Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
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The Relationship of Caregiving Appraisal and Family Function among Senile Dementia Patients' Families using In-home Services for the Long-Term Care Insurance

노인장기요양보험 재가보호서비스를 이용하는 노인성 치매환자 가족의 돌봄평가와 가족기능과의 관계

  • Lee, Jungeun (Graduate School, College of Nursing, Yonsei University) ;
  • Ko, Il Sun (College of Nursing, Yonsei University)
  • Received : 2018.05.23
  • Accepted : 2018.08.20
  • Published : 2018.08.28
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Abstract

The aim of this study was to identify the relationship of caregiving appraisal and family function among senile dementia patients' families using in-home services for the Long-Term Care Insurance(LTCI). The participants were 121 family caregivers of senile dementia patients using in-home services for the LTCI. The participants' mean age was $53.80{\pm}10.86years$, all middle-aged women(75.2%). When negative cognition's burden and neutral one's demand in their caregiving appraisal were low and positive cognition's satisfaction and mastery in their caregiving appraisal were high, emotional function in their family function was high. There is a need to develop nursing interventions for strengthening positive cognition's satisfaction and decreasing neutral one's demand in their caregiving appraisal to improve emotional function and communication of senile dementia patients' families.

본 연구의 목적은 노인장기요양보험 재가보호서비스를 이용하는 노인성 치매환자 가족의 돌봄경험에 대한 평가와 가족기능과의 관계를 파악하기 위함이다. 본 연구의 대상자는 경기도 I병원 치매예방센터에서 DSM-IV기준에 의해 치매를 진단받고 노인장기요양보험 재가보호서비스를 이용하고 있는 65세 이상의 노인성 치매환자 가족구성원 121명을 대상으로 하였다. 연구결과 대상자의 평균 연령은 $53.80{\pm}10.86$세로 여성이 75.2%이었고 그 중 딸이 37.2%로 가장 많았다. 대상자의 돌봄평가는 중립적 인식의 요구감이 가장 높았고 긍정적 인식인 숙련감, 만족감이 그 다음으로 높았다. 대상자의 가족기능은 보통정도였고 영역별로 정서적 기능이 가장 높았던 반면, 의사소통이 가장 낮았다. 대상자의 돌봄평가 중 긍정적 인식의 만족감이 높고 중립적 인식의 요구감이 낮을수록 가족기능이 높았다. 추후 노인성 치매환자 가족의 돌봄에 대한 요구감을 줄이고 만족감을 향상시키며 가족의 정서적 기능과 의사소통을 증진시키기 위한 간호중재개발이 필요하다.

