• Title/Summary/Keyword: 가족부담감

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Relations between Perceived Burden and Social Support of Stroke Patient호s Family Caregiver (뇌졸중 환자의 가족 간호자가 지각하는 부담감과 사회적 지지와의 관계 분석)

  • 홍여신;서문자;김금순;김인자;조남옥;최희정;정성희;김은만
    • Journal of Korean Academy of Nursing
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    • v.30 no.3
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    • pp.595-605
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    • 2000
  • The purpose of this study was to describe the perceived burden of the stroke patient's caregiver and related factors to analyze relationships between perceived burden and social supports. A convenient sample of 225 caregivers who take care for a stroke patient at home participated in this study. Caregiver's perceived burden was measured by the objective and subjective burden scale developed by Montgomery (1985). Related factors of burden were studied in terms of the patient's instrumental activties of daily living, cognitive function, caregiver's demographic variables and caregiver's illness intrusiveness. The results were as follows: (1) The mean of objective burden score was 4.5, and subjective burden score was 3.1. These scores show that caregivers perceive moderate level of burden. (2) Caregivers' objective burden was significantly related to caregivers's illness intrusiveness (r=.62), patient's IADL (r=-.33), and patient's cognitive function (r=-.15). The subjective burden was related to the caregiver's illness intrusiveness (r=.29), the patient's IADL (r=.24), and the caregiver's age(r=.23). (3) The percentage of stroke caregivers who perceived physical support was 49.1%. The percentage of those who perceived emotional support was 61.0%, and those who perceived financial support totaled 37.6%. (4) Caregivers who received any type of social supports perceived lower subjective burden, and caregivers who received physical or psychological support perceived lower objective burden. These results emphasized the necessity of a rehabilitation programs for stroke patients and support program for family caregivers.

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Caregiver Burden in Caring for Elders Before and After Long-term Care Service in Korea (장기요양서비스 전.후 가족의 수발 부담감에 영향을 미치는 요인)

  • Lee, Hung-Sa
    • Journal of Korean Academy of Nursing
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    • v.42 no.2
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    • pp.236-247
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    • 2012
  • Purpose: Purposes of this study were: evaluation of family burden of caring for elders who receive long term care services, and examination of differences in burden before and after the introduction of long term care service in Korea. Methods: Data were collected by questionnaires from 416 caregivers of elders who were registered with the Long Term Care Insurance Corporation in six cities. Data were collected in September, 2010 and analyzed using descriptive statistics, paired t-test, and ANOVA with the Scheffe test, and stepwise multiple regression. Results: Family burden decreased significantly after longterm care service was initiated. Subjective burden decreased from 2.93 to 2.69 (t=11.78, $p$<.001), and objective burden, from 3.40 to 3.10 (t=12.73, $p$<.001). Stepwise multiple regression analysis revealed that factors affecting subjective burden were family relations (F=13.60, $p$=.003), age (F=5.47, $p$=.019), job (F=6.98, $p$=.008), and education (F=4.59, $p$=.032), and that factors affecting objective burden were living together (F=17.66, $p$<.001), job (F=13.34, $p$=.003), monthly income (F=6.61, $p$=.010), and type of service (F=6.62, $p$=.010). Conclusion: The results of this first study to investigate caregiver burden after the Korean Long-term Care Insurance System was begun provide positive information for the development of strategies to decrease family burden in long term care.

Correlations Among the Stroke Patient Family상s Health Status, Burden and of Life (뇌졸중 환자가족의 건강상태, 부담감 및 삶의 질과의 관계 연구)

  • 이경호
    • Journal of Korean Academy of Nursing
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    • v.31 no.4
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    • pp.669-680
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    • 2001
  • Purpose: This study is used to investigate the correlation among a stroke patient family's health, burden and quality of life. Method: Data was collected from one hundred twenty family care-givers registered at K and H Hospital in Seoul. Questionnaire data was drawn up by personal interviews aided by the staff nurses. The analyses of collected data are based on the rate of 100 percentage to the average, t-test, ANOVA, DMR, Pearson Correlation. Result: (1) The influential factors on physical health proved to be age, sex, academic career, matrimonial status, present occupation, economic situation, the relationship with the patient, the patient-caring term, and the family-formation. The psychological health issues were age, final academic career, matrimonial status, the relation with patient and the family-formation. Burdens were shown to be age, matrimonial status, the relation with patient, and the patient-caring term. The quality of life was determined by age, final academic career, matrimonial status, and the relationship with the patient, the patient- caring term, and the family-formation. (2) The rate of the physical condition was 2.87, the psychological condition 2.43, the sense of burden 3.08, and the quality of life was 2.42. (3) The rate of correlation between the burden and the quality of life was (r= -.547), the psychological health and the burden was (r= -.531), the physical health and the burden was (r= -.263), physical health and quality of life was (r= .301), psychological health, and quality of life was (r= .413). Conclusion: It follows from this study that there is a very close correlation among the stroke patient family's health, the burden, and quality of life. Therefore it is necessary that we should find various nursing intervention ways in order to mitigate the burden of family when caring for the stroke patients.

