• Title/Summary/Keyword: 돌봄제공자

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The Experience of Adult Korean Children Caring for Parents Institutionalized with Dementia (시설입소 치매부모를 돌보는 자녀들의 경험)

  • Kwon, Suhye;Tae, Young-Sook
    • Journal of Korean Academy of Nursing
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    • v.44 no.1
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    • pp.41-54
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    • 2014
  • Purpose: The purpose of the study was to explore and describe the experience of adult Korean children who are caregivers for parents institutionalized with dementia. Methods: Participants were fourteen adult children caregivers of elders institutionalized with dementia. Data were collected through in-depth unstructured interviews with individual participants from August to November, 2012. Theoretical sampling was used to the point of theoretical saturation. Data were analyzed using Strauss and Corbin's Grounded Theory Method. Results: From open coding, 67 concepts, 29 sub-categories, and 14 categories were identified. Analysis revealed that the core category of the experience of adult children caring for their parents institutionalized with dementia was 'enduring the role of a prop' consisting of four phases: initial turmoil, exploration, role adjustment, and acclimation. To manage the role of a prop, participants utilized various action/interactional strategies such as overcoming the unfamiliarity, overseeing the nursing home care, and counterbalancing the caring roles. As a result, participants experienced ambivalence towards the existence of parents with dementia, changes in family relationships, altered viewpoint towards nursing homes, and restructuring of life. Conclusion: In-depth understanding of the experience will guide nurses to promote effective interventions in order to better support the Korean family caregivers of parents institutionalized with dementia.

The Burden of Aged Parents Caring for Adult Children with Disabilities (성인이 된 장애자녀를 돌보는 노인부모의 부양부담감)

  • Suk, Min-Hyun;Kim, Eun-Hye
    • Research in Community and Public Health Nursing
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    • v.21 no.4
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    • pp.439-447
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    • 2010
  • Purpose: This study was to describe the burden of aged parents caring for adult children with disabilities and related factors. Methods: The subjects were 123 caregivers aged over 65 who were caring for 18-year-old or older children with disabilities. The research tool of this study was a structured questionnaire on family burden. Data were collected from June 3 to 25, 2010, and analyzed by Cronbach's alpha, mean, standard deviation, t-test, and ANOVA using SAS 9.2 program. Results: The major findings of this study were as follows. Elderly parents caring for adult children with disabilities perceived a moderate level of burden. The burden from concern over their children's future was highest, and economic and physical burdens were higher when the parents were younger. Burden was significantly different according to parents' characteristics such as gender, perceived health status, disease, the costs of caring for disabled children, and children's characteristics such as disability rating, health status, and ADL. Conclusion: In order to reduce the burden of elderly parents caring for adult children with disabilities, we need to improve their health status and assess comprehensive policies.

A Study of the Caregiving Burden on Grandmothers Who Raise Their Grandchildren: A Phenomenological Research (손자녀를 양육하는 할머니의 양육부담에 관한 현상학적 연구)

  • Kim, Moon-Jeong
    • Journal of Korean Academy of Nursing
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    • v.37 no.6
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    • pp.914-923
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    • 2007
  • Purpose: This qualitative study aimed to identify the common, lived experiences of grandmothers who cared for their grandchildren as the primary caregivers. Methods: This study was based on the phenomenological method described by Colaizzi (1978). Results: Seven theme clusters emerged from the data as follows: "grandmother caregivers accept the parenting role of the incessant responsibilities and the distrust of non-kin caregivers.", "grandmother caregivers have a double maternal roles; an instrument-oriented maternal role to their own child and relationship-oriented maternal role to their grandchild.", "grandmother caregivers are partially authorized to make decisions in the matters of their grandchild.", "grandmother caregivers suffer a deterioration in their health by an acceleration of the aging process.", "caregiving causes grandmother caregivers to feel a sense of social isolation, and persue various coping strategies to control this feeling.", "grandmother caregivers have a greater feeling of self-esteem, but they often conflict with their adult children if they don't feel appreciated by them.", "grandmother caregivers have limited social support and their health issues are often overlooked in the family context.' Conclusion: The results of this study can guide nurses and health care workers to understand the experiences of grandmother caregivers and to implement individualized nursing interventions suited for them.

