• Title/Summary/Keyword: CES

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Self-Rated Health of the Chronic Disease Patients with Depression in Aged over 65 (65세 이상 노인에서 우울증을 동반한 만성질환상태에 따른 자가 평가 건강수준)

  • Lee, Myeong Jin;Sohn, Hae Sook
    • Journal of agricultural medicine and community health
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    • v.37 no.4
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    • pp.246-257
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    • 2012
  • Objectives: To compare the self-rated health in chronic disease patients with depression, chronic disease patients, and depression patients, and to observe the related factors to the self-rated health of people age 65 and older. Methods: The subjects were 2,549 elderly people, over 65 years old in Busan Metropolitan City who participated in 2009 community health survey. Association between self-rated health and general characteristics, life style and disease status were observed. Depressive symptoms were measured using the Centre for Epidemiologic Studies Depression Scale (CES-D). Analysis of complex sample was done with SAS (ver. 9.2), using ${\chi}^2$-test and multiple logistic regression. Results: Among total 2,549, there were 740 normal people (29.8%), 50 people with depression (1.8%), 1,495 people with other chronic diseases (58.2%), and 264 people with the comobidity of depression and other chronic diseases (10.1%). Good self-related health accounted for 20.3% for the whole, 33.4% for normal, 16.7% for chronic disease, 16.1% for depression, and 3.2% for chronic diseases with depression. Disease, gender, education, income, alcohol drinking, regular exercise and regular walking were independent factors associated with the good self-related health. Conclusions: It is suggested that when the chronic disease control program for the elderly is developed, depression care should be considered along with the program. This program should be given priority to the women and the vulnerable classes and should also be related to the regular walking.

Relating Factors on Depressive Symptoms among the Elderlies in Urban Areas (일부 도시지역 거주 노인들의 우울수준에 관련된 요인)

  • Baek, Jong-Tae;Lee, Hu-Yeon;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.5
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    • pp.506-515
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    • 2016
  • The purpose of this study was to identify the factors associated with the levels of depression of the elderly (living in urban areas). Interviews were performed during the period from July 1, 2015 to August 31, 2015 of 386 elderly people in urban areas. The mean score of depressive symptoms was significantly higher in the subjects of higher age, lower educational level, living alone, having a lower monthly income, relying on government subsidy for their living expenses, having a chronic illness, lower state of subjective health, without regular exercise, poorer subjective sleeping time, lower frequency of going out, irregular eating habits, depending on some level of help for their ADL and IADL, and having lower self-esteem and social support. The depressive symptoms showed a meaningful positive correlation with ADL and IADL and a negative correlation with self-esteem and social support. On multiple regression analysis, the meaningful variables related to their depressive symptoms were their education, monthly income, subjective health status, ADL, self-esteem, and social support. Also, according to the variables was 54.1% of depressive symptoms. Therefore, it is considered that the practice of physical and mental health care, as well as social support, is required to reduce the level of depression in the elderly.

A study on Symptom Experience, Spiritual Well-Being, and Depression in Patients Undergoing Hemodialysis (혈액투석 환자의 증상경험, 영적 안녕 및 우울에 관한 연구)

  • Song, Ju Yeon;Oh, Pok-Ja
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.5
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    • pp.660-670
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    • 2016
  • This cross-sectional descriptive investigation attempted to identify the relationship among the symptoms, spiritual well-being, and depression experienced by patients undergoing hemodialysis. Data were collected from 146 patients at 6 hemodialysis clinics from October 15th, 2014 to January 15th, 2015. The Dialysis Symptom Index (DSI) was used to measure symptom experience, spiritual well-being was measured using the Spiritual Well-being Scale, and depression was assessed using the Center for Epidemiologic Studies Depression Scale (CES-D). The data were analyzed using ANOVA, the t-test, Scheffe's test, Pearson correlation, and hierarchical regression analysis. The mean score of the symptom experience was 26.43 (range: 0~85), the mean spiritual well-being score was 47.79 (range: 20~80), and the mean depression score was 10.56 (range: 0~35). It was found that greater existential well-being leads to lower depression (r=-.23, p=.004) and symptom experience (r=-.17, p=.045). Greater physical (B=.09) and emotional (B=.64) symptom experience leads to higher depression and the explanatory power of these factors was 52.1% (F=18.54, p<.001). Therefore, a comprehensive nursing intervention that can help reduce the symptom experience and increase the existential well-being in hemodialysis patients is needed to reduce their depression.