Keywords

References

  1. Statistics Korea. (2017). Statistics on the Aged. http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&bSeq=&aSeq=363362&pageNo=1&rowNum=10&navCount=10&currPg=&sTarget=title&sTxt
  2. Statistics Korea. (2014). Statistics on the Aged. https://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&aSeq=330349
  3. The board of audit and inspection of Korea . Central dementia center. (2017). National dementia management system improvement research for preventing omission of dementia patient management. Seoul: Central dementia center.
  4. Ministry of Health & Welfare. (2013). 2012 Dementia prevalence 9.18%, Dementia patients' increase twice every 20 years. http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&BOARD_ID=140&BOARD_FLAG=00&CONT_SEQ=286138&page=1
  5. E. H. Lee. (2003). Impact of family function in the burden of caregiving elderly dementia patients. Journal of Welfare for the Aged, 19, 173-197.
  6. Y. K. Kim, Y. B. Lee, S. E. Choi, K. H. Kim, & S. E. Im. (2015). The Diversification of Family Structure and the Role of families and Governments in Family Support Research Report. Seoul: Korea Institute for Health and Social Affairs. November. Report No.: Research Report 2015-10.
  7. J. Lee, M. S. Yoo, & D. Jung. (2010). Caregiving appraisal of family caregivers for older stroke patients in Korea. International Nursing Review-International Council of Nurses, 57(1), 107-112. http://dx.doi.org/10.1111/j.1466-7657.2009.00751.x
  8. S. H. Kim, & J. H. Jung. (2013). The Correlation between Cognitive Function and Basic Activities of Daily Living of the Elderly People with Dementia in the Residential Care Facilities. The Elderly-Dementia Occupational Therapy. 7(1), 57-67.
  9. H. J. Lee, J. W. Lee, & J. Y. Lee. (2015). Family Caregiver's Burden for the Elderly with Dementia: Moderating Effects of Social Support. Journal of Institute for Social Science, 1, 345-367.
  10. S. J. Han, S. Y. Lee, J. Y. Kim, & H.S. Kim. (2014). Factors Associated with Family Caregiver Burden for Patients with Dementia-A Literature Review. Journal of Korean Gerontological Nursing, 1(3), 242-254. http://dx.doi.org/10.17079/jkgn.2014.16.3.242
  11. C. J. Lee, & B. W. Im. (2011). Effects of Services Delivery System of Long-Term Care for the Elderly to the Qualities of Life of Caregivers-Parameters of Home Care Services User Family Caregivers' Burden. Korean Policy Research, 11(2), 265-283.
  12. M. Takai et al. (2009). The experience of burnout among home caregivers of patients with dementia-Relations to depression and quality of life. Archives of Gerontology and Geriatrics, 49, e1-e5. https://doi.org/10.1016/j.archger.2008.07.002
  13. D. H. Kim, & K. W. Um. (2015). A study on care experience of family members of the elderly with dementia after policy implementation of dementia special rating- Focusing on difficulty of care and necessary social services. Korean Journal of Gerontological Social Welfare, 70, 349-371.
  14. K. Y. Cho. (2002). A Study about the Family Function of Senile Dementia Family. Master's thesis. Ewha Womans University, Seoul.
  15. I. H. Choi, E. J. Kim, S. Y. Chung, & N. J. Yang. (2011). The Impact of the Korean Long-Term Care Insurance System on the Beneficiaries and Their Family Caregivers-Focusing on Quality of Life and Family Relationships. Research Report. Seoul: Korean Women's Development Institute. December. Report No.: Research Report-1.
  16. N. J. Yang, & I. H. Choi. (2013). The impact of the Korean Long Term Care Insurance System on its Family Caregivers-Focusing on Family Caregiving Arrangement. Korean Journal of Social Welfare Studies, 44(3), 31-56.
  17. S. Andren, & S. Elmstahl. (2005). Family caregivers' subjective experiences of satisfaction in dementia care: Aspects of burden, subjective health, and sense of coherence. Scandinavian Journal of Caring Sciences, 19(2), 157-168. http://dx.doi.org/10.1111/j.1471-6712.2005.00328.x
  18. M. P. Lawton, M. H. Kleban, M. Moss, M. Rovine, & A. Glicksman. (1989). Measuring Caregiving Appraisal. Journal of Gerontology, 44(4), 61-71. https://doi.org/10.1093/geronj/44.3.P61
  19. M. P. Lawton, M. Moss, C. Hoffman, & M. Perkinson. (2000). Two Transitions in Daughter's Caregiving Careers. The Gerontological Society of America, 40(4), 437-448.
  20. V. B. Mitrani et al. (2006). The role of family functioning in the stress prcess of dementia caregivers: A structural family framework. The Gerotologist, 46, 97-105. https://doi.org/10.1093/geront/46.1.97
  21. M. HERU Alison. (2000). Family Functioning, Burden, and Reward in the Caregiving for Chronic Mental Illness. Families, Systems & Health, 18(1), 91-103. https://doi.org/10.1037/h0091855
  22. K. S. Kim, & E. S. Choi. (2010). Factors Affecting Family Function of Family with the Elderly Dementia. Journal of the Korean Data Analysis Society, 2(2B), 717-731.
  23. H. Oh, & S. H. Sok. (2009). Health condition, Burden of Caring, and Quality of Life among Family Members of the Eldery with Senile Dementia. Journal of Korean Academic Psychiatric and Mental Health Nursing, 18(2), 157-166.
  24. M. S. Yoo, Y. S. Kim, & K. S. Kim. (2010). 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, 30(4), 1117-1127.
  25. E. Y. Cho, E. H. Cho, & S. S. Kim. (2010). Effects of Family Relationship on Burden of Family Caregivers of Older Adult with Dementia. Journal of the Korean Gerontological Society, 30(2), 421-437.
  26. J. H. Lee, E. Friedmann, S. J. Picot, S. A. Thomas, & C. J. Kim. (2007). Korean version of the Revised Caregiving Appraisal Scale: a translation and validation study. Journal of Advanced Nursing, 59(4), 407-415. http://dx.doi.org/10.1111/j.1365-2648.2007.04346.
  27. M. L. Tavitian, J. Lubiner, L. Green, L. C. Grebstein, & W. F. Velicer. (1987). Dimensions of Family Functioning. Journal of Social Behavior and Personality, 2(2), 191-204.
  28. H. J. Choi, & Y. J. Yoo. (1999). A Study on the Development of the Family Functioning Scale On the basis of FFS developed by Tavitian et al. Journal of Korean Home Management Association, 7(1), 57-71.
  29. National Health Insurance Service. (2018.). Report Material: '2018 family counselling support'enlargement implement. https://www.nhis.or.kr/bbs7/boards/B0039/25509