• 대한두개안면성형외과학회지
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• 제15권3호
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• pp.121-124
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• 2014

The use of the implantable Doppler device eases the burden of free flap monitoring, and allows caregivers to notify healthcare personnel of a potential vascular event. A 24-year-old female patient underwent anterolateral thigh adipofascial flap surgery to provide a buried flap on the left temporal area for a depressed and infected skull wound. The author was able to salvage the flap from two venous occlusions, which was made possible by early notifications from the caregiver who reported changes in the Doppler signal.

• 보건행정학회지
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• 제24권1호
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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.

• Child Health Nursing Research
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• 제13권4호
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• pp.390-398
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• 2007

Purpose: This comparative descriptive study was conducted to determine differences in maternal health related characteristics, child rearing burden, and social support depending on economic status. Method: Using home visits, data were collected from 100 poverty stricken mothers, 51 in the extremely poor group and 49 in the low income group, and 200 mothers of a general group being seen in one public health center. The instrument used for this study was a self-report questionnaire to identify maternal health variables including child rearing burden and social support. Results: Parent's education level, marital status, and primary caregiver were significantly different according to socioeconomic status. Poverty stricken groups showed poor rates for prenatal checkups, lower Fe supplementation, and more artificial abortions and history of cesarean section. Continuing breast feeding as planned was significantly lower for mothers with low economic status. Present health problems of the mother, child-rearing burden, and social support were not significantly different among the three groups. Conclusion: These findings suggest that special attention and interventions for the poverty stricken groups is important to improve maternal and child health status.

• 임상간호연구
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• 제20권3호
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• pp.395-405
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• 2014

Purpose: This study was a descriptive correlation research designed to provide basic data on family nursing interventions by examining burden, social support and quality of life for family caregivers of patients on hemodialysis. Methods: Data were collected from 132 family caregivers of patients on hemodialysis and analyzed using frequency analysis, correlation analysis, independent samples t-test method, one-way ANOVA and post-hoc analysis of $Scheff{\grave{e}}$, and multiple regression analysis. Results: Burden for family caregivers of patients on hemodialysis was 3.03, social support, 4.77, and quality of life, 3.26. Burden showed a negative correlation with social support (r=-.34, p<.001), and with quality of life (r=-.54, p<.001). There was a positive correlation between social support and quality of life (r=.54, p<.001). Factors predicting quality of life for family caregivers, were a significant and positive effect from social support (t=5.72, p<.001) and a negative effect from family burden (t=-5.62, p<.001). Conclusion: Results of the study indicate that burden of these family caregivers can be reduced by social support which plays an important role in improving quality of life. A nursing intervention program which goes beyond simply caring for patients and includes assessment of family burden and support for overall family caretaking needs to be developed.

• 한국노년학
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• 제29권2호
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• pp.683-699
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• 2009

고령화와 가족 구조의 변화로 노인 부양이 사회적인 문제가 되고 있는 가운데 최근 그 비율이 증가하고 있는 배우자 부양자에 대한 연구의 필요성이 대두되고 있다. 배우자 부양은 '돌봄' 외에도 '결혼 생활의 연장'이라는 특징이 있어 성인 자녀를 비롯한 기타 가족 부양자와는 질적으로 다른 경험일 가능성이 크다. 또한 남편과 아내가 처한 맥락이 상이하므로 이들의 성별 차이에 대해 구체적으로 알아볼 필요가 있다. 이에 본 연구에서는 배우자를 돌보는 부양자에 초점을 맞추어 배우자 부양자의 부양 동기 및 사회적 지지가 부양 부담에 미치는 영향을 성별 차이를 중심으로 알아보고자 하였다. 이를 위해 2001년 보건사회연구원에서 실시한 「장기요양보호 대상 노인의 수발 실태와 복지욕구」 자료를 이용하여 기술통계 및 T검증, X²검증과 로지스틱 회귀분석 등을 실시하였다. 분석 결과 부양 동기 및 사회적 지지가 부양자의 부양 부담에 미치는 영향은 성별에 따라, 부담의 하위 항목에 따라 차이점과 공통점이 각각 발견되었다. 부양 동기의 경우, 부인을 돌보는 남성의 부양 부담에만 유의미한 영향을 미쳤고, 남편을 돌보는 여성부양자에게서는 부양 동기와 부양 부담과의 관련성이 관찰되지 않았다. 한편, 사회적 지지는 남성 부양자의 부양 부담에는 유의미한 영향을 미치지 않았으나, 여성 부양자의 경우 사회적 지지가 적을수록 경제적 부담을 느낄 승산이 높아지는 것으로 나타났다. 부양자의 건강상태와 피부양자의 ADL 수준은 남녀 모두의 신체적 부담에 영향을 미치는 것으로 타나났다. 이러한 결과에 기초하여, 배우자 부양자의 부담을 줄이기 위한 연구와 정책적 노력에 성인지적 관점의 필요성을 제기하였다.

