• Title/Summary/Keyword: Caregiver's Health

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Comparison in Care Burden, Fatigue, and Life Contentment of Caregivers by Gender Relationship with Demented Elders (치매노인과 주부양자의 성별 관계에 따른 주부양자의 부양부담감, 피로 및 생활만족도 비교)

  • Lee, Young-Whee;Cho, In-Sook;Kim, Hwa-Soon
    • Women's Health Nursing
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    • v.15 no.3
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    • pp.196-204
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    • 2009
  • Purpose: This study was done in order to examine the differences in gender respect to care burden, fatigue, and life contentment of family caregivers of elderly with dementia. Methods: The setting of the study was a community-based dementia care center providing daycare services. One hundred ninety four caregivers were recruited for the survey. A structured questionnaire was used which included demographic information, care burden, fatigue, and general contentment scales. Caregivers were classified into 4 groups by gender relationship with care recipients. Results: The majority of the caregivers were middle-aged and elderly. More than twice as many were female rather than male caregivers. The results showed that women caregivers expressed more fatigue than men overall (p < .05). In the gender relationships, a different combination of man-woman appeared to have more burdens than that of a woman-woman group (p < .05). For fatigue, the man caregiver-woman elderly group showed a higher fatigue score than a woman-man group (p < .05). However, there was no significant difference in life contentment among groups. Conclusion: These results suggest that caregiver's gender and gender relationship with elders could be considerable factors when the nurses make a plan in the community for dementia nursing management services.

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The Concept of Frailty: A Review of the Literature (노인허약에 대한 고찰)

  • Choi, Kyung-Won;Lee, In-Sook
    • The Korean Journal of Rehabilitation Nursing
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    • v.11 no.2
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    • pp.67-73
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    • 2008
  • Purpose: The purpose of this study was to review and identify the meaning and components of the concept, Frailty. Method: We conducted literature review of studies that concluded the word of 'frail' or 'frailty between 1980 and 2008, and used MEDLINE, CINAHL database to select the articles. Results: Frailty is defined as a concept with multidomains, which are physical, cognitive, psychological, social. Critical characteristics of Frailty include multidominal deficiency, combined accumulation, diminished ability to keep up the independence of daily living, states beyond one's reserve capacity, dynamic relativity, proximity to adverse health outcome, aggregated symptoms. Frailty is caused by decreased physical activity, loss of sensory function, Chronic symptoms or signs, relationship with Caregiver, social isolation. Moreover, Frail elderly is at risk of falls and institutionalization. Conclusion: Frailty is very useful concept, because it has the potential to identify the elderly population at risk of adverse health outcomes. Based on this results, the appropriate tool for screening Korean Frail elderly and Nursing intervention for them needs to be developed.

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Behavioral Characteristics of Local Korean Neonates by Brazelton′s NBAS (브레즐튼 신생아 행동평가법을 이용한 일지역 신생아들의 행동 특성에 관한 연구)

  • Shin Yeong-Hee
    • Child Health Nursing Research
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    • v.7 no.3
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    • pp.298-307
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    • 2001
  • This study assessed behavioral characteristics of 73 normal neonates in Daegu area using the NBAS. Being one of few studies on this topic, the study is to document and to accumulate data on the neonatal behaviors of Korean babies. Overall scores were at moderate levels in 6 behavioral clusters including Habituation, Social Interactive, Motor System, State Organization, and State Regulation. Autonomic Stability showed relative stableness. Scores of Orientation were higher in neonates of working mothers and rural mothers. Neonates of mothers with no abortion history have higher scores in Motor System and State Organization. Score of State Organization was higher in neonates of mothers with no habitual use of amenity during their pregnancy. Scores of Habituation and State Organization, as well as scores of Motor System with State Organization, State Regulation and Autonomic Stability were positively correlated. Scores of Habituation and State Organization indicate that babies are agreeable and even tameable that is advantageous for attachment to caregiver.

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A Study on Family Life Education Programs for Caregiving Families (노인부양가족을 위한 가족생활교육 프로그램 개발에 대한 기초연구: 부양자 요구를 중심으로)

  • 옥선화
    • Journal of the Korean Home Economics Association
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    • v.32 no.2
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    • pp.61-78
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    • 1994
  • This study was to provide the basis for the development of family life education programs for caregiving families. The data were collected from 374 adult children who were giving care to their older parents in Seoul. Adult children reported experiencing more caregiving problems in the areas of personlities of older parents psychological burden and parents' health than in the areas of caregiver's health and financial burden Women were more likely to experience caregiving problems than men. Adult children indicated higher levels of perceived knowledge on planning for later life psychological characteristics of older parents and keeping good relationships with older parents. They reported more need for knowledge on physical change of older parents and planning for later life while there were less need for knowledge on sharing caregiving roles with others and social service programs. The needs for caregiving education were also identified in the aspects as to participation purposes methods times and agencies. Given these findings this study suggests some practical implications for the development of family life education programs for caregiving families. Further studies should help to advance the development and practice of family life education programs for caregiving families.

