• Title/Summary/Keyword: Caregivers

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Perceived Illness Intrusiveness by the Characteristics of Primary Caregivers in Stroke Patients (주간호제공자 특성에 따른 뇌졸중 환자의 지각된 질병 영향)

  • Kim, In-Ja
    • The Korean Journal of Rehabilitation Nursing
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    • v.11 no.1
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    • pp.25-31
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    • 2008
  • Purpose: This study was implemented to investigate perceived illness intrusiveness in stroke patients by the characteristics of primary caregivers. Method: Retrospective cross-sectional survey design was used. The subjects were 225 stroke patients and their primary caregivers. Demographic variables, relationship variables, burden, depression and support were measured as primary caregivers' characteristics. Data were analyzed with SPSS win 14+. T-test, ANOVA and correlation test were used depending on variables. Result: Demographic variables such as age, gender, relation with patients, and living status were not related significantly with illness intrusiveness. But primary caregivers' burden, depression and support were related significantly with perceived illness intrusiveness of stroke patients. That is, burden, depression and quantitative support of primary caregivers were significantly positively correlated with perceived illness intrusiveness of stroke patients. On the other hand, qualitative support was negatively correlated with perceived illness intrusiveness. Conclusion: Primary caregivers' characteristics such as burden, depression and support were found to be correlated with stroke patients perception such as illness intrusiveness. So, it is recommended that nursing intervention targeting burden, depression and support of primary caregivers must be developed to reduce illness intrusiveness of stroke patients.

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Factors Influencing Dementia Caregivers' Health-related Quality of Life (치매노인 주 부양자의 건강관련 삶의 질 예측인자)

  • Kim, Jung-Soon;Kim, Myoung-Soo;Kim, Soo-Ok;Yoo, Youn-Ja;Won, Dae-Young
    • Research in Community and Public Health Nursing
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    • v.18 no.2
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    • pp.232-241
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    • 2007
  • Purpose: The aim of this study was to explore the health-related quality of life of caregivers for demented elders. Method: The subjects of this study were 170 pairs of demented elders and their caregivers. Socio-demographic characteristics of the demented elders and the caregivers, Barthel index and SF-36 were used in this study. Data analysis procedure included t-test, ANOVA, Pearson correlation coefficient, and hierarchical multiple regression. Results: The score of overall health-related quality of life (HRQoL) was 288.62 in norm-based scoring. The major factors that affect HRQoL of the demented elders' caregivers were burden, the age of the caregiver, ADL and gender of the demented elder, and these factors explained 34.5% of HRQoL. Conclusion: The factors significantly affecting the caregivers' HRQoL were burden, the age of the caregiver and ADL. The effective social support system should be considered in respective nursing interventions to decrease the level of burden and to increase HRQoL in demented elders' caregivers. Further studies and efforts will be needed to investigate preceding factors of burden and HRQoL.

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Factors Influencing Quality of Caregiving by Caregivers for Elders with Dementia (치매노인 주부양자의 돌봄수준의 영향요인)

  • Kang, Chan Mi;Kim, Jung Soon;Jeong, Jeong Hee
    • Research in Community and Public Health Nursing
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    • v.27 no.3
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    • pp.193-201
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    • 2016
  • Purpose: The aim of the study is to determine factors influencing quality of caregiving by caregivers for the elderly with dementia. Methods: Data were collected from 87 caregivers for elders with dementia who had visited in Busan Metropolitan Center for Dementia and D-University hospital outpatient center from July 10 to September 30, 2015. A self-reported questionnaire was used to assess the severity of the elders' dementia and knowledge of dementia, burdens and quality of caregiving by the caregivers. The SPSS 21.0 version program was used for data analysis. Data were analyzed using descriptive statistics, Pearson's correlation, t-test, ANOVA and multiple regression. Results: Significant predictors of quality of caregiving by caregivers included caregivers' burdens (explanation power 25%), knowledge of dementia (explanation power 4%) and levels of education (explanation power 3%). These factors explained 32.3% of the variances in quality of caregiving. Conclusion: Burdens on caregivers were a major factor that decreased quality of caregiving, and knowledge of dementia was a factor that increased it. These findings show that educational programs and intervention for reducing burdens and improving knowledge of dementia are necessary to improve quality of caregiving by caregivers.

