd.2013.12.4.107
  19. M. S. Yoo, Y. S. Kim & K. S. Kim, "A study about health related quality of life, burden and coping ability for family caregivers caring for dementia elderly." Journal of the Korean Gerontological Society, Vol. 30, No.4, 2010.
  20. Ministry of Health and Welfare. 2012 The prevalence of dementia research. 2013, Korea.

Cited by

  1. User Benefits on the First Dementia Friendly Universal Home Guidelines of Ireland : Focused on Four Main Dimensions of User Benefit Criteria vol.29, pp.3, 2018, https://doi.org/10.6107/JKHA.2018.29.3.043