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Effects of Health Status and Health Management on Activities of Daily Living among Urban-Dwelling Older Koreans (도시 재가노인의 건강상태, 건강관리형태 및 일상생활수행능력)

  • Chung, Myung Sill;Lim, Kyung-Choon;Kim, Yeon Ha
    • The Journal of Korean Academic Society of Nursing Education
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    • v.22 no.1
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    • pp.72-82
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    • 2016
  • Purpose: The purpose of this study was to identify the effects of health status and health management on activities of daily living (ADL) in older, urban-dwelling Koreans. Methods: A total of 206 subjects were recruited from one senior welfare center, six senior citizen centers, and subjects' home in two cities. Data was collected with self-reported questionnaires in order to measure health management, health status, and ADL. Data was analyzed by t-test, ANOVA, and stepwise multiple linear regression using SPSS/WIN 22.0. Results: ADL in this subject were different depending on their age, education, marital status, type of family, and average monthly living expenses. Multivariate analysis showed that age (${\beta}=-0.35$, p<.001), exercise ability (${\beta}=0.20$, p<.001), diabetes (${\beta}=-0.17$, p<.001), osteoarthritis (${\beta}=-0.15$, p<.001), caregiver (${\beta}=0.14$, p=.005), frequency of health management (${\beta}=-0.13$, p=.006), smoking (${\beta}=-0.11$, p=.019), hypertension (${\beta}=-0.10$, p=.027), and type of family (${\beta}=-0.10$, p=.036) were significantly associated with ADL. Overall, approximately 60.2% of total variability in ADL could be explained by the 11 variables in this model ($R^2=0.602$, F=32.06, p<.001). Conclusion: This study suggests that individualized health care should be continued for older, community-dwelling Koreans in order to improve their ADL. Moreover, we need to develop self-care programs and encourage them to participate in those programs.

Factors Influencing Caregiver Reaction among Family Caregivers for Persons with Cancer (암환자 가족원의 건강정보이해력과 사회적 지지가 돌봄부담에 미치는 영향)

  • Park, Sang-Un;Kim, Hee-Jin;Kim, Geom-Nam;Park, Hye-Jeong;Gil, Cho-Rong;Lee, Ji-Yeon;Chang, Hee-Kyung
    • Journal of Digital Convergence
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    • v.17 no.3
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    • pp.291-304
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    • 2019
  • The purpose of this study was to identify factors influencing family caregivers' reaction of persons with cancer. The study participants were 130 cancer patients and their family caregivers. Data on participant characteristics, caregiver reaction, perceived social support, and cancer related health literacy were collected from July 17 to November 7, 2018 using a structured questionnaire. Data were analyzed with the SPSS/WIN 23.0 program for descriptive statistics, using independent t-test, one-way analysis of variance, Pearson's correlation coefficient and enter multiple regression analysis. The determining factors affecting caregivers' reaction were in case of spouse of patient(${\beta}=.252$, p=.002), subjective health status(${\beta}=-.207$ p=.012), and health literacy (self-care, patient's needs and preference) (${\beta}=-.411$, p<.001; ${\beta}=.247$, p=.037 respectively), and their explanation power was about 37.9%. This finding underscores the need for developing and application of the individualized education program with health literacy improvement strategies for family caregivers of cancer patients.

Burden and Quality of Life in Caregivers of Patients with Rare and Incurable Disease (재가 희귀.난치성질환 돌봄 제공자의 부담감과 삶의 질)

  • Choi, Kyung-Ja;Baek, Hee-Chong
    • Research in Community and Public Health Nursing
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    • v.17 no.3
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    • pp.364-375
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    • 2006
  • Purpose: The purpose of the study was to investigate burden and the qualify of life in caregivers who are taking care of home-based rare and incurable disease patients. Methods: The subjects of this study were 300 caregivers of rare and incurable disease patients registered at five health centers in Seoul. A survey was conducted by mail and visit in person during the period from the 25th of March to the 12th of May 2005. Collected data were analyzed through t-test, ANOVA, Pearson's correlation coefficient. Result: The mean burden of caregivers was 3.42, and the mean qualify of life of caregivers was 2.71. Burden and QoL showed significant differences according to caregivers' characteristics such as sender, age, relation to the patient, academic qualification, religion, occupation, monthly household income and perceived health condition. Caregivers' burden was in an inverse correlation with their quality of life. Conclusions: According to the results of this study, rare and incurable disease caregivers' burden and their quality of life were in a significant correlation with each other. In order to improve caregivers' quality of life by reducing their burden, we need to reestablish comprehensive policies for rare and incurable disease management including nursing intervention strategies for caregivers.

