The purpose of this study is to examine current situations about and factors related to expenditures of private education among pre-school children and to provide policy implications useful for future pre-school children education. The subjects of the study were parents of pre-school children under seven years of age, who lived in Seoul and Incheon area. The survey was conducted using parent questionnaire. The major findings of the study are: First, 86.8% of parents of pre-school children use private education and the average expenditure on it was 154, 446 won. Second, major factors determining their private education expenditure are educational level of parents, parents' job characteristics, household income, and region. Third, the most important reason for using private education among parents is to improve and excel in academic performance of their children. Forth, the higher the parents' expected returns from private education are, the higher the expenditure level of private education is. Fitth, the results of the logistic regressions showed that parents' attitudes toward private education was the most important factor in determining household economic burden associated with private education. The odds were 5 times greater for the parent group with strong desire for private education than for the parent group without it and 1.2 times greater for the parent group with high-expected returns from private education than the parent group without it. In conclusion, systematic, universal educational policies need to be developed to provide and support all the parents with pre-school children, given that their current economic burden is substantial. By providing such support, we can help parents focus on public education. This study examining current situations about and determining factors related to private education expenditures among pre-school children collected data limiting only Seoul and Inchoen area, therefore, future studies need to include data collected nationwide for generalizability of the findings. As well, development of more elaborated survey instruments and analytical methods would advance our understanding in the field.
Purpose: This study aimed to investigate family functioning among spouses of gynecologic cancer patients in Korea. McCubbin and McCubbin's Family Resilience Model (1993) guided the study focus on burden of care, family resilience, coping, and family functioning. Methods: An online survey collected data from 123 spouses of gynecologic cancer patients through convenience sampling from online communities for gynecologic cancer patients in Korea. Burden of care, family resilience (social support, family hardiness, and family problem-solving communication), coping, and family functioning were measured by self-report. Results: The patients (44.7%) and their spouses (47.2%) were mostly in the 41 to 50-year age group. Stage 1 cancer was 44.7%, and cervical cancer was the most common (37.4%) followed by ovarian cancer (30.9%) and uterine cancer (27.6%) regarding the cancer characteristics of the wife. Family function, burden of care, family resilience, and coping were all at greater than midpoint levels. Family functioning was positively related with social support (r=.44, p<.001), family hardiness (r=.49, p<.001), problem-solving communication (r=.73, p<.001), and coping (r=.56, p<.001). Multiple regression identified significant factors for family functioning (F=25.58, p<.001), with an overall explanatory power of 61.7%. Problem-solving communication (β=.56, p<.001) had the greatest influence on family function of gynecologic cancer families, followed by coping (β=.24, p<. 001) and total treatment period of the wife (β=.17, p=.006). Conclusion: Nurses need to assess levels of family communication and spousal coping to help improve gynecologic cancer patients' family function, especially for patients in longer treatment.
Family caregivers of older cancer patients face many challenges in managing illness. The burden impacts physical, emotional, spiritual, and social health. The objective of this study was to identify burden among caregivers of older patients with advanced cancer, and associated factors. Materials and Methods: Caregivers of older cancer patients were randomly interviewed from March-September 2012. Information on baseline characteristics and caregiver burden using the Zarit Burden Inventory (ZBI) was collected. Descriptive statistics were used to analyze baseline data, with univariate and multiple linear regression to analyze factors associated with higher burden. Results: One hundred and fifty participants were assessed. The mean ZBI was $19.2{\pm}12.9$ (95%CI, 17.1, 21.2). Two-thirds of caregivers reported no burden (63%) and the main impact variable on ZBI was guilt. High burdens were associated with single caregiver, relationship with the patient as siblings, presence of migraines, and cancer types of the patients. Conclusions: Caregiver burden of Thai cancer patients is low. This unexpected small number could be the result of the socio-cultural viewpoint. Assessment of caregivers and focusing on related factors should be incorporated into treatment plans.
When women are removed with their matrix which is a emotionally significant organ of symbol in psychologically adapting themselves to mother and woman, that is threatened and injured with woman role decisively. The nursing for women with hysterectomy is limited to medical treatment and the nursing related to troubles in psychology, emotion they experience in general situation due to operations is hardly realized. New basis for nursing can be realized when we both have relation with lived human experience related th health and become to be a part of it. We need to catch their experience due to the loss of matrix to understand women with hysterectomy. The subjects of the study were nine patients who were admitted to a gynecological ward of a hospital in Seoul, suffering from vaginal bleeding, back pain, abdominal pain and so on and diagnosing as non-cancer. The data were collected from April to May 1997 by listening to the subjects' expression of their experience and by participant observation of the subjects' reactions. A tape-recorder was used under the permission of the subjects, to prevent the loss of spoken information. The result of the study was as follows : The data on burden content from the interview were categorized as psych-emotional, physical, personal interaction, financial burden and maternal role burden. The factors which have influence on the burden of the subjects are an offer of information, support system, age, occupation, economic situation, family history, character, season, the existence of ovary and religion. In conclusion, since we ascertained that the nursing in the process of recovery decide the quality of life, though women with hysterectomy undergo various burden experience and adapt to it in the end, it is necessary to give them enough information and educate husband, having on important effect on the burden experience, to be a good supporter. And technically skilled nurses of consultant are thought to be able to contrive better qualitative life of women with hysterectomy as an important bridge between the subjects and their required information, since the nurses have their well-formed position of relationship of confidence through continuous contact with patients and their family.
