Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
권호 표지
DOI QR코드

DOI QR Code

Factors Affecting the Suicidal Ideation in Spouse Caregivers of the Elderly with Dementia Living in the Community

재가치매노인 배우자의 자살생각 영향요인

  • Received : 2018.03.05
  • Accepted : 2018.06.20
  • Published : 2018.06.28
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to determine factors affecting the suicidal ideation in spouse caregivers of the elderly with dementia Living in the Community. The data were collected from 160 spouses of elderly people with dementia who use dementia support centers and long-term care service in seoul. Data were collected with structured questionnaires to investigate the general characteristics and suicidal ideation-related factors, and analyzed using t-test, ANOVA, Pearson's correlation coefficient, Multiple regression analysis with SPSS win version 24.0 program. The significant factors affecting suicidal ideation were entrapment(${\beta}=.452$), SDAP(${\beta}=.273$), coping strategies(${\beta}=-.199$), it were explained 55.7%(F=19.199, p<.001). Therefore, counseling and education should be provided to help reduce the entrapment and enhance coping strategy with the dementia condition of the elderly with dementia. Measures also need to be made to improve the accessibility of a spouse with dementia that are left neglected.

본 연구의 목적은 재가치매노인 배우자의 자살생각에 영향을 미치는 요인을 검토하기 위함이다. 대상자는 서울시 치매지원센터와 노인장기요양서비스를 이용하는 치매노인의 배우자 160명이다. 자료는 일반적 특성과 자살생각 영향요인을 조사하기 위해 구조화된 설문지로 수집하였다. 자료분석은 SPSS win version 24.0 프로그램을 이용하여 t-test, ANOVA, Pearson's correlation coefficient, Multiple regression analysis로 분석하였다. 본 연구결과 자살생각에 영향을 주는 요인은 속박감(${\beta}=.452$), 치매상태정도(${\beta}=.273$), 그리고 대처전략 ${\beta}=-.199$)으로 설명력은 55.7%이었다(F=19.199, p<.001). 그러므로 치매노인의 치매상태에 맞추어 배우자의 속박감을 낮추고 대처전략을 높일 수 있도록 상담과 교육 등을 제공해야 한다. 또한 소외되어 있는 치매노인 배우자에 대한 접근성을 개선할 수 있는 방안이 마련되어야 할 필요가 있다.