Preschooler's Behavior Problems and Relating Factors in Poverty Group (학령전기 빈곤 아동의 행동문제와 관련 요인)

  • Bang, Kyung-Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.15 no.2
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    • pp.321-328
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    • 2009
  • Purpose: The aim of this study was to examine the relationship between caregivers' child rearing characteristics including discipline method, child rearing confidence, attitude, burden, attachment, and cognitive stimulation and preschooler's behavior problems in poor, urban group. Method: A cross-section study design was used. Conveniently selected one hundreds and three preschool aged children and their caregivers who are under National Security Act were recruited. Data was collected using Korean Child Behavior Checklist (K-CBC) comprised of nine sub-dimensions and caregivers' self report questionnaires. Results: Caregivers' discipline method was associated with behavior problems of child. The internalizing and externalizing behavior problem scores including aggressive behavior of children who experienced spanking were significantly higher than children who did not. In addition, Caregivers' child rearing confidence also showed associations with the children's behavior problems. Child behavior problems showed positive relationships with caregivers' child rearing burden, and negative relationships with child rearing attitude, attachment, and cognitive stimulation. Conclusion: Caregivers' negative discipline methods and low child rearing confidence showed significant relationships with children's behavior problems of poor, urban children. Nurses working in primary care and community-based settings are in key positions to address this problem and improve the parenting attitude of low-income caregivers and positively affect the behavior of their children.

Study of Difference on Activities of Daily Living and Quality of Life of Dementia Patients Reported by Dementia Patients and Caregivers (일상생활활동과 삶의 질에 대한 치매노인과 요양보호사의 지각 차이에 대한 연구)

  • Song, Min-Sun;Choi, Chan-Hun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.3
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    • pp.386-391
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    • 2012
  • The purposes of this study were to investigate the difference on activities of daily living(ADL), instrumental activities daily of living(IADL) and quality of life of aged woman with dementia reported by aged woman with dementia and caregivers. From December 2009 to February 2010, 64 subjects in the institutionalized aged woman with dementia, 22 caregivers were surveyed through structured questionnaires. There was no difference ADL and quality of life of aged woman with dementia reported by aged woman with dementia and caregivers. But, there was significant differences in IADL. Also, ADL was positively related to IADL in aged woman with dementia and caregivers. ADL and IADL were negatively related to quality of life in aged woman with dementia and caregivers. In daily activity and life quality, there is no difference recognized by aged woman with dementia and caregivers. So it's not matter for the nursery to recognize the demand of the aged woman with dementia and to care them. It is necessary to study the elderly with dementia at home, and to compare the patients in accordance with severity.

The Effect of a Social Support Program on Family Caregivers' Role Strain in Elderly Long-term Home Care (사회적 지지 프로그램이 노인장기요양 재가급여 노인 수급자 가족원의 부담감에 미치는 효과)

  • Oh, Mei Hae;Park, Kyung Min
    • Research in Community and Public Health Nursing
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    • v.25 no.2
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    • pp.137-145
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    • 2014
  • Purpose: This study was conducted to evaluate the effect of a social support program on family caregivers' role strain in elderly long-term home care. Methods: The research adopted a non-equivalent control group pretest-posttest design. The number of participants was 25 in the experimental group and 25 in the control group sampled among family caregivers in elderly long-term home care. The experimental group participated in a 10-session social support program, which consisted of physical, emotional, informational, and material support. The effect of the program was evaluated by measuring family caregivers' role strain. Results: The experimental group showed a significant decrease in family caregivers' role strain in elderly long-term home care. Conclusion: The result suggests that the social support program was effective in decreasing family caregivers' role strain in elderly long-term home care. There is a need to develop more effective and systematicsocial support programsfor family caregivers of elderly long-term home care.