The Effects of Technological Progress on Growth, Employment and Distribution (성장 ${\cdot}$ 고용 ${\cdot}$ 분배에 대한 기술진보의 파급효과)

  • Im, Yang-Taek
    • Proceedings of the Technology Innovation Conference
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    • 2005.02a
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    • pp.220-267
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    • 2005
  • 본 연구의 분석목표는 순요소증가형 CES 생산함수를 실증적으로 추정함으로써 한국 제조업부문의 기술변화의 유형을 규명하고 성장 ${\cdot}$ 고용 ${\cdot}$ 분배에 대한 기술진보의 파급효과를 분석하는 것이다. 이 분석결과를 토대로 하여, 본 연구는 성장 ${\cdot}$ 고용 ${\cdot}$ 분배를 동시적으로 추구할 수 있는 정책방향을 기술경제 패러다임의 시각에서 제시하였다. 본 연구의 실증적 분석결과는 다음과 같이 요약할 수 있다 : 한국 제조업부문의 기술변화의 유형은 Hicks형 비(非)중립적인 자본사용적(B(t)>0) 즉 노동절약적 기술진보인 것으로 추정되었다. 이 결과, 잠재적 고용수준은 감소될 수밖에 없었다. 또한, Hicks형 중립적 기술진보를 나타내는 총요소생산성 증가율(${\gamma}$)은 감소하였던 반면에, 비(非)중립적 기술진보를 나타내는 요소간 대체탄력도(${\sigma}$)와 자본집약도(${\delta}$)는 증가하였다. 이에 따라 노동(L)이 자본(K)으로 광범위하게 대체되었을 뿐만 아니라, 자본투입(K)이 노동투입(L)보다 상대적으로 더 빠르게 증가 (K/K > L/L 즉 k/k > 0)되었다. 이 결과, 소득분배구조가 악화 (S/S< 0)된 것으로 추정되었다. 그러므로, 오늘날 경제성장의 한계 봉착, 대량실업의 폭발, 계층간 갈등의 심화를 초래한 요인은, 성장 ${\cdot}$ 고용 ${\cdot}$ 분배를 동시적으로 추구하는 산업 ${\cdot}$ 기술경제정책을 일관성있게, 또한 과감히 추진하지 않았던 결과, 노동사용적 중소기업의 몰락, 노동의 생산효율성 증진을 위한 인적자본 투자의 미흡, 자본의 생산효율성 증진을 위한 자본절약적 기술진보의 저조, 총요소 생산성 증가의 부진, 만성적인 인플레이션에 의한 실질 임금수준의 하락 및 실물 자산가치의 상승 등이라고 말할 수 있다. 따라서 성장 ${\cdot}$ 고용 ${\cdot}$ 분배의 조화는 바로 노동효율 증가형 기순혁신이며, 이를 위한 인적자본에의 투자라고 말할 수 있다. 본 연구가 기술경제 패러다임(techno-economic paradigm)의 시각에서 제시하는 한국경제의 성장 ${\cdot}$ 고용 ${\cdot}$ 분배를 위한 정책방향은 다음과 같은 동태적발전과정으로 요약할 수 있다 : 기초과학연구능력 확충 ${\rightarrow}$ 소화 ${\cdot}$ 흡수 ${\cdot}$ 개량 ${\rightarrow}$ 토착화 능력의 배양 ${\rightarrow}$ 자체기술개발, 선진기술 도입, 산업간 및 산업내 기술확산, 국제기술협력 ${\rightarrow}$ 기술혁신의 촉진 ${\rightarrow}$ 총요소생산성과 기업경쟁력(자원 및 역량, 프로세스 경쟁력, 품질경쟁력, 시장경쟁력, 고객성과, 시장성과, 재무성과)의 제고 ${\rightarrow}$ 가격경쟁력(임금, 금리, 물류비용, 환율 등)과 비(非)가격경쟁력(디자인, 에프터서비스, 품질, 운송 등)의 제고 ${\rightarrow}$ 국가경쟁력의 제고 ${\rightarrow}$ 국제수지 흑자 ${\rightarrow}$ 성장 ${\rightarrow}$ 물가 및 고용 안정 ${\rightarrow}$ 분배 ${\rightarrow}$ 최대다수의 최대행복이다.