The Development and Effect of a Dementia Care Support Program among Community Dwelling Older Adult Men (지역사회 거주 남성노인을 위한 치매 돌봄 프로그램 효과)

  • Ko, Hana;Park, Yeon-Hwan
    • Journal of muscle and joint health
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    • v.27 no.2
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    • pp.81-93
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    • 2020
  • Purpose: We developed and tested the effects of a care program for dementia patients among community- dwelling older adult men. Methods: This study used a non-equivalent control group pre-and post-test design. To verify the effectiveness of the care program for dementia patients, 26 community dwelling older adult men participated in this study. We used multiple intervention strategies including improving understanding of dementia through education, activities for dementia prevention, and promoting psychological change. In particular, based on the current understanding of the care of the men older adults, we used strategies to promote motivation and reinforce strengths. Results: After completing the 6-week intervention program, when compared with the control group, older adult men in the care program intervention group showed significant differences in scores for the following: cognitive functions (p=.035), attitude toward dementia (p=.026), preventive behavior (p=.007), geriatric depression (p=.013), caring confidence (p=.018), and self-esteem (p=.013). Conclusion: These results indicate that the care program for dementia patients has positive effects on increasing their cognitive function, attitude toward dementia, preventive behavior, caring confidence, self-efficacy, and on decreasing depression rates in this population. Based on this, we can recommend this program to men caregivers for the improved care of dementia in community centers.

Development of Nursing Intervention List - Caregiver Support : Soobal - (돌봄제공자 지원 : 수발발간호중재 목록 개발 - 뇌졸중을 중심으로 -)

  • 안수연;염영희
    • Journal of Korean Academy of Nursing
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    • v.29 no.3
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    • pp.518-529
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    • 1999
  • The purpose of this research was to develop a nursing intervention list for family caregivers. The specific steps were as follows : 1. Analyze the concept, Soobal, based on literature review and case observation. 2. Generate an initial list of defining activities for ‘Caregiver Support : Soobal’. 3. Validate the defining activities. 4. Complete the final list of defining activities. A two-round Delphi questionnaire with an adaptation of Fehring's methodology was used to establish the content validity of intervention, Caregiver Support : Soobal. The definition of ‘Caregiver Support : Soobal’ was provision of the necessary information, advocacy, and support to facilitate primary patient care by someone other than a health care professional in Korean traditional manners. Ten nurse experts participated in Round I and II of this study. They were asked to rate activities that examplified the interventions on a scale of 1 (activity is not at all characteristic) to 5 (activity is very characteristic). Round I contained 15 ‘critical’ activities and 10 ‘supporting’ activities, while round II contained 16 ‘critical’ activities and 6 ‘supporting’ activities. No activities were considered to be ‘nonsupporting’ in both round I and II. Finally, the definition and 25 defining activities were developed. Intervention, Caregiver Support : Soobal, attained an ICV score of .82. This study provides a protocol model to develop Korean nursing interventions.

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Experiences of Interaction with Health Care Workers in the Process of Transition of Single Mothers to Motherhood (미혼모의 모성으로의 이행과정에서 보건의료종사자와의 상호작용 경험)

  • Lim, Kyoun-Joo;Jo, Myoung-Ju
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.25 no.2
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    • pp.155-164
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    • 2018
  • Purpose: This study aimed to explore the interactions of single mothers with health care workers during their transition to motherhood. Method: This qualitative study conducted focus group interviews with 16 single mothers who were identified at four facilities for single mothers and provided written informed consent. from Junre to October 2017. Each focus group session was recorded and transcribed verbatim. Result: Four categories emerged from the data: "trapped behind a will of eyes," "oil on water," "standing naked in a public square," and "Support from being called a mother." Conclusion: The study results showed that health care workers should provide health care service to single mothers with thorough consideration and care. The findings suggest that appropriate education is necessary for health care workers and prospective health care workers who provide maternal and neonatal care to improve the medical services that they provide to single mothers.

