Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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The Relationship between Resilience, Social support and Caring burden of Middle-aged Caregivers caring for Chronic disease

만성질환자를 돌보는 중년기 주 돌봄 제공자의 회복탄력성, 사회적지지와 돌봄 부담감과의 관계

  • Kim, Nam-Hee (College of Nursing, DongEui Institute Technology University) ;
  • Park, Sun-Young (Department of Nursing, Busan Women's College)
  • 김남희 (동의과학대학교 간호학과) ;
  • 박선영 (부산여자대학교 간호학과)
  • Received : 2018.11.12
  • Accepted : 2019.02.01
  • Published : 2019.02.28
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Abstract

The purpose of this study was to investigate the relationship between resilience, social support and caring burden of middle-aged caregivers caring for chronic disease. The data were collected from 175 caregivers at one rehabilitation centers in B City from July 2 to 31, 2018 and analyzed SPSS Win 21.0. Factors influencing caring burden were time for caregiving(F=6.70, p<.001), activities of daily living(F=4.70, p<.001), patient disease(F=4.61, p<.001), relationship with patients(F=3.68, p<.013), Health Status(F=3.08, p=.018), Marital status(t=-2.12, p<.036), Period after diagnosis(F=2.92, p=.036). The caring burden had not an influence on resilience and social support. a positive correlation was found between resilience and socail support(r=.487, p<.001). Therefore, it is essential to develop burden intervention programs that can reduce the burden in middle-aged caregivers caring for chronic disease and taking all the factors affecting burden into consideration.

본 연구의 목적은 만성질환자를 돌보는 중년기 주 돌봄 제공자의 회복탄력성, 사회적지지와 돌봄 부담감과의 관계를 파악하기 위한 서술적 상관관계 연구이다. 자료수집은 B시에 소재한 일개 재활전문병원 주 돌봄 제공자 175명을 대상으로 2018년 7월2일부터 7월31일까지 자가보고 설문지를 통하여 자료를 수집하였고, SPSS Win 21.0 프로그램을 이용하여 분석하였다. 일반적 특성 중 돌봄 부담감과 유의한 차이는 돌봄시간(F=6.67, p<.001), 일상생활 수행능력(F=4.70, p<.001), 환자의 질환(F=4.61, p<.001), 환자와의 관계(F=3.68, p<.013), 건강상태(F=3.08, p=.018), 결혼유무(t=-2.12, p<.036), 진단시기(F=2.92, p=.036) 순으로 나타났다. 돌봄 부담감은 회복탄력성, 사회적지지와 유의한 관계가 없었고, 회복탄력성과 사회적지지는 (r=.487, p<.001)으로 통계적으로 유의한 상관관계가 있는 것으로 나타났다. 따라서 이러한 결과를 바탕으로 만성질환을 돌보는 중년기 주 돌봄 제공자의 돌봄 부담감을 감소시키기 위해 돌봄 부담감에 영향을 준 제 특성요인들을 고려하여 돌봄 부담감 중재프로그램을 개발할 필요가 있을 것이다.

Keywords

Table 1. Difference of Resilience, Social support and Caregiver burden due to general Characteristics of Caregivers

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Table 2. Difference of Resilience, Social support and Caregiver burden due to general Characteristics of Patients

