• Title/Summary/Keyword: Care Givers

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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 Korean Academic Society 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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The Efficient Management Method about the Workers of the Welfare Facilities for Improving the Quality of Elderly Medical Service (노인의료서비스의 질적 제고를 위한 시설종사자 관리의 효율화 방안)

  • Cho, Woo-Hong;Park, Chun-Gyu;Son, Myeong-Dong
    • Journal of the Korea Society of Computer and Information
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    • v.18 no.6
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    • pp.91-99
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    • 2013
  • This study has a purpose of analyzing the difference of care giver's subjective awareness of self-efficacy and job satisfaction according to the types of welfare facilities, before studying the structural relationship between the management variables about workers at the welfare facilities for improving the quality of elderly medical welfare service. As a result of empirical analysis, there was no awareness difference of care givers according to the types of the elderly medical welfare facilities, but in general it was emphasized that the care givers' satisfaction with self-efficacy and job satisfaction was very essential in providing the elderly medical service. Therefore, this study has significance that it provided the theoretical fundament for efficient management method about the workers of the elderly medical welfare facilities.

Improvement of Dementia Service through an Analysis of Dementia Knowledge of Care-givers at Adult Day Service Center (노인주간보호센터 돌봄 종사자의 치매지식 분석을 통한 치매서비스 개선 방안)

  • Han, Jeong-Won
    • Journal of the Korea Convergence Society
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    • v.13 no.5
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    • pp.559-565
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    • 2022
  • As South Korea has become an aged society, the dementia rate has also been increasing. With the introduction of both de-institutionalization and community care in 2017, the importance of community-based care has increased. Perspectives on dementia have also been shifting from the medical model and social model to the person-centered model. This paper suggests ways to improve dementia service through analyzing the dementia knowledge of care-givers at ADS. The paper includes an FGI with the care-givers who have worked for more than 2 years. Based on such FGI, the paper draws sub-themes from 7 areas. Among the suggestions for improvement are: community-based service with daily routine practice, improving awareness of dementia for co-living, and person-centered service based on individuality and diverseness.

Stress and Satisfaction of Primary Care-givers Who Participated in Self-help Group of Dementia Safety Centers - Focused on Seoul Metropolitan City (치매안심센터 자조모임에 참여하는 주부양자의 스트레스와 만족도 : 서울특별시 중심으로)

  • Kwon, Ae-Lyeong;Jung, Hai-Ik
    • The Journal of the Korea Contents Association
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    • v.20 no.8
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    • pp.628-636
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    • 2020
  • The purpose of this study was to investigate how self-help group conducted by 25 dementia safety centers in Seoul correlated the stress and life satisfaction of primary care-givers of dementia patients. At 25 dementia safety centers, self-help groups were identified, and a survey was conducted for the care-givers of dementia patients participating in the self-help groups. SPSS 21.0 program was used for the collected data, and reliability was analyzed for stress level and satisfaction after the program. Multivariance analysis and one-way analysis were performed for the types of self-help groups, the frequency of attendance, and the number of meetings. The result were : first, the total stress felt by participants was close to 4 out of 5, and there was no significant difference in meeting type and attendance frequency, and only in the relationship between stress and the number of self-help groups(p<.05). Second, the satisfaction after self-help meetings was close to 4 out of 5, the meeting type and attendance frequency no significant difference, and only the number of self-help meetings showed a significant difference(p<.05). Third, there was a significant negative correlation in the relationship between stress and program satisfaction. As can be seen from the results, it can be seen that self-help groups have an effect on the stress of primary care-givers and the satisfaction level after meeting.

A Study on the Architectural Planning of Corridor Space in Nursing Homes for the Elderly with Dementia (치매노인전문요양시설의 복도공간에 관한 건축계획적 연구)

  • Han, Kyun;Kwon, Soon-Jung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.11 no.1
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    • pp.69-77
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    • 2005
  • The purpose of this study is to build fundamental data related to corridor space for nursing home design. Elderly with dementia were observed in corridor space at two nursing homes in In-cheon City. Two types of behavior were found out through in-depth observation; Group and Personal behaviors. Group behaviors were varying according to the type of programs such as rest, care, diet, and therapeutic services. Personal behaviors could be classified into wandering and private seclusion. These two behaviors were influenced by management programs of facilities, services of care-givers and individual characteristics of residents. The result of this study was discussed on the following matters: 1) Optimum size of residential unit; 2) Working spaces of care-givers; 3) Relationship between bedroom and common space for gathering; 4) Planning for wandering path; 5) Familiarity of interior finishing materials