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Function of Social Support on Depression of Patients with Rheumatoid Arthritis (류마티스 관절염환자의 우울에 대한 사회적 지지기능)

  • Choi, Soon-Hee
    • Journal of muscle and joint health
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    • v.3 no.1
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    • pp.63-89
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    • 1996
  • This study has been done for the purpose of determining whether the positive association between social support and depression is attributable to an overall beneficial effect of support(direct effect) or to a process of support protecting persons from adverse effects of stressors such as life events, pain or physical disability (buffering effect). The sample consisted of 214 patients who were identified as the rheumatoid arthritis. The instruments used in this study were Depression Scale(CES-D), Perceived Social Support Scale, Life Events Questionnaire, AIMS Pain Scale, and Physical Disability Scale. The data were analysed by the use of t-test, ANOVA, Pearson Correlation Coefficient and Stepwise Multiple Regression. The results of this study are summerized as follows : 1. The 1st hypothesis, "The higher the life events degree, the higher the depression degree" was supported(r=.49, P=.0001). 2. The 2nd hypothesis, "The higher the pain degree, the higher the depression degree" was supported(r=.44, P=.0001). 3. The 3rd hypothesis, "The higher the physical disability degree, the higher the depression degree" was supported (r=.46, P=.0001). 4. The 4th hypothesis, "The higher the social support degree, the lower the depression degree" was supported(F=84.52, P=.0001). 5. The 5th hypothesis, "There will be different in the relationship between the degrees of life events and depression according to social support degree" was rejected (F=.29, P=.5928). 6. The 6th hypothesis, "There will be different in the relationship between the degrees of pain and depression according to social support degree" was supported (F=3.19, P=.0755). 7. The 7th hypothesis, "There will be different in the relationship between the degrees of physical disability and depression according to social support degree" was supported(F=5.69, P=.018). 8. The predictive variables for depression were the degrees for social support, life events, pain, and physical disability. 9. The depression degree showed a inverse correlation with social support degree (r=-.56, p=.0001). The social support degree showed a inverse correlation with the degrees of life events(r=-.22, p=.0007), pain(r=-.18, p=.0069) and physical disability(r=-.15, p=.0293). 10. The depression degree showed significant differences in the variables of sex (t=2.26, p=.025), educational level(r=.189, P=.006) and the number of treatment method (r=.201, P=.003). In conclusion, it was found that social support had the direct effect on depression and the buffering effect in each relationship between degrees of pain or physical disability and depression in patients with rheumatoid arthritis. So the researcher thinks that it is effective that nurses should provide these patients with social support to reduce depression in cases of having severe pain or physical disability.

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A Study on the Differentiation of Women with Perimenstrual Symptom Severity and Perimenstrual Distress Patterns (월경 전후기 증상 정도 및 월경고통 유형 판별요인)

  • Park, Young-Joo;Ryu, Ho-Shin
    • Women's Health Nursing
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    • v.4 no.1
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    • pp.123-138
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    • 1998
  • The purpose of this study was to describe perimenstrual symptom severity levels and perimenstrual distress patterns of women. The study performed the discriminant analysis in which included seven factors : age, pariety, social support, menstrual socialization(mother's symptom, sister's symptom, and menstrual effect), attitude of sex role and depression. The subjects were 283 women that they were not pregnant or lactating, had at least one period in past three months, would understand the purpose of study and willingly accepted the participation. The data analysis was done by pc-SAS program after data collection from Nov. 20, 1997 to Dec. 18, 1997. The descriptive analysis was done to explore general characteristics of the subjects and the stepwise discriminant analysis was done to verify factors in relation to perimenstrual symptom severity levels(severe vs mild menstrual symptom group) and perimenstrual distress patterns(spasmodic vs congestive menstrual symptom group). The instruments were selected for this study from Interpersonal Support Evaluation List(ISEL) by Cohen and Hoberman(1983), Center for Epidemic Studies Depression(CES-D) by Radloff(1977), and Sex Role Attitude Scale by Yunok Suh(1995), Mother's symptom and sister's symptom measurements by Woods, Mitchell & Lentz(1995), and menstrual effect by Brooks-Gun & Ruble(1980). The major findings of this study are as follows : 1. Of the 283 women, 93 women(32.9%) were assessed to severe perimenstrual symptom group and 190 women(67.1%) were assessed to mild perimenstrual symptom group. Results from the stepwise discriminant analysis showed three factors, such as depression, menstrual effect, and age, significantly related to perimenstrual symptom severity and they explained 20% of the total variance. The linear discriminant equation included three factors related to perimenstrual symptom groups was showed(Z=1.445 depression+0.174 menstrual effect-0.054 age). The cutting score(Z) was 2.809. We classified the severe perimenstrual symptom group by more than the cutting score 2.809 and the mild perimenstrual symptom by less or equal than the cutting score 2.809. The correctedness of posterior probability from discriminant equation was 72% as two perimenstrual symptom group classifications. 2. Of the 264 women, 139 women(52.7%) were assessed to spasmodic perimenstrual distress group and women(47.3%) were assessed to congestive perimenstrual distress group. Results from the stepwise discriminant analysis showed two factors, such as depression, age, significantly related to perimenstrual distress groups and they explained 8% of the total variance. The linear discriminant equation included two factors related to perimenstrual distress group was showed(Z=-0.084 age-0.776 depression). The cutting score(Z) was -3.759. We classified the spasmodic perimenstrual distress group by more than cutting score -3.759 and the congestive perimenstrual distress group by less or equal than cutting score -3.759. The correctedness of posterior probability from discriminant equation was 65% as two perimenstrual distress group classifications.

