• 한국의료질향상학회지
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• 제25권1호
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• pp.29-42
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• 2019

Purpose: The aim of the present study was to identify the relationship between educational needs and the caregiving burden of primary caregivers with stroke patient. Methods: This cross-sectional and descriptive study was conducted in 2016 with 115 primary caregivers for stroke patients at a university hospital. The caregiving burden and educational needs were investigated using structured questionnaires via interviews. Data were analyzed with descriptive statistics, the t-test or ANOVA, and Pearson's correlation analysis using IBM SPSS Statistics version 23.0. Results: The scores of caregiving burden and educational needs of primary caregiver with stroke patient were $77.65{\pm}1.66$ and $123.33{\pm}2.37$, respectively. The caregiving burden was associated with health status in primary caregivers' general characteristics. The caregiving burden and educational needs of primary caregivers have a significant correlation (r = .44, p <.001). Conclusions: Educational needs of primary caregivers with stroke patient are associated with their caregiving burden. Therefore, it is necessary to develop a primary caregiver centered intervention program considering educational needs to improve their caregiving burden. Also, to promote quality of nursing, there is the need to increase the educating competency of nurse and nursing professionalism of clinical nurse using various educational training program.

• 가정간호학회지
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• 제15권2호
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• pp.115-121
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• 2008

Purpose: The purpose of this study was to identify the needs of family caregivers of home care patients. Methods: A total of 40 caregivers had been selected from a hospital-based home care agency in Gyunggi province. The instrument developed by Hileman, Lackey, & Hassanein(1992) was modified to 55 items and used in this study. The instrument consists of 6 categories: informational, household, patient care, personal, spiritual, and psychological needs. Out of 29 analysed with descriptive statistics, Mann-Whitney U test, and Spearman correlation test using SPSS 14.0. Results: Most caregivers were females, with a mean age of $60.0{\pm}15.5$, 32.1% were spouses, and 92.9% were living with patients. Patient's activities of daily living score was very low, and 44% of patients had cerebrovascular disease. Caregiver's needs were moderate, and the greatest being personal need. There was a significant difference between caregiver's monthly income and needs. Conclusion: Home care nurses need to teach and support family caregivers with specific programs and services to meet the identified and unmet needs of caregivers of home care patients. In-home respite and institutional respite are recommended for family caregivers taking care of patients with chronic disease.

• Human Ecology Research
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• 제56권5호
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• pp.435-446
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• 2018

This study investigated relationships between primary caregivers' life satisfaction and abuse mediated by children's life satisfaction. We included term panel data for 3 years (2013-2015) from the 4th year to the 6th year of 2,067 children in the first grade of elementary school of the Korean Youth and Youth Panel(KCYPS)(2015); in addition, three years' longitudinal panel data (2013-2015) were analyzed utilizing SPSS 18.0 and AMOS 22.0 to measure Latent Growth Model(LGM) term relationships between variables. Analysis results were as follows. First, the life satisfaction of the primary caregiver, the life satisfaction of the child, and abuse gradually decreased from the fourth grade to the sixth grade. Second, the initial status of primary caregivers' life satisfaction influenced the initial status of the children's life satisfaction, and the initial status and change in the abuse rate. Third, the rate of change of life satisfaction of the primary caregiver did not have a significant effect on the change in the abuse rate and the rate of change of life satisfaction of the child. The initial value of the life satisfaction of the child played a partial mediating role in the relationship between the initial value of the life satisfaction of the primary caregiver, initial value of the abuse, and abuse change rate. The results suggest that a program to improve the life satisfaction of the 4th grade elementary school should be developed and applied.