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CareMyDog: Pet Dog Disease Information System with PFCM Inference for Pre-diagnosis by Caregiver

  • Kim, Kwang Baek;Song, Doo Heon;Park, Hyun Jun
    • Journal of information and communication convergence engineering
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    • v.19 no.1
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    • pp.29-35
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    • 2021
  • While the population of pet dogs and pet-related markets are increasing, there is no convenient and reliable tool for pet health monitoring for pet owners/caregivers. In this paper, we propose a mobile platform-based pre-diagnosis system that pet owners can use for pre-diagnosis and obtaining information on coping strategies based on their observations of the pet dog's abnormal behavior. The proposed system constructs symptom-disease association databases for 100 frequently observed diseases under veterinarian guidance. Then, we apply the possibilistic fuzzy C-means algorithm to form the "probable disease" set and the "doubtable disease" set from the database. In the experiment, we found that the proposed system found almost all diseases correctly, with an average of 4.5 input symptoms and outputs 1.5 probable and one doubtable disease on average. The utility of this system is to alert the owner's attention to the pet dog's abnormal behavior and obtain an appropriate coping strategy before consult a veterinarian.

Factors Related to Family Caregivers' Burden with the Community-Dwelling Disabled Elderly under the Long-Term Care Insurance System (장기요양 재가서비스 이용자를 돌보는 가족주부양자의 부양부담감에 영향을 미치는 요인)

  • Han, Eun-Jeong;Lee, Jung-Myun;Kwon, Jin-Hee;Shin, Seul-Bi;Lee, Jung-Suk
    • Health Policy and Management
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    • v.24 no.1
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    • pp.71-84
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    • 2014
  • Background: Informal care is increasingly recognized as placing a significant burden on the lives of family caregivers. The purpose of this study is to investigate factors related to family caregivers' burden with the community-dwelling disabled elderly under the long-term care insurance system, using the Stress Process Model developed by Pearlin (1990). Methods: Total 1,233 family caregivers with the disabled elderly, using the long-term care services in their home from May to June 2009, completed questionnaires finally. The questionnaire of this study consists of a total of 32 questions, including 11 questions related to background and context, 17 questions related to objective stressors, and 4 questions related to coping resourses. Family caregivers' burden is measured by the Korean Revised Caregiving Appraisal Scale (K-RCAS, Cronbach's alpha=0.86). To investigate factors related to family caregivers' burden, multiple regression analysis was conducted. Results: The average score of caregivers' burden was 22.0 (${\pm}6.12$). In multiple regression analysis, there were statistically significant factors affecting on the family caregivers' burden, that are related to background and context (region, living status, education level, relationship with beneficiary), objective stressors (duration of caregiving), coping resourses (caregiver's health status). Conclusion: This study found that family caregivers experience a considerable burden. The findings suggest that policies must be taken to relieve family caregivers of their duties temporarily, and to support them with counselling and education.

The effects of caring for grandchIldren on grandparents' health (손자녀 돌봄이 조부모의 건강에 미치는 영향)

  • Yang, Hae Kyung
    • Journal of Family Resource Management and Policy Review
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    • v.20 no.3
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    • pp.1-23
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    • 2016
  • This study analyzes the effects of caring for grandchildren on Korean grandparents' health, using the Korean Longitudinal Study of Aging from 2006 to 2012. We investigate how caregiving is provided and analyze the effects of caregiving on grandparents' physical health, mental health, and health-related behaviors. As elderly people's health is generally frail, it is unclear whether the provision of childcare affects their health negatively. We control for the endogeneity of caregiving by an individual fixed effect (FE) model and instrumental variable-fixed effect (FE-IV) models. Using these models, we determine the endogeneity of caregiving and show that the significant effects of caregiving on health disappear as we control for endogeneity in the FE and FE-IV models. Even after controlling for endogeneity, we find that caregiving increases the probability of feeling pain as well as the number of different types of pain. Furthermore, caregiving increases the probability of restrictions on daily activities because of pain. On the other hand, caregiving reduces the symptoms of depression. In relation to health-related behaviors, caregiving reduces the probability of physical exercise and regular meals. Our results imply that although caregiving has a positive effect on mental health, the increase in physical pain and in non-healthy behaviors may lead to a deterioration of the caregiver's long-term health, which in turn may increase the medical costs of the elderly. Potential policy alternatives are discussed in the paper.