• 한국콘텐츠학회논문지
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• 제16권3호
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• pp.649-660
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• 2016

본 연구는 입원 중인 뇌졸중 환자 주돌봄자의 돌봄 부담감, 대처행동, 자아탄력성 및 관계를 파악하기 위한 조사연구이다. 연구대상은 C시 S대학교 부속병원 신경외과, 신경과에 입원한 뇌졸중 환자의 주돌봄자 74명이었고, 자료수집은 2014년 3월 23일부터 9월 30일까지 이루어졌다. 연구결과, 돌봄 부담감은 3.66점, 대처행동은 2.67점, 자아탄력성은 3.10점이었다. 돌봄 부담감은 성별, 연령, 환자와의 관계, 교육수준, 결혼상태, 주관적 건강상태, 대처행동은 결혼상태, 돌봄시간에서 유의한 차이를 보였고, 자아탄력성은 유의한 차이를 보인 변수가 없었다. 돌봄 부담감, 대처행동 및 자아탄력성은 상관관계가 없는 것으로 나타났다. 결론적으로 주돌봄자의 돌봄 부담감은 크며, 돌봄 부담감을 감소시키기 위한 정부 병원 차원의 보호자 없는 병동, 포괄간호서비스 실시와 간호부의 주돌봄자를 위한 상담, 교육, 지지간호가 절실히 필요하며, 세 변수간의 관계를 밝힐 수 있는 반복 연구가 필요하다.

• 대한가정학회지
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• 제32권2호
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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.

• 가정과삶의질연구
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• 제23권3호
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• pp.103-114
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• 2005

The number of grandparents who have responsibility for raising their grandchildren is growing. The present study examines the extent of this phenomenon and some of the issues these grandparents face in surrogate parenting. The sample consists of 69 grandparents(63 grandmothers and 6 grandfathers) of grandchildren who have lived with them at least 6 months without their parents. The grandparents raising grandchildren reported that caregiving bought negative changes in relations with their own children, economic situation and health condition. They concerned most about the issue of good mannered behavior of grandchildren and making good friends and needed social supports in terms of house cleaning and cooking and transportation for after school activities. Caregiver burden was related to the number of family members, the degrees of life changes, economic hardship due to caregiving, grandchildren's school performance and the relations with granparents' own children.

• 한국보건간호학회지
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• 제14권1호
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• pp.131-146
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• 2000

The purpose of this study is to clarify the correlation between the degree of patients daily activities and that of a sense and social support of families. This study covers families of 252 patients under home health nursing care at 6 University Hospitals during the period of March to May. 1999. The data were collected by using three different questionnaires. Data were analysed by utilizing SAS program such as frequency. average. percentage. t-test. ANOVA. Scheffe test and Pearson Correlation Coefficient. The results were as follows: 1. The average score of patients' daily living activity was $2.36\pm0.67$. $97.2\%$ patients turned out to be. in part. dependent on their family's care. $66.5\%$ of the patients were still dependent on their families in walking: $66.3\%$ In bathing: and $61.0\%$ in using toilet. 2. The average score burdened family caregivers had felt was 2.25 in 4 full point which can be interpreted as average. Among the six burden dimensions. time was said to be the No. 1 burden-yielding factor. When it comes to the characteristics of patients. there were tendencies for patients with lower incomes residing in communal housing. with cerebrovasculal diseases and with higher score of daily living activity to show a higher burden scores. 3. The average score of social support was 2.49 in 5 point. which represents a average score. Among other items. the opportunity of social integration was 2.66. topping the list whereas a chance of upbringing was starkly low at 2.42. The higher scores of social support were shown in cases where the caregiver was male spouse. total care giving duration exceeded 25 months and malignant patients daily living activity scores were low. 4. The score of patients daily activity was positively correlated to the degree of the family burden (r=0.1942). Data indicates there was direct correlation between daily living activity and burden of time consuming, self-improving and physical impairment. 5. The score of the patients daily living was negatively correlated to the social support (r=0.3414), As a whole. there was negative correlation between social support and the formation of intimacy and self-confidence.

• 대한간호학회지
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• 제36권2호
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• pp.373-380
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• 2006

Purpose: The purpose of this study was to identify the factors related to the wellbeing of the family caregivers of the elderly with a stroke. Methods: The subjects of this study were 199 elderly treated in four oriental hospitals in Korea, and their primary family caregivers. The data was collected by interviewsand a self reported Questionnaire, during the period from October, 2003 to April, 2004. Results: The results of this study were as follows. The mean score of wellbeing of family caregivers was 60.6412.63. The factors related to wellbeing of family caregivers were sex, age, education, depression, illness severity, ADL, paralysis, and speech disability in elderly characteristics. Among family caregivers characteristics, education, relation, and burden were significantly related. In situational variables, family income and the previous relationship between the elderly and family caregivers were related to wellbeing. Stepwise multiple regression analysis revealed that the most powerful predictor of wellbeing was the burden of family caregivers. A combination of the depression of elderly and age of family caregivers accounted for 50.3% of the variance of wellbeing. Conclusions: On developing the nursing intervention for improving wellbeing of family caregivers, many factors should be considered, especially caregiver burden, and elderly depression.