• 가정간호학회지
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• 제19권1호
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• pp.63-73
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• 2012

Purpose: The purpose of this study was to determine the factors related to the social support, family and friend support as well as home care nurse support, in family caregivers of patients with home care service. Method: The participants were 111 family caregivers of patient, who were receiving home care services from home health care centers of 3 different general hospitals located in Seoul. The data was collected, using self-administered questionnaires. Result: The level of family and friend support varied significantly according to patients' mental status, period of home care nursing, frequency of home care service, caregiver's education level, family income, and family functioning level. On the other hand, home care nurse support varied significantly according to patients' mental status, caregiver's age, existence of interchangeable family caregivers, and family functioning level. There was a significantly positive correlation between the social support the family caregivers' perceived and family function while there was a negative correlation between family and friend support and the period of home care service. Conclusion: Thus, the establishment of nursing interventional program, with understanding of their social support, is needed for both patients and their caregivers.

• 디지털융복합연구
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• 제11권10호
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• pp.639-651
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• 2013

본 연구는 간병인의 직무를 분석하여 간병인의 처우를 개선하고, 환자에게 양질의 간병서비스를 제공하기 위함이며 또한 간병서비스 제도화를 위한 기초자료를 제공하기 위함이다. 연구 과정은 문헌조사를 통하여 직무분석을 위한 기본원리를 설정하고, 관찰법으로 직무에 관한 소요시간과 기초 정보를 수집하였다. 이를 기초로 하여 11개의 직무와 72개의 책무로 개발하였고, 이에 대한 간병인의 업무여부, 중요도, 직무 수행의 빈도를 서울특별시와 경기도에 소재하는 급성기병원 중에서 공동간병인실을 운영하는 병원에서 근무하는 60명의 간병인을 대상으로 하여 설문조사하였다. 자료수집 시기는 2012년 3월 2일부터 4월 20일까지이다. 자료 분석은 통계패키지인 SPSS 18.0을 이용하여 빈도분석, 백분율, 평균, 표준편차의 기술통계를 활용하였다. 조사대상자의 특성을 분석하기 위하여 빈도분석을 실시하였으며 간병인서비스의 직무는 10개의 직무와 60개의 책무로 확인되었다. 본 연구의 결과를 보면 직접관찰법을 통하여 정한 10개의 직무와 68개의 책무에 전문가 실무자의 면접으로 1개의 직무와 4개의 책무를 추가하였다. 그러나 전문가 실무자의 면접으로 추가한 1개의 직무와 4개의 책무가 설문법에 의한 분석결과에서 제외되었다.

• 대한간호학회지
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• 제32권5호
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• pp.665-672
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• 2002

It was identified that how many homebound bedridden elderlies and their primary caregivers were depressed, and which factors affected the bedridden elderly's depression. Method: The subjects were 191 homebound bedridden elderlies and their primary caregivers. The affecting factors were classified into two categories : bedridden elderly and their primary caregiver related factors. Then bedridden elderly's factors were classified demographic and disease-related factors again. The stepwise regression was used to identify significant factors. Result: The prevalence of bedridden elderly's and caregiver's depression was 77.8% and 67.0%, respectively. And the model explained 33.3% of variance of bedridden elderly's depression. Cognitively-impaired female elderlies who had depressed caregivers were found to be more depressed. And caregivers who perceived burden were identified to be more depressed. Conclusion: It is recommended that the health professionals need to identify bedridden elderlies and caregivers at risk of depression. Especially elderlies who is in poor cognition, those who are female, and those whose caregivers were depressed might be considered carefully in all counseling or follow-up. Also the primary caregivers must be helped to access already available formal and informal support.

