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한국 요양시설 노인의 주 돌봄자 부담감에 대한 통합적 고찰

An Integrated Review on Main Caregiver's Burden of Elderly in Korean Nursing Home

  • 김은정 (경상대학교 일반대학원 간호학과) ;
  • 성경미 (경상대학교 간호대학.건강과학연구원)
  • Kim, Eun Jeong (Department of Nursing, Graduate School of Gyeongsang National University) ;
  • Sung, Kyung Mi (College of Nursing.Institute of Health Sciences, Gyeongsang National University)
  • 투고 : 2019.04.12
  • 심사 : 2019.06.20
  • 발행 : 2019.06.28

초록

본 연구는 통합적 문헌고찰 방법을 통해 국내 요양시설에 노인을 입소시킨 주 돌봄 제공자의 돌봄 부담감을 파악하기 위한 연구이다. 문헌은 1990년 1월부터 2018년 12월까지 게제된 문헌으로 검색 데이터베이스를 이용하여 총 23편의 연구를 선정하여 분석하였다. 주 돌봄 제공자의 개인의 생리사회적 요소에 따른 부담감으로는 돌봄 제공자가 효의식과 죄책감이 높을수록, 노인이 2가지 이상의 질환을 앓고 있을 경우 돌봄 부담감이 높은 것으로 나타났다. 신체적 부담감은 노인의 연령이 많을수록, 돌봄 기간이 1-3년인 경우가 높았다. 경제적 부담감은 주 돌봄 제공자의 나이가 많을수록, 노인의 병력기간이 길수록 높게 나타났고 심리적 부담감은 돌봄 제공자가 아들인 경우와 노인이 고령일수록, 요양시설 입소 초기에 높은 것으로 나타났다. 환경적 특성에 따른 부담감은 노인의 기능상태가 나쁠 때 높은 것으로 나타났다. 그러므로 요양시설에 노인을 입소시킨 주 돌봄 제공자의 돌봄 부담감에 관심을 갖는 것이 필요하다. 앞으로 본 연구의 결과들은 돌봄 부담감을 낮추기 위한 중재 프로그램 개발에 기여할 것이다.

The purpose of this study is to investigate the burden of caring for the care-givers of the elderly in Korea by using an integrated literature review method. A total of 23 studies were analyzed using a search database. When care-givers had higher sense of filial and guilt or more than two diseases, they showed high level of feeling of burden. Also, they had high level of feeling of physical burden by their oldness, service period (especially at the period of 1-3 years). In the feeling of economic burden, they had high level of feeling of burden by their oldness, or elderly's disease periods. The feeling of burden by psychological condition was found in elderly in aged and the beginning of admission of nursing home. The feeling of burden by environment situation was found when the functional status of the elderly was bad. Therefore, we need to concern care-givers's feeling of burden with elderly people in the nursing home. In the future, I believe that the findings of this study will be helpful for development of the intervention program for alleviate burden for the care-giver.

키워드

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Fig. 1. Process of data identification, screening, and evaluation.

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Fig. 2. Effecting Factors on Family Caregiver’s Burden

Table 1. Descriotion and summary of the selected study

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