• Title/Summary/Keyword: 가족 부담감

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Activities of Daily Living of The Elderly with a Chronic Disease and Burden on Family Care-givers (노인 만성 질환자의 일상생활 수행정도와 가족간호자의 부담감)

  • Bang, Su-Hyang;Jang, Hee-Jeong
    • Journal of Korean Academy of Nursing
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    • v.37 no.1
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    • pp.135-144
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    • 2007
  • Propose: The purpose of this study was to help families decrease and alleviate the burden on family care-givers taking care of elderly patients. Method: Data was collected by a questionnaire from 100 family members who were registered in the department of home health care nursing at 4 hospitals of H University Medical Center from September 20 to October 25, 2005. The collected data was analyzed using Mean and Standard Deviation, Pearson Correlation Coefficient, t-test and One-Way ANOVA with the Duncan's test, and Stepwise multiple regression. Result: The average burden on family care-givers of elderly patients with chronic diseases was 3.31. The social burden was the highest(M=3.68), the lowest was the emotional burden(M=2.95). In ADL of elderly patients with chronic diseases, all 10 questions showed an average point above 2.50. The dependency level of going up and down the stairs was the highest(M=2.88). Conclusion: This research is necessary for the application of a plan in the social support system in order to reduce the burden on family care-givers who are taking care of elderly patients with a chronic disease.

Sources of Anxiety and Burden of Family Caregivers of Stroke Patients: The Role of Self-efficacy and Knowledge about Care (뇌졸중 환자 가족 간호제공자의 불안과 부담감의 예측 요인: 자기효능과 돌봄에 대한 지식을 중심으로)

  • Kim, In-Ja
    • Korean Journal of Adult Nursing
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    • v.24 no.1
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    • pp.1-10
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    • 2012
  • Purpose: Among the sources of anxiety and burden of family caregivers of stroke patients, this study investigated the role of self-efficacy and knowledge about care. Methods: Descriptive and correlational study design was used. One hundred and thirteen subjects were included. They were anticipated family caregivers of stroke patients. All patients were hospitalized at the intensive care unit (ICU) for the first time as a stroke patients. Data of family caregivers were collected during the time that patients were in the ICU with self-reported standardized questionnaire. Pearson's correlation coefficients and regression analysis were used to explore the role of self-efficacy and knowledge. Results: Self-efficacy was correlated with burden, but not with anxiety. Knowledge about care was correlated with anxiety and burden. Only knowledge about care was the significant predictor of anxiety and burden of anticipated family caregivers. Conclusion: The knowledge about care for stroke patients is important especially to the family caregivers who have to care stroke patients for the first time to reduce their anxiety and burden.

A Comparative Study of the Factors Influencing Burden of Primary Family Caregivers according to the Degree of Serious Illness of Elderly Patients Admitted in an Intensive Care Unit (중환자실 입원 노인 중증도별 주 부양가족의 부담감 영향요인 비교)

  • Kim, Kwuy-Bun;Han, Kyung-Suk;Sok, So-Hyune R.
    • Korean Journal of Adult Nursing
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    • v.21 no.2
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    • pp.187-198
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    • 2009
  • Purpose: This study was to compare and examine the factors influencing burden of primary family caregivers according to the severity of illness of elderly patients admitted in an intensive care unit. Methods: Subjects were the families of elderly patients in intensive care units of K, S and Y hospitals in Seoul. Data were collected from March to October 2007. Subjects were 108 persons over age 65. Data were analyzed by SAS statistics. Results: First, groups 5 and 3 showed higher burden than that of group 4. Second, high correlation was found between stress and burden, stress and anxiety, and burden and anxiety. Third, factors influencing family burden were found to be stress for group 5, stress, anxiety, and monthly income for group 4, and stress and patient age for group 3. Conclusion: Specific nursing interventions to decrease the stress of primary family caregivers of serious ill elderly patients in an intensive care unit are needed. Additionally, more effective and systematic activation of a long-term medical insurance system for seriously ill seniors is considered necessary to mediate the burden of primary family caregivers.