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The Effects of a Support Group Intervention on the Burden of Primary Family Caregivers of Stroke Patients (집단적 지지 간호중재 프로그램이 뇌졸중 환자 가족 수발자의 부담감에 미치는 효과)

  • Yoo, Eun-Kwang;Jeon, Sang-Hee;Yang, Jeong-Eun
    • Journal of Korean Academy of Nursing
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    • v.37 no.5
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    • pp.693-702
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    • 2007
  • Purpose: The purpose of this study was to develop and evaluate the effects of a support group intervention on the burden of primary family caregivers of stroke patients. Method: A nonequivalent control group pretest-posttest design was used. The subjects were 36 primary family caregivers of stroke patients [experimental(N=18) and control(N=18) groups] in a neurosurgery ward of a university hospital. The experimental group members participated in six sessions of a support group intervention for two weeks and the degree of their caregiving burden was evaluated. Data was analyzed by Chi-square tests, t-tests, and paired t-tests using SPSS 10.0. Result: The experimental group had a significantly lower total burden score (t=2.06l, p= .047)and sub-scales of emotional(t=-3.319, p= .002), time-dependent(t=-2.045, p= .049) and developmental(t=-2.656, p= .012) burden scores than the control group, while no significant differences were found in physical, social or financial burden scores between the two groups. Within the experimental group, there was a significant decrease in physical(t=2.507, p= .023), emotional(t=4.754, p= .000), social(t=2.932, p= .009), time- dependent(t=5.015, p= .000) and developmental(t=7.541, p= .000) burden scores but not the financial burden score. Conclusion: The results suggest that a support group intervention can be utilized as an effective nursing program to reduce the burden of primary family caregivers of stroke patients.

Influencing Factors on the Family Caregivers' Burden of Inpatients with Acute Stroke (급성기 뇌졸중 입원환자 가족 간호제공자의 부담감 영향요인)

  • Lim, Jung Soon;Chung, Bok Yae
    • The Journal of Korean Academic Society of Nursing Education
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    • v.24 no.2
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    • pp.149-159
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    • 2018
  • Purpose: The purpose of this study was to explore the influencing factors on the family caregivers burden who have has inpatients with acute stroke. Methods: Subjects were 126 family caregivers who have has inpatients with acute stroke. Data were collected by questionnaires. The collected data were analyzed by t-test, ANOVA, Scheffe's test, Pearson's coefficients and multiple regression. Results: The Anxiety of family caregivers was identified as a determinant of family caregivers burden who have has inpatients with acute stroke by the multiple regression analysis (${\beta}=.58$, p<.001). Gender and low cognitive function of inpatients were significantly related to family caregivers burden. And knowledge about care (r=-.27, p=.002) was correlated with anxiety significantly. Conclusion: The family caregivers burden is not only an important issue for nursing but also major nursing problem to be addressed nurses. Family caregivers with acute stroke inpatients feel more anxiety than family caregivers with other illnesses. The anxiety of family caregivers is important especially to the family caregivers who have to care acute stroke inpatients to reduce their burden.

A Study on the Burden of Family Caregiving with the Mentally Ill and Professional Needs to It (정신질환자 가족의 부담감과 전문적 도움과의 관계연구)

  • 오현주
    • Journal of Korean Academy of Nursing
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    • v.30 no.1
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    • pp.202-212
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    • 2000
  • The purpose of this study was to identify the relationship between the burden of family with the mentally ill and professional needs. Data collection period was from June 29, 1998 to July 30, 1998. The subjects for the study was 134 family members of psychiatric in-patients and out-patients in Taejon and Chungnam. The questionnaire developed by OK-KYUNG YANG to measure the family burden and professional needs was used for this study. The tools used for this study were composed of General characteristics(30 items), family burden(43 items), professional needs(26 items). The data was analyzed by using on SPSSWIN program and included percentage, mean, S.D., t-test, ANOVA and Pearson correlation coefficient. The results of the analysis were as follows; The mean score of family burden was 134.26, which is higer than the mean score of the instrument. The mean score of professional need, the family caregiver who supporting of mentally ill patients, was .48 which is lower than the mean score of the instrument. Family burden was statistically correlated with professional needs(${\gamma}$=.6139, P<.001). There were statistically differences in family burden for respondent's relation, location of living, most care money giver, substant care money giver. There were statistically significant difference in professional need for family age, marriage status, substant care money giver, information status. The conclusion that can be drawn from this study is that addressing professional needs would contribute to reduce burden of the family caregivers with mentally ill. Therefore, Nursing interventions are needed to reduce family burden.