Purpose: The purpose of this study was to investigate caregiver burden and health related quality of life (HRQoL) among male spouses who cared for partners with a stroke. Methods: The subjects were spouses of 121 female patients who visited the neurology outpatients department in one tertiary hospital located in Seoul between February and April in 2011. Results: The mean age of the male caregivers was $71.25{\pm}5.51$ years. The mean score of caregiver's burden was moderate ($63.28{\pm}9.85$). The average reported caregiving time was $58.48{\pm}5.51$ min/day with the male spouses spending more time in house-working than with caregiving activities. The reported depression and care giving time, plus the cognitive status and functional dependencies of the spouse were significantly related to male caregiver's burden. The mean scores of 'physical health' and 'mental health' for quality of life for the male caregivers was moderate (47.49 and 47.33 respectively). Overall, caregiver's burden has a negative effect on the HRQoL of male spouses. Conclusion: Caregiver's burden and HRQoL are important problems which are in need of nurses' attention. It is suggested that intervention programs for male spouses be developed with a focus on emotional and social support as well as education about the caregiving role.
The purpose of the current study was to examine the effect of psychological factors on caregiver burden and depression among Korean spousal caregivers. 142 spousal caregivers (89 wives, 52 husbands) in Seoul and Incheon City were surveyed to determine the influence of objective factors of the care recipient, demographic of the caregiver, personality dimensions of extroversion and neuroticism of caregiver, social support, and pre-caregiving marital satisfaction on caregiver burden and depression of spousal caregivers. Hierarchical regression was used to determine the influence of the various factors on caregiver burden and depression. Finding suggest that care recipient's activities of daily living(ADL) and caregiver neuroticism predicted caregiver burden, whereas pre-caregiving martial satisfaction and caregiver neuroticism predicted depression. In particular, psychological factors were better predictors of caregiver burden and depression compared with objective factors. Based on the results, the implications, interventions, limitations and future directions for research were discussed about the psychological factors on spousal caregiving.
Journal of the Korea Academia-Industrial cooperation Society
/
v.16
no.6
/
pp.3954-3962
/
2015
Purpose: The purpose of this study was to examine the burden and quality of life among family caregivers of terminal cancer patients and the relationship of these variables. Methods: Data were collected from 80 family caregivers and analyzed using SPSS 19.0 program. Results: Burden was found to have significant relationships with age, marriage, relations with patients, living together with patients and medical expense burden(p<.05). Quality of life was found to have significant differences according to age, marriage, educational background, relations with patients and living together with patients(p<.05). Burden and quality of life showed a negative correlation(r=-.538, p<.001). Conclusion: These results suggest that more attentions and interventions such as support programs should be given to family caregivers of terminal cancer patients, which can decrease the burden of family caregivers to enhance their quality of life.
This study aimed to investigate the difference of the disabilities type of caring competency, caring appraisal(caring burden, caring satisfaction), self-help group support for parents who have children with disabilities. The data were collected by a self-reported questionnaire from 301 parents who have disabled children(180 mental disabilities & 121 physical disabilities). Given the three types of invariance satisfied, latent means analysis(LMA) is performed to test mean differences on the four factors across the two groups. According to LMA where the parents who have children with physical disabilities are used as the reference group, the parents who have children with mental disabilities showed higher latent mean values on the self-help group support and caring burden. However, the parents who have children with physical disabilities showed higher latent mean values on the caring satisfaction and caring competency.
The Journal of Korea Institute of Information, Electronics, and Communication Technology
/
v.9
no.4
/
pp.428-438
/
2016
The aim of this study, in order to reduce the support burden of dementia primary caregiver, within the framework of long-term care insurance system to present its founding model for the development of new services. Previous research as analytical materials and based on the CARE study between 2012 to 2013. Primary caregiver burden of patient are both physical, psychological and economic aspects as well as difficulties in many aspects and had influence on many factors such as age, care burden, economic, health, and social support. It also came high-risk primary caregiver suffer from depression. This primary caregiver to take advantage of the elderly long-term care insurance system implemented at the time of the institutional support necessary for since 2008, presented additional services in this study. Of increasing the small sizes day care center (tentative name) to open an as established in the settlements at a scale of less than nine, within 5 minutes from the residence, limited dementia by expertise in the disease home care services scale model of the current system service It was to improve the quality of existing shares, small group sizes for day care centers and community life apart.
The Journal of Korean Academic Society of Nursing Education
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v.11
no.2
/
pp.161-168
/
2005
Purpose: The purposes are to identify the factors that influence work-based stressor experienced by clinical nurses and to provide a perceived causal structural model among these factors. Method: Data was collected and analyzed in 2 steps to apply a perceived causal structure : network analysis which was developed by Kelley(1983). Results: 1. The extracted causes from qualitative data were identified 10 categories ; over loaded work, relative feelings of deprived, inefficient duty schedule, negative attitudes of patient, burden of extra affair, inadequate administrative support, negative attitudes of physician, conflict with other personnels in hospital, lack of professional knowledge and skill, nursing service marketing burden. 2. Construction of the perceived causal structural model ; 1) The most central cause is over loaded work and the distal causes were inadequate administrative support, lack of professional knowledge and skill in the systems of causation. 2) The causes that have a number of outgoing link were over loaded work, inadequate administrative support, negative attitudes of physician. 3) The cause that have a number of incoming link was relative feelings of deprived. Conclusion: The network suggests that the first centre cause was related on over loaded work.
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