Journal of Korean Public Health Nursing (한국보건간호학회지)

Korean Society of public Health Nursing (한국보건간호학회)
권호 표지
DOI QR코드

DOI QR Code

Influence of the Caregiver Burden on the Oral Health-related Quality of Life of the Spouse of an Elderly Person with Dementia at Home

재가 치매노인 배우자의 부양부담감이 구강건강관련 삶의 질에 미치는 영향

  • Sung, Kiwol (Department of Nursing, Daegu Catholic University)
  • 성기월 (대구가톨릭대학교 간호대학)
  • Received : 2020.08.26
  • Accepted : 2020.12.12
  • Published : 2020.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study examined the influencing factors of caregiver burden on the oral health-related quality of life of the spouse of an elderly person with dementia at home. Methods: The participants were 115 spouses of dementia patients registered at dementia safety centers in five health centers in D city. Data were collected from June through December in 2019, using questionnaires of Oral Health Impact Profile (OHIP-49) and Burden Interview (BI). The data were analyzed using an independent t-test, one-way ANOVA, Pearson's correlation, and stepwise multiple regression analysis using the IBM SPSS Statistics 25.0 Program. Results: A negative correlation was observed between the oral health-related quality of life and caregiver burden (r=-37, p<.001). The caregiver burden (β=-.28, p=.001), subjective health status (β=.39, p<.001), and dental clinic visit (β=-.25, p=.002) explained 33.0% of the variance in the oral health-related quality of life. Conclusion: The development of nursing care for spouses of dementia patients will be needed to reduce the caregiver burden and enhance subjective health status and dental clinic visit, which influence the oral health-related quality of life of spouse of elderly people with dementia at home.