• 한국간호교육학회지
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• 제24권3호
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• pp.250-258
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• 2018

Purpose: This study aimed to investigate the influence of health status and types of health management on depression in middle-aged women. Methods: A convenience sample of 188 participants was recruited from health centers in S city. Using a structured questionnaire, data was collected and analyzed by t-test, ANOVA, Pearson's correlation, and linear regression using SPSS/WIN 23 program. Results: Results of the regression analysis showed that perceived current health status (${\beta}=-0.55$, p<.001), no caregiver (${\beta}=0.47$, p<.001), chronic diseases lasting more than three months (${\beta}=0.36$, p<.001), perceived health status compared to peer group (${\beta}=0.32$, p<.001), walking for health (${\beta}=-0.20$, p=.002), caregiver except family (${\beta}=0.18$, p=.001), and gastrointestinal disease (${\beta}=0.10$, p=.022) influenced depression in middle-aged women. Overall, approximately 69.7% of total variance explained this model (adjusted $R^2=0.678$, F=57.21, p<.001). Conclusion: This study suggests that it is more important to understand the level of perceived health status in middle-aged women. Furthermore, it is necessary to develop programs that include various health management methods and strengthen the health care with the help of families and neighbors in order to manage depression in middle-aged women.

• 한국임상보건과학회지
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• 제3권1호
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• pp.290-298
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• 2015

Purpose. This study aimed to explore family caregivers' experiences with ventilator-dependent patients at home. Methods. The number of patients using mechanical ventilators at home is expected to increase and family caregivers must be able to care for them. However, few studies focus on the experiences of family caregivers. We conducted in-depth interviews with 11 family caregivers who cared for a ventilator-dependent patient at home in South Korea. Data were analyzed using phenomenological method of enquiry. Results. Statements generated from the interviews on the meaning of the family caregiver's experiences were organized into 27 themes, 5 theme clusters, and 2 categories. The theme clusters included endurance under the burden situation, role strain as a caregiver, separation from others, trying to find coping methods, and oriental ethnical customs. Family caregivers of patients using domestic mechanical ventilators need systematic education and emotional support to cope with the challenges of managing ventilator equipment and learning new ways of communicating with patients on the ventilators. Conclusion. These findings may contribute to family caregivers' knowledge and competence, thereby allowing them to better support their ventilator-dependent family members.

• 보건의료산업학회지
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• 제10권2호
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• pp.179-191
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• 2016

Objectives : The purpose of this study was to identify the factors influencing nursing care behavior for hospitalized elderly patients who have no family caregiver. Methods : Participants were 170 nurses working in general hospitals in G city. Data were collected from November to December, 2015 and analyzed by exploratory factor analysis, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression with the SPSS/WIN 20.0 program. Results : There were significant correlations among experience, empathy, and nursing care behavior. Experience and empathy were significant factors influencing nursing care behavior and explained 29.4% of the variance in the score; in particular, empathy had a positive effect on nursing care behavior. Conclusions : The results show that theempathy of nurses' is the most important factor in caring for elderly patients who have no family caregiver. Nurse education programs should be developed that increase the empathy of nurses to improve the quality of nursing care for the elderly.

• 지역사회간호학회지
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• 제20권3호
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• pp.361-370
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• 2009

Purpose: This study attempted to identify family functioning recognized by caregiver who support the elderly. Methods: Data was collected from 264 caregivers who live with elderly using questionnaires. The performance, satisfaction and importance of family functioning was assessed using the modified FFFS by Kang (1987) consisted of three dimension-'Relationship between Individual Family Members', 'Relationship between family and subsystem' and 'Relationship between family and broader social units'. The data was analyzed using SPSS/WIN by descriptive statistics, ANOVA and pearson's correlation. Results: The subjected Families showed a median level of performance (mean $4.06{\pm}0.65$) and a high level of satisfaction (mean $1.04{\pm}0.71$) in family functioning. Families recognized importance of family functioning above median level (mean $4.65{\pm}0.99$). There was statistically significant difference in family functioning according to and duration of illness, illness and ADL of the elderly. In dimension of the relationship between individual family members and relationship between family and subsystem, there are significantly positive correlation among all aspect of family functioning. In relationship between family and social units, there are negative correlations between performance and importance (r=-.215) and between satisfaction and importance (r=-.194) while there are positive relationship between performance and satisfaction. Conclusion: Considering the results of this study, family-focused nursing interventions for families with the elderly need to be developed.