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The Effect of a Social Support Program on Family Caregivers' Role Strain in Elderly Long-term Home Care (사회적 지지 프로그램이 노인장기요양 재가급여 노인 수급자 가족원의 부담감에 미치는 효과)

  • Oh, Mei Hae;Park, Kyung Min
    • Research in Community and Public Health Nursing
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    • v.25 no.2
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    • pp.137-145
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    • 2014
  • Purpose: This study was conducted to evaluate the effect of a social support program on family caregivers' role strain in elderly long-term home care. Methods: The research adopted a non-equivalent control group pretest-posttest design. The number of participants was 25 in the experimental group and 25 in the control group sampled among family caregivers in elderly long-term home care. The experimental group participated in a 10-session social support program, which consisted of physical, emotional, informational, and material support. The effect of the program was evaluated by measuring family caregivers' role strain. Results: The experimental group showed a significant decrease in family caregivers' role strain in elderly long-term home care. Conclusion: The result suggests that the social support program was effective in decreasing family caregivers' role strain in elderly long-term home care. There is a need to develop more effective and systematicsocial support programsfor family caregivers of elderly long-term home care.

A Longitudinal Study on the Burdens of Caregivers in Families with Stroke Patients (뇌졸중 환자를 돌보는 가족간호자의 부담감에 대한 종적연구)

  • Kang, Sue Jin;Choi-Kwon, Smi
    • Korean Journal of Adult Nursing
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    • v.12 no.2
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    • pp.209-221
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    • 2000
  • This longitudinal study examines the burdens and related factors for stroke patient's primary family caregivers. Sixty-one patients treated for stroke at a general hospital in Chung-nam province and family member caregivers participated in this study from July 28, 1998 to August 1, 1999. Family caregivers' burdens were assessed by the burden scale originally developed by Zarit(1980) and Novak & Geust(1989) and modified by Oh's(1993) for use in Korea. The burden scale instrument consists of five subscales.: financial burden, social burden, physical burden, dependency burden, and emotional burden. Repeated ANOVA and Stepwise multiple regression were used in the data analyses. The results were as follows: The burden mean score was 3.23 in the hospital, 3.26 after hospital release, and 3.27 in the home environment. In the hospital, a patient's degree of cognition, and social support for family caregivers were significant factors affecting the sense of burden felt by family caregivers. After hospital release, the significant factors affecting the sense of burden were the degree to which stroke patients could participate in daily living activities, social support for family caregivers, and changing to a second caregiver. In the home environment, the most significant factor affecting the sense of burden was social support for family caregivers.

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Study on Family Caregiving Burden Scale of Dementia-Korea(FCBSD-K) (치매환자 가족부담감의 한국형 도구개발)

  • Cho, Nam Ok
    • Korean Journal of Adult Nursing
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    • v.12 no.4
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    • pp.629-640
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    • 2000
  • The purpose of this study was to develop and validate the scale to measure dementia patient's caregiver burden of Korea. In the first phase of the study, 15 caregivers of dementia patients were interviewed to provide narrative data from which items were developed. Initially 65 items were generated from the interview data of 15 caregivers. Content validity was judged by two separate panels of experts with 27 professionals and 30 family caregivers. These items were analyzed through the Index of Content Validity and 33 items were selected which met .80 or more of the CVI. This preliminary FCBSD-K was tested with 207 adult caregivers for reliability and construct validity including item analysis and orthogonal(Varimax) factor analysis. Eight items were deleted because of high or low item-item correlation. The result of the second factor analysis produced six factors that coincided with the conceptual framework posed for the scale developed. The six factors were labeled as 'physio social factor' 'emotional factor' 'family cultural factor' 'role obligation' 'guilt feeling' and 'financial & supportive system factor'. The alpha coefficient relating to internal consistency was .9264 for reliability. In conclusion, cultural factor is related to dementia patient's caregiver burden and FCBSD-K was useful in assessing the dementia patient's caregiver burden in Korea.

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Quality of Life and Family Burden in Hemopoietic Stem Cell Transplantation Recipients (조혈모세포이식 환자의 삶의 질과 가족 부담감)

  • Bok, Ji-Na;Sohng, Kyeong-Yae;Park, Han-Jong
    • Asian Oncology Nursing
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    • v.5 no.2
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    • pp.136-145
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    • 2005
  • Purpose: To investigate the degree and relationship of the quality of life(QOL) and family burden in hematopoietic stem cell transplantation recipients(HSCTr) at admission and discharge to isolation unit. Method: Data were obtained by interviewing from 60 HSCTr and 50 of their primary caregivers' and were analyzed by SAS program. Result: The degree of quality of life in pre and post HSCTr was significantly lower in the group who had physical discomfort compared with those who had no physical discomfort. The mean score of quality of life in pre HSCTr was significantly lower compared with in post HSCTr. Objective burden of family was higher than subjective one. Conclusion: QOL in HSCTr showed lower in the group of who had medical history, physical discomfort, no hope for cure and more than 5 weeks of length of stay. On the basis of these results, it is necessary to develop nursing intervention and to apply nursing care for improving their quality of life.