Keywords

References

  1. H. S. Jo & Y. H. Jo. (2018). 2017 Central Dementia Center Annual Report. Seoul: Central Dementia Center.
  2. H. J. Nam, S. H. Hwang, Y. J. Kim, S. J. Byun & K. W. Kim. (2017). Korean Dementia Observatory 2017. Seoul: Central Dementia Center.
  3. Korea Ministry of Health & Welfare. Press release for Announcement of the Second Long-Term Care Plan[Internet]. 2018 Feb 13[cited 2018 Apr 14] Available from http://www.mohw.go.kr/react/al/sal0301vw.jsp
  4. M. R. Sung, M. S. Yi, D. Y. Lee & H. Y. Jang. (2013). Overcoming Experiences of Family Members Caring for Elderly Patients with Dementia at Home. Journal of Korean Academy of Nursing, 43(3), 389-398. DOI : 10.22156/CS4SMB.2017.7.3.001
  5. H. Oh & S. H. Sok. (2009). Health Condition, Burden of Caring, and the Quality of Life among Family Members of the Elderly with Senile Dementia. Journal Korean Academy Psychiatric Mental Health Nursing, 18(2). 157-166.
  6. D. Harwood & R. Jacoby. (2000). Suicidal behavior among the elderly. In K. Howton & K. van Heeringen (Eds), international Handbook of Suicide and Attempted Suicide. Chichester: Wiley, 275-291. DOI : 10.15709/hswr.2014.34.2.219
  7. Statistics Korea. Press release for Cause of death in 2016.[Internet]. 2017 Sep 22[cited 2018 Jan 2] Available from http://kostat.go.kr/portal/korea/kor_nw/2/6/2/index.board?bmode=read&aSeq=363268
  8. Korea Ministry of Health & Welfare. Press release for Establishment of Suicide Prevention State Action Plan[Internet]. 2018 Jan 23[cited 2018 Apr 14] Available from http://www.mohw.go.kr/react/al/sal0301vw.jsp
  9. J. S. Kim. (2018). The Structural Model Suicidal Ideation in elderly Living Alone. Journal of Convergence for Information Technology, 8(2), 29-36. DOI : 10.22156/CS4SMB.2018.8.2.029
  10. Y. J. Oh. (2018). A Study on predicitive factors of Elderly Suicidal Ideation. Journal of Convergence for Information Technology, 8(2), 1-9. DOI : 10.22156/CS4SMB.2018.8.2.001
  11. M. A. Lee. (2015) The Effects of Social Quality on Suicide Ideation of Korean Elderly. Journal of Digital Convergence, 13(3), 271-281. DOI : 10.14400/JDC.2015.13.3.271
  12. B. J. Kim. (2016). Convergence Study on the Related Risk Factors of Elderly's Suicidal ideation Based on the 6th Korea National Helth and Nutrition Examination Survey. Journal of Digital Convergence, 14(11), 27-35. DOI : 10.14400/JDC.2016.14.11.27.
  13. J. Y. Kim, J. B. Kim, D, Y. Jang & I. H. Song. (2016). A Study on the Effect of Caregiver Burden on suicidal Ideation among Caregiver for the Elderly with Dementia. Journal of the Gerontological Society, 36(3), 883-903.
  14. H. Ch. Jeong. (2017). A study on the Effect of Elderly Dementia Caregiver's Stress to their Suicidal Ideation. Journal of the Korea Contents Association, 17(11), 167-182. DOI : 10.5392/JKCA.2017.17.11.167
  15. S. O'Dwyer, W. Moyte & S. Van Wyk. (2013). Suicidal ideation and resilience in family cares of people with dementia: A pilot qualitative study. Aging & Mental Health, 17(6), 753-760. DOI : 10.1080/13607863.2013.789001S
  16. S. O'Dwyer, W. Moyte, M. Zimmer-Gebeck & D. De Leo. (2013). Suicidal ideation in family carers of people with dementia. Aging & Mental Health, 20(2), 222-230.
  17. W. K. Kim. (2014). Analysis of newspaper articles on suicide and murder of dementia families. Health and Social Research, 34(2), 219-246.
  18. A. Beck, M. Kovacs & A. Weissman. (1979). Assessment of Suicidal intention: The Scale Ideation. Journal of Consulting and Clinical Psychology, 47(2), 343-352. DOI : 10.1037/0022-006x.47.2.343
  19. P. J. Taylor, P. A. Gooding, A. M. Wood, J. Johnson, D. Pratt & N. Tarrier. (2010). Defeat and entrapment in schizophrenia: The relationship with suicidal ideation and positive psychotic symptoms. Psychiatry research, 178(2), 244-248. DOI : 10.1016/j.psychres.2009.10.015 J
  20. P. Gilbert & S. Allan. (1998). The role of defeat and entrapment(arrested flight) in depression An exploration of an evolutionary view. Psychological Medicine, 28(3), 585-598. DOI : 10.1017/s0033291798006710
  21. S. H. Cheon. (2011). The Relationship among perceived Entrapment, Depression and Subjective Well-being of Women as Family Caregivers Caring for Dementia Elderly. Koreans Journal Women Health Nursing, 17(3), 285-293. https://doi.org/10.4069/kjwhn.2011.17.3.285
  22. Y. Martin, F. Gilbert, K. McEwan & C. Irons. (2006). The relation of entrapment, shame and guilt to depression in carers of people with dementia. Aging & Mental Health, 10(2), 101-106. DOI : 10.1080/13607860500311953H. S
  23. L. L. Harlow, M. D. Newcomb & P. M. Bentler. (1986). Depression, self-derogation, substance use and suicidal ideation: Lack of purpose in life as a mediational factor. Journal of Clinical psychology, 42(1), 5-21. DOI : 10.1002/1097-4679(198601)42:1<5::aid-jclp2270420102>3.0.co;2-9
  24. H. S. Kim. (2002). A studdy on epistemology of Korean elder's suicidal thought. Journal of the Korean Gerontological Society, 22(1), 159-172.
  25. M. P. Lawston, M. Moss, M. Fulcomer & M. H. Kleban. (1982). A research and service oriented multi-level assessment instrument. Journal of Gerontology, 37(1), 91-99. DOI : 10.1093/geronj/37.1.91
  26. I. S. Shin & S. S. Han. (2005). A Study on Cancer Patients' Quality of Life, Perceived Health Status and Susceptibility Severity for Cancer Recurrence. East-West Nursing Research, 11(2), 146-154.
  27. C. D. Sherbourne, & A. L. Stewart. (1991). The MOS social support survey. Social Science and Medicine, 32(6), 705-714. DOI : 10.1016/0277-9536(91)90150-b
  28. M. K. Lim. (2002). Relationships between Social Support and Health among Low Income Groups in Urban Area. Unpublished master's thesis, Seoul National University, Seoul.
  29. H. I. McCubbin, A. I. Thompson & M. A. McCubbin. (1996). Family Assesment: Resiliency, Coping and Adaptation. New York: University of Wisconsin publishers.
  30. Y. J. Kim. (2004). A study on the managing strategy of supply system for the reduction of care-giving costs burdened on care-givers of the elderly with dementia. Doctoral dissertation, Sang Myung University, Seoul.
  31. J. H. Kim, D. Y. Lee, S. J. Lee, B. Y. Kim & N. J. Kim. (2015). Predictive Relationships between BPSD, ADLs and IADLs of the Elders with Dementia in Seoul, Korea. Journal korean Gerontological Nursing, 17(1), 1-9. DOI : 10.17079/jkgn.2015.17.1.1
  32. Korea Ministry of Health & Welfare. Press release for Announcement of results of 2014 elderly situation survey[Internet]. 2015 Apr 1[cited 2018 Apr 14] Available from http://www.mohw.go.kr/react/al/sal0301vw.jsp
  33. H. D. Yang, Y. J. Hong, J. E. Kim, M. H. Park, H. R. Na, I. W. Han & S. Y. Kim. (2012). Activities of Daily Living and Dementia. Dementia and Neurocognitive Disorders, 2012(11), 29-37.
  34. D. Y. Lee, M. H. Park, S. J. Lee, Y. H. Kim, J. H. Kim, H. J. Kim & H. J. Lee. (2014) Registered dementia management in Seoul city in 2014. Seoul Metropolitan City Dementia Center.