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Psychosocial Factors Related to Burnout of Job Duties in a Local Social Welfare Officers (지역사회 사회복지전담 공무원의 직무소진과 관련된 심리사회적 요인)

  • Hur, Sun;Yoon, Bo-Hyun;Kim, Kyung-Min;Jeong, Yu-Ran;Sea, Young-Hwa;Park, Su Hee;Song, Jye-Heon;Jeong, Ha Ran;Ma, Soo-Jin
    • Mood & Emotion
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    • v.16 no.3
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    • pp.158-162
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    • 2018
  • Objectives : The purpose of this study was to examine psychosocial factors related to burnout of social welfare officers working in Jeonnam Province. Methods : A total of 395 social welfare officers (male 99, female 296) working in 22 areas of Jeollanam-do province, were subjects of this study. We examined socio-demographic factors, using a self-reporting questionnaire. Subjects were asked to complete the Maslach Burnout Inventory-General Survey (MBI-GS), Center for Epidemiological Studies Depression Scale (CES-D), Perceived Stress Scale (PSS), and the Generalized Self-Efficacy Scale (GSS), to assess psychosocial factors affecting to burnout of social welfare officers. Results : Among 395 subjects, 221 (55.9%) reported recent experiences of burnout. There was no significant difference in age between two groups, divided by burnout. Sex (p<0.001), rank (p=0.003), working period (p=0.034), depression (p<0.001) revealed differences between the burnout group and control group. Scores of PSS (p<0.001) were higher, while the scores of GSS (p<0.001) were lower in the burnout group, than control group. Multivariate logistic regression analysis revealed that female (OR 2.840, 95%CI 1.466-5.504, p=0.002), depressive high-risk group (OR 6.824, 95%CI 2.893-16.096, p<0.001) PSS (OR 1.247, 95%CI 1.153-1.349, p<0.001) and GSS (OR 0.950, 95%CI 0.930-0.971, p<0.001), were significantly associated with burnout. Conclusion : We found that some factors, were associated with experienced burnout in social welfare officers. Depressive symptoms were the strongest associative factor, for burnout in public servants in charge of social welfare. Sex, stress and self-efficacy also correlated with burnout, and especially self-efficacy was a protecting factor.

La méthodologie de lecture de la didascalie dans le théâtre contemporain (<현대희곡에서 지문 읽기의 방법적 고찰>)

  • Kim, Young-eun
    • Journal of Korean Theatre Studies Association
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    • no.53
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    • pp.89-128
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    • 2014
  • De notre temps, nous faisons face ${\grave{a}}$ un changement du $th{\hat{e}}atre$ dans son ensemble. Le $th{\acute{e}}atre$ contemporain tente de se $d{\acute{e}}marquer$ des autres formes artistiques, mais aussi des formes $litt{\acute{e}}raires$, lorsque la tendance est ${\grave{a}}$ la fusion des genres. Il existe ainsi de plus en plus de $th{\hat{e}}atre$ ${e}xp{\acute{e}}rimentaux$, $n{\acute{e}}s$ sous le nom de $th{\acute{e}}atre$ anthropologique, $th{\acute{e}}atre$ sociologique, $th{\acute{e}}atre$ ethnologique, $th{\acute{e}}atre$ ${\acute{e}}pist{\acute{e}}miologique$ ou $th{\acute{e}}{\hat{a}}tre$ interculturel. La $m{\acute{e}}thodologie$ doit elle s'adapter ${\grave{a}}$ cette tendance de fusion? Au lieu de trouver une $m{\acute{e}}thode$ d'anlyse de chaque "nouveaux genre" $n{\acute{e}}$ de la fusion, nous nous interrogeons sur la $m{\acute{e}}thodologie$ pour ${\acute{e}}tudier$ le $th{\hat{e}}atre$ dans son ensemble. Si une telle $m{\acute{e}}thodologie$ d'analyse existait, quelle serait la $diff{\acute{e}}rence$ avec la $m{\acute{e}}thodologie$ $d{\acute{e}}j{\grave{a}}$ existante? Et si elle n'existait pas, quelle serait la meilleure $m{\acute{e}}thodologie$ $adapt{\acute{e}}e$? Nous $consid{\acute{e}}rons$ la $m{\acute{e}}thode$ d'analyse de la didascalie comme nouvelle $m{\acute{e}}thodologie$ $adapt{\acute{e}}e$. En effet, la didascalie $conna{\hat{i}}t$ sans cesse des $m{\acute{e}}tamorphoses$ dans $l^{\prime}{\acute{e}}criture$. De nombreux $th{\acute{e}}oriciens$ ont $d{\acute{e}}velopp{\acute{e}}$ des $m{\acute{e}}thodes$ d'analyse afin de mieux comprendre les diverses formes de $th{\acute{e}}atre$ comtemporain et ses didascalies. Notre travail est de rassembler les ${\acute{e}}tudes$ des $diff{\acute{e}}rents$ $th{\acute{e}}oriciens$ et de les ordonner ; afin de proposer un outil d'analyse $adapt{\acute{e}}$ pour $l^{\prime}interpr{\acute{e}}tation$ des $pi{\grave{e}}ces$ du $th{\acute{e}}{\hat{a}}tre$ contemporain.