Keywords

Acknowledgement

이 논문은 2019년도 대구가톨릭대학교 교내연구비 지원을 받아 수행된 연구임

References

  1. An, J. & Choi, H. Y. (2018). Trend of influencing factors on health-related quality of life in Korean elderly. Journal of Korean Public Health Nursing, 32(2), 275 - 287. http://dx.doi.org/10.5932/JKPHN.2018.32.2.275
  2. Kwon, J. D. (1994). The determinant model of caregiver burden in caring for the demented elderly in Korea. Health and Social Welfare Review, 14(1), 1-16.
  3. Brennan, D. S., & Spencer, A. J. (2006). Mapping oral health related quality of life to generic health state values. BMC Health Services Research, 6, 96. http://doi.org/10.1186/1472-6963-6-96
  4. Chiao, C. Y., Wu, H. S., & Hsiao, C, Y. (2015). Caregiver burden for informal caregivers of patients with dementia: A systematic review. International Council of Nurses. 62(3), 340-350. https://doi.org/10.1111/inr.12194
  5. Cho, M. J. (2016). The relationship between masticatory ability and the quality of life oral health-related using OHIP-14 of the elderly. Journal of Digital Convergence 14(9), 341-348. https://doi.org/10.14400/JDC.2016.14.9.341
  6. Choi, H. S. (2016). The relationship between oral health improvement and oral health impact profile(OHIP-14) in the elderly people in long-term care center. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 6(11), 391-400. https://doi.org/10.14257/AJMAHS.2016.11.51
  7. Du, N. H. (2017). Factors influencing caregivers burden as spouse for the elderly with dementia at home. Unpublished master's thesis, Shamyook University, Seoul.
  8. Gaugler, J. E., Mittelman, M. S., Hepburn, K., & Newcomer, R. (2010). Clinically significant changes in burden and depression among dementia caregivers following nursing home admission. BMC Medicine, 8, 85. https://doi.org/10.1186/1741-7015-8-85
  9. Han, S. J., Lee, S., Kim, J. Y., & Kim, H. (2014). Factors associated with family caregiver burden for patients with dementia: A literature review. Journal of Korean Gerontological Nursing, 16(3), 242-254. http://dx.doi.org/10.17079/jkgn.2014.16.3.242
  10. Han, Y. R., Yang, S. J., Ham, O. K., Lee, G., Kim, S. H., & Ha, J. Y. (2020). Community care and visiting nursing services in Denmark, Sweden, the United States, and Japan. Journal of Korean Public Health Nursing, 34(1), 5-21. http://dx.doi.org/10.5932/JKPHN.2020.34.1.5
  11. Jang, H. Y., & Han, S. Y. (2019). Predictors of health-related quality of life among spouses of older adults with dementia in the community-dwelling. Journal of Korean Academy of Community Health Nursing, 30(4), 518-527. https://doi.org/10.12799/jkachn.2019.30.4.518
  12. Jeong, K. H., Oh, Y. H., Kang, E. N., Kim, J. W., Sunwoo, D., Oh, M. A., Lee, E. K., Hwang, N. H., Kim, K. R., Oh, S. H., Park, B. M., Shin, H. K., & Lee, G. R. (2014, December). 2014 Survey of living conditions of older persons (Policy Report 2014-61). Sejong: Korea Institute for Health and Social Affairs.
  13. Jo, E. D., Kim, E. S., Hong, H. K., & Han, G. S. (2019). Factors analysis of the oral health-related quality of life in the elderly. Journal of Korean Society of Dental Hygiene, 19(1), 55-64. https://doi.org/10.13065/jksdh.20190004
  14. Jung, E. J. (2019). Effects of general and oral health on quality of life in the elderly living alone and with family. Journal of Korean Society of Dental Hygiene, 19(4), 577-589. http://dx.doi.org/10.13065/jksdh.20190040
  15. Jung, S. J. & Lee, M. R. (2016). A study on halitosis by oral care behavior and the oral environment. Journal of the Korea Academia-Industrial cooperation Society, 17(1), 629-637. https://doi.org/10.5762/KAIS.2016.17.1.629
  16. Kim, E. Y. & Yeo, J. H. (2012) Factors associated with health-related quality of life among family caregivers of elders receiving home care services. Journal of Korean Academy of Community Health Nursing, 23(2), 117-126. https://doi.org/10.12799/jkachn.2012.23.2.117
  17. Kim, M. H. & Hong, C. Y. (2010). Spousal caregiving stress: Towards a conceptualization of psychological model. Korean Journal of Psychology: General, 29(2), 389-414.
  18. Kim, M. Y. (2014). Nutrient intake and food consumption of Korean elderly aged more than 65 years according to health-related quality of life: the fourth Korea national health and nutrition examination survey (KNHANES IV) 2007-2009. Unpublished doctoral dissertation. University of Chungang, Seoul.
  19. Ministry of Health and Welfare (2014). Korea health statistics 2013: Korea national health and nutrition examination survey (KNHANES VI-1) (Issue No. 11-1351159-000027-10). Sejong: Korea Institute for Health and Social Affairs.
  20. Oh, Y. J, Lee, M. H., & Kim, H. S. (2020). Relationship between caring burden and caring behavior among family caregivers of elderly with dementia in community-dwelling: Mediating effects of caring self-efficacy and social support. Korean Journal of Adult Nursing, 32(2), 186-198. https://doi.org/10.7475/kjan.2020.32.2.186
  21. Park, J. S., Lee, H. R., & Park, M. H. (2016). Factors affecting the oral health status in vulnerable elders. Journal of Korean Public Health Nursing, 30(2), 206-220. http://dx.doi.org/10.5932/JKPHN.2016.30.2.206
  22. Park, H. J., Sohn, M. S., Lee, J. H., Jin, B. H., Lee, S. H., & Kim, T. I. (2014). The mediation effects of psychological factors in the relationship between mouth dryness and oral health related quality of life. Journal of Korean Academy Oral Health, 38(1), 31-40. http://dx.doi.org/10.11149/jkaoh.2014.38.1.31
  23. Park, J. Y. (2014). The impact of health status of for the elderly on oral health-related of life quality. Journal of Digital Convergence, 12(5), 271-280. http://dx.doi.org/10.14400/JDC.2014.12.5.271
  24. Park, S. S., & Kim, T. H. (2019). An association between subjective oral state, psychological characteristic and oral health impact profile-14 in university students. Journal of Korean Society of Oral Health Science, 7(3), 14-20. https://doi.org/10.33615/jkohs.2019.7.3.14
  25. Petersen, P. E., & Yamamoto, T. (2005). Improving the oral health of older people: The approach of the WHO global oral health programme. Community Dentistry and Oral Epidemiology, 33, 81-92. https://doi.org/10.1111/j.1600-0528.2004.00219.x
  26. Slade, G., & Spencer, A. (1994). Development and evaluation of oral health impact profile. Community Dental Health, 11, 3-11.
  27. Slade, G. D. (1997). Derivation and validation of a short-form oral health impact profile. Community Dentistry and Oral Epidemiology, 25(4), 284-290. http://doi.org/10.1111/j.1600-0528.1997.tb00941.x
  28. Statistics Korea. (2017). Major population indicators. Retrieved January 26, 2017. from http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1BPA002&vw_cd=&list_id=&scrId=&seqNo=&lang_mode=ko&obj_var_id=&itm_id=&conn_path=K1
  29. Sung, K. (2020). The effect of oral environment and self-care behavior on oral health-related quality of life in the elderly with diabetes. Journal of Korean Biological Nursing Science, 22(3), 192-203. https://doi.org/10.7586/jkbns.2020.22.3.192
  30. Kim, H. R., & Yang, M. (2013). Cognitive impairment and risk factors among elderly persons aged 60 or more in Korea. Journal of Korean Public Health Nursing. 27(3), 450-465. http://dx.doi.org/10.5932/JKPHN.2013.27.3.450
  31. Yom, Y. H., & Han, J. H. (2014). Factors associated with oral health related-quality of life in elderly persons: Applying Andersen's model. Journal of Korean Academy Fundamental Nursing, 21(1), 18-28. https://doi.org/10.7739/jkafn.2014.21.1.18
  32. Yoo, M. S., Kim, Y. S., & Kim, K. S. (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.
  33. Youn, H. J., & Kim, S. S. (2015). Factor associated with oral health-related quality of life in adults. Journal of Korean Society of Dental Hygiene, 15(6), 1117-1123. http://dx.doi.org/10.13065/jksdh.2015.15.06.1117
  34. Zarit, S. H., Reever, K. E., & Bach-Peterson, J. (1980). Relatives of the impaired elderly: Correlates of feelings of burden. The Gerontologist, 20(6), 649-655. https://doi.org/10.1093/geront/20.6.649