SHGSCZ_2019_v20n2_300_t0002.png 이미지

Table 3. Degree of Resilience, Social Support and Caregiver burden

SHGSCZ_2019_v20n2_300_t0003.png 이미지

Table 4. Correlations of Resilience, Social support, Caregiver burden

SHGSCZ_2019_v20n2_300_t0004.png 이미지

References

  1. P. Chandrashekar, & S. H. Jain, "Improving High-Risk Patient Care through Chronic Disease Prevention and Management", The Journal of Law, Medicine & Ethics, vol 46. no. 3, pp.773-775, 2018. DOI: https://doi.org/10.1177/1073110518804240
  2. T. G. Mthembu, Z. Brown, A. Cupido, G. Razack, & D. Wassung, "Family caregivers' perceptions and experiences regarding caring for older adults with chronic diseases", South African Journal of Occupational Therapy, vol. 6, no. 1, pp. 83-88, 2016. DOI: http://dx.doi.org/10.17159/2310-3833/2016/v46n1a15
  3. T. Bodenheimer, E. Chen, H. D. Bennett, "Confronting the growing burden of chronic disease: can the US health care workforce do the job?", Health Affairs, Vol. 28, No. 1, pp. 64-74, 2009. DOI: https://doi.org/10.1377/hlthaff.28.1.64
  4. Korea Health Statistics 2013. Korea National Health and Nutrition Examination Survey[KNHANES VI-1] https://www.bioin.or.kr/board.do?num=250007&cmd=vie w&bid=industry
  5. S. H. Kong, "Work-family imbalance and low fertility among Seoul citizen Research Fellow", pp. 65-86, 2008.
  6. J. S. Rolland, A. Werner-Lin, "Families health and illness In S. Gehlert & T.A. Browne(Eds.), pp. 305-334, Handbook of health social work, 2006.
  7. A. Amirkhanyan, D. Wolf, "Caregiver stress and noncaregiver stress Exploring the pathways of psychiatric morbidity", The Gerontologist, Vol. 43, No. 6, pp. 817-827, 2003. DOI: https://doi.org/10.1093/geront/43.6.817
  8. S. A. Anderson, R. M. Sabatelli, "Family interaction: A multigenerational developmental perspective. Boston: Allyn & Bacon. 2011.
  9. K. E. Kim, K. Kwak, H. Y. Min, J. Choi, S. Y. Jeon, "An Investigation into mid-life as it is perceived by middle aged Korean men", The Korean Journal of the Human Development, Vol. 18, No. 3, pp. 135-155, 2011.
  10. S. H. Suh, "A study of the meaning and thechange of familism in Korea", Journal of Korean Home Management Association, Vol. 21, No. 4, pp. 93-101, 2003.
  11. D. A. Chirboga, "Crisis, challenge, and stability in the middle years. In M. E. Lachman & J. B. James(Eds.)", Mulitiple paths of midlife development, pp. 293-322, Chicago: The University of Chicago Press.
  12. N. J. Lee, "Study of Participation Needs in Social Activities to Cope with Mid-Aged-Women's Crisis", Unpublished doctor's thesis, Wonkwang University, Jeollabuk-do, 2005.
  13. S. Y Kim, J. I. Lee, "A Study on Aging Anxiety, Depression, and Self-esteem of Middle-aged People", Journal of Korean Academy Fundamentals Nursing, Vol. 14, No. 1, pp. 103-109, 2007.
  14. Korea National Statistics Office. Death statistics in 2016. http://kostat.go.kr/portal/korea/kor_nw/3/index.board?bmode=read&aSeq=363269
  15. K. M. Connor, "Assessment of resiliience in aftermath of trauma", Amerian journal of Psychiartry, Vol. 67, No. 2, pp. 46-49, 2006.
  16. V. Steiner, L. Pierce, S. Drahuschak et al., "Emotional support physical help, and health of caregivers of stroke survivors", Journal of Neurosci Nursing, Vol. 40, No. 1, pp. 48-54, 2008. DOI: https://insights.ovid.com/crossref?an=01376517-200802000-00008 https://doi.org/10.1097/01376517-200802000-00008
  17. J. S. House, K. R. Landis, D. Umberson, "Social relationships and health", pp. 540-545, Science, 1988.