The Awareness on Medical Insurance on the Caregivers Cost for Hospital Administrative Personnel (병원행정직원의 간병비 급여화에 대한 인식)

  • Hwang, Byung-Deog;Choi, Ryoung
    • Korea Journal of Hospital Management
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    • v.19 no.2
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    • pp.1-11
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    • 2014
  • The purpose of this study is to investigate awareness on medical insurance on the caregivers cost for hospital administrative staff and to provide the basic data for realization of legislation. The subjects were caregivers living in Busan, the survey was conducted from February 18 to March 9, 2013, 283 except for 17 copies of non-response and error response among a total of 300 questionnaires were analyzed. As a result, To improve the quality of care services, there were 51.8% of refresher training needs in refresher training items, 72.7% in favor of premiums increases in health insurance details, as for health insurance coverage subjects, patients' income were 32.0%, copayment for caregivers cost was 20.0%, which was 42.3%. Refresher training item, premiums increases, health insurance applied subjects, variables for copayment for care fee were related to medical insurance on the caregivers cost. On legislation on the medical insurance, systematic and standardized criteria should be provided to provide standardized curriculum for caregivers, to relieve patients and guardians of economic burden for caregivers cost and offer the stability of the cost.

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Affecting Factors of Hospital Caregivers on the Level of Practice, Knowledge, and Importance of Work under No Guardian (보호자 없는 병실 간병인의 간병업무 중요도, 지식정도와 수행정도에 영향을 미치는 요인)

  • Gil, Hyun-Hee;Choi, Jeong-Sil
    • Korean Journal of Occupational Health Nursing
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    • v.21 no.1
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    • pp.55-65
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    • 2012
  • Purpose: The purpose of this study was to provide baseline data on paid hospital-caregivers' work performance, degree of importance of caregiving, and their knowledge as well as affecting factors on the level of practice when there is no guardian. Methods: The subjects of this study were 155 total caregivers working at 9 hospitals. Data were collected by self-reported questionnaires in December, 2010. The collected data were analyzed using SPSS/WIN 17.0. Results: The caregivers' level of practice showed 4.0/5.0 points, degree of importance, 4.4/5.0 points, and knowledge, 4.3/5.0 points. The level of practice was significantly different depending on the hospital types. Significant correlations were found between level of practice, degree of importance and knowledge. The degree of importance and types of hospital attributed to 17.1% of variance in the level of practice. Conclusion: A systematic hospital caregivers' program focusing on strategy to enhance caregivers' level of practice, degree of importance and knowledge can be effective for paid hospital-caregivers when there is no guardian.

Identifying the Needs of Home Care Patient's Family Caregivers (가정간호 가족 돌봄 제공자의 요구도)

  • Baek, Hee-Chong;Choi, Yun-Jung
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.15 no.2
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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.

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Effects of an Information Protocol on Anxiety and Nursing Satisfaction for Family Caregivers of Cerebrovascular Accident Patients in the ICU (정보제공이 중환자실에 입원한 뇌졸중환자 가족의 불안 및 간호만족도에 미치는 영향)

  • Cho, Kyung-Jin;Jun, Eun-Mi
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.14 no.1
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    • pp.53-61
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    • 2007
  • Purpose: The purpose of this study was to investigate the effects of an information protocol for anxiety and nursing satisfaction of family caregivers. The caregivers were caring for a family member who had a CVA (cerebrovascular accident) and who had been admitted to the ICU (intensive care unit). Method: The research design was a non-equivalent control group non-synchronized design. Data were collected from April 1 to October 31, 2005 at D hospital in Busan City The participants were 40 family caregivers of patients with a CVA admitted to the ICU. Caregivers in the experimental group participated in the information protocol for 30 min. Both groups were pre-tested before the intervention for two variables, anxiety and nursing needs. The post-test of both groups included anxiety and nursing satisfaction. The instruments used in this study were the Spielberger's state anxiety inventory (1976) and the nursing satisfaction scale developed by Molter (1979). Results: Anxiety scores were significantly lower and nursing satisfaction scores were significantly higher for caregivers in the experimental group compared to those in the control group. Conclusion: The information protocol was effective in reducing anxiety and increasing the level of nursing satisfaction of family caregivers caring for an ICU patients with a CVA.

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