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Factors Influencing the Adjustment of the Siblings of Handicapped Children in School and in the Family (장애아동 형제의 부담감이 가족적응과 학교적응에 미치는 영향)

  • Seo Myoung Seok
    • Journal of Families and Better Life
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    • v.22 no.6 s.72
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    • pp.201-218
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    • 2004
  • The factors that affect the adjustment of the siblings of handicapped children were explored in this study. More specifically, how social and demographic variables affect the burdens the handicapped children's siblings experience, and how such burdens affect their adjustment in school and in the family were examined. The participants of this research were 139 students in elementary schools and middle schools, who have one or more handicapped siblings. The participants were recruited through their handicapped siblings who received services from social wet(are facilities in Daejon and Chungchong area. The scales used in this study were the measurement or Burdens for Handicapped children's siblings (Lee, Yoon Hwa, 2002), FACES (Olson et al, 1986). and The Measurement of Children's Adjustment in the School (Lim Jung Soon, 1993). The data were analyzed by frequency, percentage, average. standard deviation, T-test, one-way ANOVA, and multiple linear regression. 'rho results show that handicapped children's siblings have no difficulty in adjusting in the family if they have a religion, an elderly mother, and a high family income. They have no difficulty in adjusting in the family and in school, as long as they have no or little negative change in family relationship, low psychological burden, and no negative relational change for the handicapped sibling. Father's age and the family income their the only factors that affect their adjustment in school.

The Reliability and Validity of Family Burden Questionnaire (가족부담감 측정도구의 신뢰도와 타당도)

  • Oh Ka-Sil;Chae Sun-Mi;Cheon Na-Young
    • Child Health Nursing Research
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    • v.8 no.3
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    • pp.272-280
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    • 2002
  • Purpose: This study was conducted to test the reliability and validity of Family Burden Questionnaire. Method: The subjects were 156 caregivers of children with acute or chronic disease. To test the reliability, internal consistency using Cronbach's α coefficient was analyzed, and factor analysis, known-group technique, and concurrent validity were utilized for validity test. Result: Cronbach's α coefficient of the tool was .89. Six factors were identified and explained 58.7% of the total variance. Through analysis using known-group technique, the difference of family burden between acute and chronic disease groups was statistically significant(t= -4.09, p<.001). Correlations with mood state, other family burden score by Family Burden Interview Schedule, quality of life, and health symptoms were also relatively high and statistically significant. Conclusion: Family Burden Questionnaire showed a relatively high validity and reliability to measure the burden of caregivers caring patients with various chronic conditions in Korea. For the further study, it may be reconsidered to identify the factor structure of the Family Burden Questionnaire with the various subjects from different age groups.

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The Effect of Activity of Daily Living Exercise for Self-care Ability and Family Burden in Stroke Patients (일상생활동작 훈련이 뇌졸중 환자의 자가간호 수행능력과 가족의 부담감에 미치는 효과)

  • Kim, Myung-Shin;Park, Hyoung-Sook
    • The Korean Journal of Rehabilitation Nursing
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    • v.8 no.2
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    • pp.165-174
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    • 2005
  • Purpose: The purpose of this study was to determine the effect of ADL exercise in stroke patients and to define to strategy to promote their self-care ability, decrease to their family burden. Method: The experimental design was designed nonequivalent control group non-synchronized design. The study method had been done by investigating the experimental group and control group through the questionaire on 33 patients. ADL exercise was conducted by the researcher and was carried out experimental group once per day for 20 minutes for daily 28 days. Results: For the ADL exercise, self-care ability score was increased and family burden score was decreased significantly. Conclusion: The exercise increased the self-care ability and effect of family burden of stroke patients. Based upon these results, it is recommended that the nurses who take care of stroke patient carry out them the ADL exercise continuously.

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