DOI QR코드

DOI QR Code

치매환자를 돌보는 요양보호사의 케어부담감이 건강지각과 신체증상에 미치는 영향

Effects of the Caring burden of Caregivers who manage Dementia patients on the Health perception and Somatic symptoms

  • 투고 : 2018.10.02
  • 심사 : 2018.12.20
  • 발행 : 2018.12.28

초록

본 연구는 치매환자를 돌보고 있는 요양보호사의 케어부담감을 알아보고, 케어부담감이 신체증상과 건강지각에 미치는 영향을 파악하기 위한 서술적 상관관계연구이다. 연구대상자는 요양보호사 174명이었으며, 자료수집은 2018년 4월 1일부터 30일까지 였다. 자료분석은 t-test 및 One-way ANOVA, Pearson's correlation coefficient, Multiple regression analysis을 활용하였으며, 사후분석은 Scheffe를 사용하였다. 연구결과 케어부담감은 "중상", 신체증상은 "중간"수준으로 나타났고, 건강은 좋지 않은 것으로 인식하고 있었으며, 주관적 안녕감은 낮게 나타났다. 케어부담감은 신체증상(r=.157, p<.05), 신체증상은 지각된 건강과 양의 상관관계(r=.220, p<.01)를 보였고, 신체증상과 주관적 안녕에 미치는 영향 요인은 요양보호사 근무동기로 나타났다. 연구결과 요양보호사의 케어부담감은 신체적, 정신적 건강상태에 영향을 미치는 요인으로 확인되었으며, 연구결과를 근거로 요양보호사의 근무지에 따른 케어 부담감에 차이가 있는지를 파악해보는 연구를 수행할 것을 제언한다. 또한 요양보호사의 케어부담감을 측정할 수 있는 도구를 개발하여 반복연구를 수행해 볼 필요가 있겠다.

This study was a descriptive correlation investigation that assessed the caring burden of caregivers who care for dementia and examined the effects of the burden on the somatic symptoms and health perception. The subjects were 174 caregivers and data collection was conducted from April 1 to 30, 2018. The data were analyzed t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple regression analysis. A Scheffe test was used for post-analysis. The caring burden and somatic symptoms were found to be mid-high and moderate, respectively. The health was perceived to be not good, and the subjective awareness of well-being appeared to be low. The caring burden showed a positive correlation with the somatic symptoms(r=.157, p<.05), and the somatic symptoms showed a positive correlation with the perceived health(r=.220, p<.01). As a result of the study, caregiving burden of caregivers showed the factors influencing their physical and mental health status, it is suggested to carry out research to find out whether there is a difference in burden of care according to the working place of caregiver. In addition, it is necessary to develop a tool to measure the burden of caregivers and to carry out repeated research.

키워드

Table 1. Degrees of Caregiver Caring Burden, Somatic Symptoms, Health Perception(Subjective Well-being, Perceived Health)

DJTJBT_2018_v16n12_427_t0001.png 이미지

Table 2. General Characteristics and Differences in Variables to General Characteristics

DJTJBT_2018_v16n12_427_t0002.png 이미지

Table 3. Correlation among Variables

DJTJBT_2018_v16n12_427_t0003.png 이미지

Table 4. The effect of Caring burden on Somatic Symptoms and Subjective well-being