Experience of a Special Rating Dementia Service for Family Caregivers of Elderly People with Dementia (치매노인 가족의 치매특별등급서비스 이용 경험)

  • Cho, Hee Kyung;Chang, Soo Jung
    • Research in Community and Public Health Nursing
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    • v.29 no.2
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    • pp.231-243
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    • 2018
  • Purpose: This study tries to explore experiences with a special rating dementia service among family caregivers of elderly people with dementia. Methods: The participants were 11 family caregivers of elderly people with dementia and had used a day-care service from the special rating dementia service for more than 3 months. Data were collected through individual in-depth interviews and analyzed using content analysis. Results: Three categories emerged: "reminiscence of an entangled life", "feeling relieved from a stifled life", and "hope for a better life through help and support" with 8 sub-categories and 23 codes. By using the special rating dementia service, the participants experienced relief from the burden of caring for their elderly family member with dementia and restored their social relations or family relationships. They experienced a positive transition in which their caring for elderly family members with dementia was integrated into their daily lives, and they expressed their desires for better policies. Conclusion: These findings imply the importance and necessity of the special rating dementia service. Practical and systematic family support programs are necessary and proactive publicity activities by the government and public agencies are suggested to ensure that family caregivers can easily use the special rating dementia system.

Current Status and Associated Factors of Emotional Support Services among Care Providers in Elderly Care Service Agencies (노인돌봄서비스 제공기관의 돌봄제공자 정서지원서비스 현황 및 영향요인)

  • Kim, Yoo-Mi;You, Sun-Ju;Jeon, Gyeong-Suk;Kim, Myo-Gyeong
    • The Korean Journal of Health Service Management
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    • v.12 no.3
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    • pp.79-93
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    • 2018
  • Objectives: This study aimed to identify the current status and factors associated with emotional support services among care providers in elderly care service organizations. Methods: A total of 87 elderly care service agencies nationwide were recruited for the survey. Agencies' characteristics and emotional capacity monitoring activities; and program-building operations among care providers were measured. The collected data were analyzed using an ANOVA and multiple regression analysis. Results: Emotional capacity monitoring activities and program building were generally low. Factors associated with emotional capacity monitoring activities were region, welfare regulations, and vacation and annual leave provisions, while those associated with emotional capacity building programs were identified as vacation and annual leave provisions. Conclusions: The agencies' vacation and welfare system seems to affect emotional support service activities among care providers. It is necessary to prevent emotional exhaustion of care providers and promote quality improvement of care through social and systematic emotional support services.

A Systematic Review on the Effects of Intervention for Caregivers of People with Dementia to Reduce Their Burden (치매환자 돌봄제공자의 부양부담감(Burden)을 감소시키기 위한 중재프로그램: 체계적 문헌 고찰)

  • Kim, Yeon-Ju
    • Therapeutic Science for Rehabilitation
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    • v.3 no.1
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    • pp.19-29
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    • 2014
  • Objective : The purpose of this study was to look at a systematic review on the effects of intervention for caregivers of people with dementia to reducing burden. Through this study, we have to analysis the studies. Methods : We systematically examined papers published in journal from 2005 to 2014, using RISS, Pubmed, 9 studies were included in the analyses. Results : Selected 9 studies were Pedro score from 3.5 to 7. The most using intervention is educational intervention and the Zarit Burden Interview(ZBI) was used in all studies for measured the degree of burden of caregivers. Conclusion : The studeis about interventions for caregivers to reduce their burden are limited in Korea. In the future, the research and development of studies for intervention for caregivers of people with dementia must be activate.

The Relationship of Caregiving Appraisal and Family Function among Senile Dementia Patients' Families using In-home Services for the Long-Term Care Insurance (노인장기요양보험 재가보호서비스를 이용하는 노인성 치매환자 가족의 돌봄평가와 가족기능과의 관계)

  • Lee, Jungeun;Ko, Il Sun
    • Journal of the Korea Convergence Society
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    • v.9 no.8
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    • pp.319-330
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    • 2018
  • The aim of this study was to identify the relationship of caregiving appraisal and family function among senile dementia patients' families using in-home services for the Long-Term Care Insurance(LTCI). The participants were 121 family caregivers of senile dementia patients using in-home services for the LTCI. The participants' mean age was $53.80{\pm}10.86years$, all middle-aged women(75.2%). When negative cognition's burden and neutral one's demand in their caregiving appraisal were low and positive cognition's satisfaction and mastery in their caregiving appraisal were high, emotional function in their family function was high. There is a need to develop nursing interventions for strengthening positive cognition's satisfaction and decreasing neutral one's demand in their caregiving appraisal to improve emotional function and communication of senile dementia patients' families.