Depressive Symptoms of Caregiving Grandmothers in South Korea (손자녀를 돌보는 한국 조모들의 돌봄 특성에 따른 우울 증상)

  • Lee, Ja-kyung;Jang, Soong-nang
    • 한국노년학
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    • v.36 no.3
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    • pp.693-709
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    • 2016
  • This study was to investigate depressive symptoms of caregiving grandmothers in South Korea and related factors focusing on caregiving characteristics. The data were drawn from the fourth wave of Korean Longitudinal Study on Ageing (KLoSA). The study participants were 3,291 grandmothers who had at least one grandchild, and we limited our analysis to 127 grandmothers who had provided care for their grandchild(ren) during the past one year. As for the depressive symptoms, Center for Epidemiological Survey-Depression 10(CES-D 10) short version were applied. Caregiving characteristics including caregiving duration by weeks per year, caregiving hours per week and the number of grandchildren who received grandmother care were examined. A multiple logistic regression was performed to detect association between caregiving characteristics and depressive symptoms while adjusting for general socioeconomic characteristics and health status of caregiving grandmothers. The longer duration of caregiving lowered the depressive symptoms and in contrast, those who spent more hours for providing care to their grandchildren were more exposed to the depressive symptoms. Physical pain significantly increased their depressive symptoms and low income level were more likely to induce depressive symptoms. More detailed studies on grandchild caregiving patterns among grandmothers were needed. Also, tailored support policy and services should be considered to alleviate their burden and depression in the future.

Horticultural Therapy Programs Enhancing Quality of Life and Reducing Depression and Burden for Caregivers of Elderly with Dementia

  • Kim, Yong Hyun;Park, Chul Soo;Bae, Hwa-Ok;Lim, Eun Ji;Kang, Kyung Heui;Lee, Euy Sun;Jo, Su Hyeon;Huh, Moo Ryong
    • Journal of People, Plants, and Environment
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    • v.23 no.3
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    • pp.305-320
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    • 2020
  • Background and objective: The problem that follows the increase of dementia patients is the burden of caregivers caring for dementia patients. The purpose of this study was to examine the effects of horticultural therapy programs improving the quality of life and reducing the depression and burden of caregivers of the elderly with dementia. Methods: In this study, 19 caregivers of the elderly with dementia were selected, and the experiment was conducted by dividing the control group (n=9) and the experimental group (n=10) by random distribution. The experimental group was given eight horticultural therapy programs twice a week for a total of 4 weeks. Subjects were assessed using the depression(CES-D), quality of Life (WHOQOL-BREF), and care burden scales. The evaluation results were verified at a 95% significance level using descriptive statistics, the Mann-Whitney U test, and Wilcoxon signed-rank test. Results: In the case of depression, the control group's score tended to increase, and the experimental group's score appeared to decrease, but it was not a statistically significant change. In the quality of life, the control group was not statistically significant, but scores decreased overall. On the other hand, in the experimental group, the general quality of life increased significantly from 11.60 to 14.20 points (p = .02), and the total quality of life increased to a marginally significant level from 61.59 points to 68.85 points (p = .059). In the post-test of the total care burden score, a marginally significant difference was found between the control group (94.44 points) and the experimental group (82.50 points; p = .079). Conclusion: This study confirmed the applicability to reduce the burden of caregiving and improve the deterioration of quality of life of the caregivers. In particular, the results will serve as an opportunity to confirm accessibility in a new way to support the caregiver of dementia patients by demonstrating the applicability of horticultural therapy at a time when problems such as the burden of supporting the caregiver are emerging as social problems.