DJTJBT_2018_v16n12_427_t0004.png 이미지

참고문헌

  1. H. Y. Jung. (2017). 1 Million dementia patient in 2024 ... annual saving 5 billion by Early treatment. Seoul News Paper. Retrieved October 2, from http://www.seoul.co.kr.news/
  2. H. N. Lee & K. J. Cho. (2013). Analysis on emergency care to the patients with acute myocardial infarction in pre-hospital and in-hospital phase. The Korean Journal of Emergency Medical Services, 17(1), 21-39. https://dx.doi.org/10.14408/kjems.2013.17.1.021
  3. L. Burgess & S. Page. (2003). Educating nursing staff involved in the provision of dementia care. Nursing Times, 99(46), 34-37. https://pdfs.semanticscholar.org/
  4. International Psychogeriatrics Association.(2002). BPSD Educational Pack. Module 1. An Introduc -tion to BPSD. Retrieved October 3, from http: https://www.ipa.online.org/
  5. S. W. Yoon & S. A. Ryu. (2015). Impact of Dementia Knowledge, Burden from Behavioral Psychological Symptoms of Dementia and Empathy in the Caring Behavior of Certified Caregivers in Nursing Homes. Korean Journal of Research in Gerontology, 17(3), 131-141. http://doi.org/10.17079
  6. Y. H. Lee. (2003). Dementia Patient's Aggressive Behavior and a Coping Behavior of Dementia Care-worker who Experienced it. Unpublished master' thesis, Kosin University, Pusan.
  7. C. Y. Cho. (2007). A study on securing professio -nalism of caregivers in long-term care insurance system for the elderly. Korean Journal of Research in Gerontology, 16, 9-40.
  8. E. J. Seo & S. Y. Kim. (2012). Workplace Viol -ence Experiences among Care Helpers. The Korean Academic Society of Adult Nursing, 24(6), 607-614. http://dx.doi.org/10.7475 https://doi.org/10.7475/kjan.2012.24.6.607
  9. C. Anderson. (2002). Workplace violence are some nurses more vulnerable?. Issues in Mental Health Nursing, 23, 351-366. https://www.ncbi.nlm.nih.gov/pubmed/12036494 https://doi.org/10.1080/01612840290052569
  10. K. S. Shaji, R. K. George, M. J. Prince & K. S. Jacob. (2009). Behavioral symptoms and caregiver burden in dementia. Indian Journal of Psychiatry, 51(1), 45-49. https://www.ncbi.nlm.nih.gov/pmc/articles https://doi.org/10.4103/0019-5545.44905
  11. Pusan Senior Citizen Welfare Facility Human Resource Support Center. (2013). Health and working environment of caregiver Research on improvement. Pusan.
  12. S. B. Lee. (2015). Factors associated with care burden in occupational caregivers of patients with dementia. Unpublished master' thesis, Catholic University of Daegu. Daegu
  13. A. Edberg, M. Bird, D. A. Richards, R. Woods, P. Keeley & V. Davis-Quarrell. (2008). Strain in nursing care of people with dementia: Nurses' experience in Australia, Sweden and United Kingdom, Aging and Mental Health, 12(2), 236-243. https://www.ncbi.nlm.nih.gov/pubmed/18389404 https://doi.org/10.1080/13607860701616374
  14. T. J. Lee & W. H. Park. (2012). Influencing factors on service quality of care helpers working for the elderly in long term care. Korea Journal Occupation Health Nursimg, 21, 145-153. https://doi.org/10.5807/kjohn.2012.21.2.145
  15. K. I. Chun. (2007). The Caregivers' Burden, Physical and Mental Health with Senile Dementia Patients using Day Care Center. Unpublished master' thesis, Sahmyook University. Seoul.
  16. K. H. Suh & W. L. An. (2009). Dementia Caregivers' Stress, Stress Response and Physical /Mental Health : Focused on the Moderate Effect of Self-Efficacy. The Korean Society of Stress Medicine, 17(2), 111-120.
  17. E. S. Oh & K. H. Suh. (2007). Caregivers' burdens with demented family member, stress responses, and their physical health. Korean Journal Health Promotion and Disease Prevention, 7, 253-260.
  18. M. Novak & C. Guest. (1989). Application of a multidimensional caregiver burden inventory. Gerontologist. 29, 798-803. https://academic.oup.com/gerontologist/article-pdf https://doi.org/10.1093/geront/29.6.798
  19. P. S. Ma. (1999). A study of the people in charge of the demented: Especially people in the day care center or short stay service. Unpublished master' thesis, Ehwa Women's University. Seoul.
  20. K. K. Chon. (1999). A Preliminary Study on Anger. Rehabilitation Psychology Research, 6(1), 173-191.
  21. J. B. Ryu. (2000). The relationships between multidimensional aspects of anger and physical symptoms. Unpublished master' thesis, Daegu University. Daegu.