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A Study on the optimum Area of Bedrooms in Nursing Homes (노인요양시설의 적정 침실 면적에 관한 연구)

  • Kwon, Soon-Jung;Han, Jung Han;Oh, Eun-Jin;Kim, Seok-Jun;Kim, Noh-Seok;Lee, Teuk-Koon
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.14 no.3
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    • pp.13-21
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    • 2008
  • The purpose of this study is to suggest optimum size of residents' bedrooms in nursing homes. Bedroom is an essential part of nursing homes because nursing home residents spend most of their times in bedrooms and occupy the largest part of facility area. Therefore it is necessary to set an adequate standard related to resident room area in nursing facilities, which have a great effect on planning longterm care facilities for the elderly. The body dimensions of elderly people and care givers have been collected from the previous study. Based on the body dimensions data, the behaviors of elderly as well as care givers have been analysed. The minimum areas-exclusive of toilets, closets, vestibules and so on - have been proposed from the results of the behavior analysis.

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Smart Elderly-care System using Smart-phone (스마트폰을 이용한 고령자용 스마트 간병 시스템)

  • Cho, Myeon-gyun
    • Journal of Convergence for Information Technology
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    • v.7 no.5
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    • pp.129-135
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    • 2017
  • In this paper, we propose a system to monitor the condition of elderly people who are uncomfortable by using smart-phone and biometric sensor at any time and for care-givers to provide with the best medical service anytime and anywhere. The proposed system monitors the status of the elderly through various bionic sensors installed in the hospital ward based on the Arduino system and not only provides the physiological and medical services required by the elderly, but also informs the guardian so that he can cope with the emergency. In conclusion, this paper suggests that a reading light used by elderly people can operate as a home server with a biosensor using Arduino and Android applications (Apps.), and the smart-phone of care-givers is configured as a remote management and a emergency call system. Therefore, this study suggests important ways to improve the satisfaction of medical service for the both elderly people and care-givers of chronic diseases in the future.

A Study on risk factors for senile dementia (노인성치매 발생요인과 돌보는 가족원의 스트레스에 관한 조사 연구)

  • 홍여신;이선자;박현애;조남옥;오진주
    • Journal of Korean Academy of Nursing
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    • v.24 no.3
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    • pp.448-460
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    • 1994
  • This study was conducted to investigate risk factors for senile dementia as well as care givers' stresses and thier needs for nursing care. It was done using a retrospective survey. A convenience sample or In senile dementia patients and l20 nor-mal elders in a rural area was used. The tools used in the study were the MMSE-K(Mini-Mental State Examination-Korea) for dementia screening test and a questionaire developed by the research team. Data were collected through home visits by Com-munity Health Practitioners. Data were analyzed using descriptive statistics, T-test, and Chi-square test. The findings are as follows : 1. There were significant differences in age, marital status, and religions between the two groups. 2. There was a significant difference in smoling behavior between the two groups. 3. There was a significant difference in past his-tory of cancer between groups. 4. There was a significant difference in past and present elderftmily relationship between the two groups. 5. There were significant differences in intellectual activities, assuming major role in family and seeking other's help in daily life troubles between the two groups. 6. There were significant differences in stress factors such as child problem, family conflict, health problem and illegal behavior between the two groups. 7. The major problems out by families in caring for dementia patient were catastrophic reactions, dirtiness, mood change, devouring and tremor. The most serious problems faced by families was dirtiness. with catastrophic reactions, sleep distrubance, changeableness, and a suspcio-usness following. The care givers expressed chronic fatigue, anxiety, tension, depression, disorder in daily life, shamefulness, blame from neighbours and guiltiness. 8. There is need for geriatric hospitals, nursing homes, burden sharing, and counselling or education for family care givers. A replicate study in the urban area is recommended to validate the findings of this study. To explore the impact of stress in life and ‘han’ on senile dementia, a qualitative study is recommended.