  18. H. O. Kim, "Study on Caring behaviors and burden of family caregiver of home care patients with chronic disease", Unpublished Master's thesis, Hanyang University, Seoul, 2011.
  19. M. K. Kim, H. S. Park, K. N. Kim, "Perceived family support of chronic liver disease patients and burnout of care providers", Korean Society of Nursing Science, Vol. 10, pp. 220-220, 2010.
  20. K. M. Connor, JRT Davidson, "Development of a new Resilience scale:The Connor-Davidson Resilience scale (CD-RISC), Depression and Anxiety", Depression and Anxiety, Vol. 18, No. 2, pp. 76-82, 2003. DOI: https://doi.org/10.1002/da.10113
  21. version of the Conner-Davidson Resilience Scale (K-CD-RISC)", Korean Neuro Psychiatric Association, Vol. 7, No. 2, pp. 109-115, 2010. DOI: https://doi.org/10.4306/pi.2010.7.2.109
  22. C. D. Sherbourne, A. L. Stewart, " The MOS social support survey", Social Science and Medicine, Vol. 32, No. 6, pp. 705-714, 1991. DOI: https://doi.org/10.1016/0277-9536(91)90150-B
  23. J. S. Lee, "The Development & Evaluation of the Caregiving Stress Management Program for Families of Terminal Cancer Patients", Unpublished doctor's thesis, Korea University, Seoul, 2006.
  24. M. H. Suh, G. S. Oh, "A Study of Well-being in Caregivers Caring for Chronically family members", Journal of Korean Academy of Nursing, Vol. 23, No. 3, pp. 467-486, 1993. DOI: https://doi.org/10.4040/jnas.1993.23.3.467
  25. Y. S. Yoon, Y. R. Tak, "Burden, Social Support and Quality of Life of the Family Caregiver's of Hemodialysis Patients", Journal of Korean Clinical Nursing Research Vol. 20, No.3, pp.395-405, 2014. https://doi.org/10.22650/JKCNR.2014.20.3.395
  26. K. J. Choi, H. H. Haek, "Burden and Quality of Life in Caregivers of Patients with Rare and Incurable Disease", Journal of Korean Academy of Community Health Nursing, Vol. 17, No.3, 2006.
  27. H. M. Joe, E. J. Choi. "Effects of Family Burden, Resilience and Spiritual Well-being on the Quality of Life of Primary Caregivers of People with Mental Illness", J Korean Acad Psychiatr Ment Health Nurs, Vol. 26 No. 3, 226-237, September 2017. DOI: https://doi.org/10.12934/jkpmhn.2017.26.3.226
  28. N. H. Kim, et al, "Influencing Factors on Stress in Caregivers of Stroke Patients Being Admitted in Rehabilitation Centers", Journal of the Korea Academia-Industrial cooperation Society, Vol. 17, No. 2, pp. 188-201, 2016. DOI: https://doi.org/10.5762/KAIS.2016.17.2.188
  29. I. H. Choi, H. K. Shin. "The Factors Affecting Family Adaptation in Families of patients with Rare Diseases", Korean Journal of Physical Multiple & Health Disabilities, Vol. 58, No.3, pp. 55-81, 2015. https://doi.org/10.20971/kcpmd.2015.58.3.55
  30. S. J. Kang, H. J. Lee, C. K. Smi, "Caregivers' Burden in patients with acute stroke", The Korean Journal of Rehabilitation Nursing, Vol.5, No.1, pp.27-37, 2002.
  31. Y. S. Hong, M. J. Suh, K. S. Kim, I. J. Kim, N. O. Cho, H. J. Choi, et al. "Relations between Perceived Burden and Social Support of Stroke Patient's Family Caregivers", Journal of Korean Academy of Nursing, Vol.30, No.3, pp.595-605, 2000. DOI: https://doi.org/10.4040/jkan.2000.30.3.595
  32. J. E. Kim, H. K. Choi, "The effects of care recipient helpfulness on elderly family caregiver's caregiving burden and satisfaction", Journal of institute for social sciences, Vol. 26, No. 2, pp. 123-150, 2015. DOI: http://dx.doi.org/10.16881/jss.2015.04.26.2.123