  22. D. W. Hahn & E. Y. Jang. (2003). Effects of Social Comparison Motive and Forced Social Comparison upon Subjective Well-being and Health Perception. Korean Journal of health psychology, 8, 619-644.
  23. A. Cambell. (1981). The sense of well-being in America. McGraw-Hill, New York.
  24. D. W. Hahn & Y. P. Seung. (2002). Predictions of subjective well-being, health perception and physical illness from emotional experiences in everyday life. Korean Journal of health psychology, 7, 403-427.
  25. S. C. Youn. (2014). Care Worker's Knowledge of Dementia and Care Burden on its Disturbing Behaviors. Unpublished master' thesis, Gyeongsang National University. Gyeongnam.
  26. H. S Kim. (2014). Relationship between the Knowledge of Dementia and the Burden of Problematic Behavior of Long-term Care Hospital Caregiver. Unpublished master' thesis, Catholic University of Pusan. Pusan.
  27. J. A. Song, J. W. Park & H, J. Kim. (2013). Impact of Behavioral and Psychological Symptoms of Dementia on Caregiver Burden in Nursing Homes. Korean Gerontological Nursing Society, 15(1), 62-74.
  28. H. K. Park. (2012). A Study on Caring Burden, Coping Style and Well-Being of Caregivers for Dementia Elderly. Doctoral dissertation, Yeungnam University. Gyeongbuk.
  29. E. S. Oh & K. H. Suh. (2007). Caregivers' Burdens with Demented Family Member, Stress Responses, and their Physical Health. Korean Journal Health Promotion Disease Prevention, 7(4), 253-260.
  30. J. W. Kim, E. S. Song & C. Y. Kim. (2016). Health risk and intervention of long-term care givers: Realist review in realist perspective. Health and Social Welfare Review, 36(2), 421- 453. https://www.researchgate.net/.../ https://doi.org/10.15709/hswr.2016.36.2.421
  31. Institute of Medical & Welfare Resources. (2010). Survey on the musculoskeletal disease of care helpers. Seoul.
  32. E. H. Lee.(1997). Social Work Intervention strategy to Relieve the Burden of Family Care givers with Senile Dementia Patients. Doctoral dissertation. Pusan University. Pusan.
  33. V. Deary, T. Chalder & M. Sharpe.(2007). The cognitive behavioural model of medically unexplai -ned symptoms: a theoretical and empirical review. Clinical Psycholoy Review, 27, 781-797. https://www.ncbi.nlm.nih.gov/pubmed/17822818 https://doi.org/10.1016/j.cpr.2007.07.002
  34. S. O. Lim, & H. H. Kim. (2011). The moderating effects of professional identity on the relationship between job stress and burnout of care workers from care facilities. Journal of Korean Social Welfare Administration, 13(3), 151-176.
  35. S. H. Jeong. (2010). The Relationship of Health perception, Job stress and Job satisfaction of Caregiver. Unpublished master' thesis, Kongju National University. Chungnam.
  36. Korea Caregivers Service Association. (2015). Status of nursing care workers by national trial. Seoul.
  37. Asian Economy Newspaper. (2015). Treatment of care workers should be the first priority 2015. 3.26.
  38. Y. J. Seo, B. W. Kim, Y. E. Song, J. W. Kom & H. Chang. (2012). Difference in Musculoskeletal Symptoms and Health Perception and Health Promotion Behavior of Caregivers by Rehabilita -tion Hospital. Journal of the Korean society for Wellness, 7(4), 25-34.
  39. K. A. Lim. (2001). An Analytical Study on the Health Perception and Health Promotion Behavior between Hospital Nurses and Public Health Nurses. Unpublished master' thesis, Yonsei University. Seoul.
  40. J. E. Ware. (1978).Health perception questionnaire instruments for measuring nursing practice and other care variables. Hyattsville, Marryland, DHEW Publication, 158-161.
  41. H. J. Dupuy. (1978). Self-representations of general psychological well-being of American adults. Paper presented at American Public Health Association Meeting. LosAngles.
  42. Y. J. Lee. (2018). Gender differences in Factors Associated with the Severity of Depression in Middle-aged Adults: An Analysis of 2014 Korean National Health and Nutrition Examination Survey. Journal of the Korea Convergence Society, 9(10), 549-559. https://doi.org/10.15207/JKCS.2018.9.10.549
  43. Y. J. Lee. (2018). A Convergence Study on Factors Influencing Work-Life Balance in Foreign Workers. Journal of the Korea Convergence Society, 9(10), 477-485. https://doi.org/10.15207/JKCS.2018.9.10.477