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Analysis on Family Resilience of Long-term Childcare Givers: Focused on a Walsh Viewpoint (장기적으로 활동한 아이돌보미의 가족 레질리언스 분석: 월시(Walsh)의 관점을 중심으로)

  • Jung, Min Ja
    • Human Ecology Research
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    • v.55 no.4
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    • pp.441-450
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    • 2017
  • Childcare related studies have focused on the characteristics of care work, policy aspects, user family satisfaction, and job satisfaction of childcare helpers. But there have been few studies on family system characteristics that support childcare givers. Thus, this study conducted on the topic, "How to characterize the family resilience of long-term childcare givers?" The subjects belong to a healthy family support center in U. City, who belong to a group with an income in the top 20 % of about 20 persons working for more than 3 years. In an interview, qualitative questions were used Walsh's family resilience. The results are as follows. First, they had economic hardship, but their family would stand together and build up a family's power based on the couple's faith. They had a family role model based on their parents' family that included inherited maternity qualities from their mother. Second, the flexibility of the family organization changed to autonomous or co-role type and the connectivity. Especially, they appear as a family's leader. Third, their family communication was active, shared-care, responsible and passionate with family affection and understanding. The conclusions results are as follows. Participants were high school graduates as well as had work experience. They were characterized by positive family energy, a family belief system, family-based resources, flexibility, connectivity, open family communication and expression skills. Therefore, it can be suggested that it is necessary to check the family's resilience during an interview for the reliable, long-term supply of human resources for childcare activities.

Ethnography of Caring Experience for the Senile Dementia (노인성 치매 환자의 돌봄경험에 대한 문화기술지)

  • 김귀분;이경희
    • Journal of Korean Academy of Nursing
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    • v.28 no.4
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    • pp.1047-1059
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    • 1998
  • Senile Dementia is one of the dispositional mental disorder which has been known to the world since Hippocratic age. It has become a wide-spread social problem all over the world because of chronic disease processes and the demands of dependent care for several years as well as improbability of treatment of it at the causal level. Essentially, life styles of the older generation differ from those of the younger generation. While the fomer is used to the patriarchal system and the spirit of filial piet and respect, the latter is pragmatized and individualized under the effects of the Western material civilization. These differences between the two generations cause conflict between family members. In particular, the pain and conflict of care-givers who take care of a totally dependent dementia patient not only is inciting to the collapse of the family union, but is expanding into a serious social problem. According to this practical difficulty, this study has tried to compare dementia care-givers' experiences inter-culturally and to help set up more proper nursing interventions, describing and explaining them through ethnographies by participant observation and in-depth interviews that enable seeing them in a more close, honest and certain way. It also tries to provide a theoetical model of nusing care for dementia patients which is proper to Korean culture. This study is composed of 12 participants (4 males, 8 females) whose ages range from 37-71 years. The relations of patients are 5 spouses(3 husbands, 2 wives), 4 daughters-in-law, 2 daughters, and 1 son-in-law. The following are the care-givers' meaning of experiences that results of the study shows. The first is "psychological conflict". It contains the minds of getting angry, reproaching, being driven to dispair, blaming oneself, giving up lives, and being afraid, hopeless, and resigned. The second is "physical, social and psychological pressure" . At this stage, care-givers are shown to be under stress of both body and soul for the lack of freedom and tiredness. They also feel constraint because they hardly cope with the care and live through others' eyes. The third is "isolation". It makes the relationship of patient care-giver to be estranged, without understanding each other. They, also, experience indifference such as being upset and left alone. The forth is "acceptance" They gradually have compassion, bear up and then adapt themselves to the circumstances they are in. The fifth is "love". Now they learn to reward the other with love. It is also shown that this stage contains the process of winning others' recognition. The final is "hope". In this stage they really want situations to go smoothly and hope everything will be O.K. These consequences enable us to summarize the principles of cue experience such as, in the early stage, negative response such as physical·psychological confusion, pain and conflict are primary. Then the stage of acceptance emerges. It is an initial positive response phase when care-givers may admit their situations. As time passes by a positive response stage emerges. At last they have love and hope. Three stages we noted above : however, there are never consistent situations. Rather it gradually comes into the stage of acceptance, repeating continuous conflict, pressure and isolation. If any interest and understanding of families or the support of surrounding society lack, it will again be converted to negative responses sooner or later. Otherwise, positive responses like hope and love can be encouraged if the family and the surroundings give active aids and understanding. After all, the principles of dementia care experiences neither stay at any stage, nor develop from negative stages to positive stages steadily. They are cycling systems in which negative responses and positive responses are constantly being converted. I would like to suggest the following based on the above conclusions : First, the systematic and planned education of dementia should be performed in order to enhance public relations. Second, a special medical treatment center which deals with dementia, under government's charge, should be managed. Third, the various studies approaching dementia care experiences result in the development of more reasonable and useful nursing guidelines.

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