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Factors Influencing the Burden Felt by Main Family Caregivers of Elderly Patients with Brain and Spinal Diseases (뇌.척추질환 노인 환자 주 가족수발자의 부담감에 영향을 미치는 요인)

  • Park, Hee-Kyung;Park, Kyung-Min
    • Research in Community and Public Health Nursing
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    • v.22 no.4
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    • pp.389-398
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    • 2011
  • Purpose: This study of this study was to identify factors influencing the burden of main family caregivers who take care of elderly patients with brain and spinal diseases. Methods: This was conducted as descriptive research and data were collected from 255 main family caregivers who were taking care of elderly patients with brain and spinal diseases from 4 hospitals in Daegu and Gyeongbuk Province. Stepwise-multiple regression was used to identify the influencing factors of burden felt. Results: As the score of burden felt by the main family, economic, social, physical, interdependent and emotional burdens were high in order. Factors influencing burden felt by main family care givers taking care of elderly patients with brain and spinal diseases were changed relation with patient after hospitalization, daily life ability, marital status, education and family caregiver's personality (explanatory power of 24.6%). Family caregivers felt a heavier burden when their relation with the patient was changed negatively or when the patient's activity of daily living was low. Conclusion: Based on these results, we need to develop coping measures and interventional programs for reducing the burden felt by the main family caregivers of elderly patients with brain and spinal diseases.

Dismantling and Reconstruction of Family Relationship as Revealed in "My Golden Life" (<황금빛 내 인생>에서 나타난 가족관계 해체와 재구성)

  • Kim, Joon
    • Journal of Digital Convergence
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    • v.16 no.11
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    • pp.471-476
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    • 2018
  • The purpose of this article is to understand the causes and consequences of the formation and division process of the family relationship and the meaning of the restoration of the family relationship that appeared for the baby-boomer generation, the eco-boomer generation, and the subsequent generation which represent the reality of the time involved. The research method is based on a family that reflects the current age in the drama "My Golden Life" which showed the highest audience rating in the first half of 2018. As a result, the burdens, conflicts, and responsibility of the generations about family relations appeared as unilateral relations. It cut off the entangled relationship and dismantled it. However, the disconnection of the relationship played a role in recovering the subjectivity of the individual from the bridle of the family. As it turned out, the restoration of the family relationship was possible in the bi-directional relationship after the self-esteem and identity of the individual was established first.

The Effect of Burden of Caring Unmarried Adult Children on Depression of Employed Women: Mediating Effects of Couple Communication and Job Satisfaction (취업 여성의 미혼 성인자녀 돌봄 부담이 우울에 미치는 영향 : 부부의사소통과 일 만족도의 매개효과)

  • Cho, Ouk-Sun;Paik, Jina
    • Journal of Convergence for Information Technology
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    • v.8 no.6
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    • pp.293-303
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    • 2018
  • The purpose of this study is to explore the effect of burden of caring unmarried adult children on depression of employed women and to verify the mediating effects of couple communication and job satisfaction. For the purpose, the data from the fourth year Korean Longitudinal Survey of Women and Families on 586 employed women with baby boomer husbands and unmarried adult children were analyzed by using structure equation modeling. The found results are as follows. First, burden of caring unmarried adult children of employed women had a positive effect on their depression, while it had a negative effect on couple communication and job satisfaction. Second, couple communication of employed women influenced negatively on their depression and had a partial mediating effect on the relationship between burden of caring unmarried adult children and depression. Third, the effect of burden of caring unmarried adult children on depression of employed women was partly mediated by their job satisfaction. Further, the practical programs to enhance couple communication and job satisfaction, as well to reduce depression, were presented.

Relation to the Burden and Function of Family Care-givers Caring for Home Care Clients (가정간호 대상자 가족의 부담감과 가족기능과의 관계)

  • Oh, Seung-Eun;Kim, Soon-Lae
    • Journal of Home Health Care Nursing
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    • v.14 no.2
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    • pp.91-97
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    • 2007
  • Purpose: This thesis focuses on researching the burden of the Home Health Care that the Family Care-givers have. Method: This study had been conducted for the duration of 3 consecutive months from January 2006 to March 2006 and had investigated 120 person registered as the Home Health Care Clients to a University Hospital located in Incheon City. The thesis adopted the 'feeling of burden' measuring method jointly developed by Seo, Mi-Hye and Oh, Ga-Sil(1993), and FACES-III(Family Adaptability Cohesion Evaluation) developed by Olson(1985) etc. translated by Kim, Yun-Hee(1989) as the measuring method for Family Function. Result: The overall Health Status of the Home Health Care Clients was 2.18 point of average out of 3 point, where as 1.83 for Activities of Daily living and 1.98 for Vital sign, which are below the average. In the mean time, the Competence for Modified Barthel Index marked 30.88 point out of the full mark. The analyzed result of the burden that the family members have was 3.43 point of average out of 5 point which shows that the interviewee feel that they are considerable burden to their families. When it comes to 'the Burden to the family members' and 'the Function of the family' according to the characteristics of the patient, the result shows statistically significant differences, which are varied according to gender, the relationship between the care-givers and the patients. When it comes to the Family Cohesion, the difference was examined as 'statistically significant' according to the Academic background of the patients and the relationship between the patients and the interviewee.(p<0.05). The result also suggests that there exists 'Negative correlation' among the level of patients' health status, the Family Cohesion and the Family Burden. Conclusion: From the result of this study stated above, this thesis is strongly insisting that there is an urgent need for us to develop a health care mediation program, which could eventually reduce the burden of home health care that the patients' family have. At the same time, a follow-up research to prove the effect of the program is imminent.

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