• Korean Journal of Child Studies
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• v.26 no.4
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• pp.125-143
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• 2005

This study focused on the importance of the attachment/caregiving system at a dyadic level, and examined relationships between maternal representations of caregiving, maternal caregiving behavior, and child attachment. Seventy-five middle-class mothers and their preschool children(ages 3-4) participated in the study. Results indicated a strong correspondence between maternal representations of caregiving and maternal caregiving behavior at the secure/insecure and ordered/disordered level. The correspondence between maternal representations of caregiving and their preschooler's attachment, and between maternal caregiving behavior and their preschooler's attachment at the secure/insecure level were also strong. The correspondence between maternal representations of caregiving and their preschooler's attachment was mediated by maternal caregiving behavior.

• 한국노년학
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• v.29 no.2
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• pp.441-458
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• 2009

The present study compared the differences in mechanisms of caregiving stress, depression, parenting behaviors, stress-coping, and social support between caregiving grandmothers and the caregiving mothers. Three caregiving groups were compared; One hundred and fifty-two grandmothers rearing their grandchild as daytime care-giver (partial caregiving-grandmother group), 152 mothers who shared the responsibilities of caregiving the same child (partial caregiving-mother group), and another 157 mothers who rear their child as daytime care-giver (primary caregiving-mother group). Predictors of parental stress for these caregiving groups were also assessed. The results indicated that partial caregiving-grandmother group had more depressed than two mother groups, but there were no differences in parental stress among three caregiving groups. In addition, primary caregiving-mothers used more problem-focused coping strategies, and more social support than did partial caregiving-grandmothers. In parental behaviors, partial caregiving-grandmothers significantly had more laxness, less overactive than two mother groups. In the analysis of hierarchical regression, overactivity and depression were significant predictors of parental stress in partial caregiving-grandmothers. On the other hand, depression, social support, and overactivity were significant predictors of parental stress in partial caregiving-mothers. In primary caregiving-mothers, overactivity, depression, and emotion-focused coping were significant predictors of parental stress. We discussed the differences of the predictors in parental stress between grandmothers and mothers.

• The Korean Journal of Community Living Science
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• v.21 no.4
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• pp.469-479
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• 2010

Using data from the 2001 National Long-Term Care Survey database, this study analyzed gender differences in factors affecting caregiver burdens of spouse caregivers in Korea. Multiple regression was used to estimate factors influencing caregiver burdens of caregiving wives and caregiving husbands respectively. The results showed that there was a significant variability in predictors of caregiver burdens of spouses who take care of the impaired elderly. ADL functional status of care recipients and social support were significant for both the caregiving wives model and caregiving husbands model in influencing caregiving burdens. It was noticeable to report that a caregiver's self-rated health status, monthly caregiving expenses, a care recipient's self-rated health status were unique predictors for the caregiving wives model. These findings suggest that it is vital for planners and providers to take gender differences in spousal caregiving into account when designing and formulating community-based long-term care service programs.

• Korean Journal of Adult Nursing
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• v.16 no.2
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• pp.264-275
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• 2004

Purpose: The purpose of this Study was to identify the factors that affect the caregiving burdens felt by the female family caregivers and quality of caregiving. Method: The subjects were 247 female family caregivers who were living with the elderly and were residing in Seoul. Data was collected from June 30, 2000 to Agust 11 by using questionnaire. The collected data was analyzed using descriptive statistics and hierarchial multiple regression with SAS/PC. Result: Situational factors had the greatest influence on the caregiving burdens. While the interactive factors of discrepancy between past and present image of elder and the caregiving belief were proven to be significant, the former had greater influence. The factors affecting the quality of caregiving, this is greatly influenced by situational factors and interactive factors. The discrepancy between past and present image of elder had relatively little influence while caregiving belief had the greatest influence. Among the situational factors, family stress had the greatest influence, while the caregiving burdens had little influence on the quality of caregiving. Conclusion: In order to improve the quality of caregiving in elderly by the female caregiver in the family, and to reduce the caregiving burdens, it is important to consider variables related to interaction as well as those directly concerned with caregiver and the elderly for nursing intervention.

• Journal of Korean Academy of Nursing
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• v.45 no.1
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• pp.97-106
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• 2015

Purpose: This study was done to develop and test a structural model for caregiving experience including caregiving satisfaction and caregiving strain in families providing care for family members with a mental disorder. Methods: The Stress-appraisal-coping model was used as the conceptual framework and the structural equation model to confirm the path that explains what and how variables affect caregiving experience in these families. In this hypothesis model, exogenous variables were optimism, severity of illness and uncertainty. The endogenous variables were self efficacy, social support, caregiving satisfaction and caregiving strain. Data were collected using structured questionnaires. Results: Optimism and caregiving self-efficacy had significant direct and indirect effects on caregiving satisfaction. Optimism, severity of illness and uncertainty had significant direct and indirect effects on caregiving strain. The modified path model explained effects of optimism on caregiving self-efficacy with social support in the path structure as a mediator. Also, there were direct and indirect effects of optimism and uncertainty on caregiving satisfaction with social support and caregiving self-efficacy in the path structure as a mediators. Conclusion: Results suggest the need to improve caregiving self-efficacy of these families, establish support systems such as a mental health professional support programs for caregiving self-efficacy. Optimism, severity of illness and uncertainty perceived by families need to be considered in the development of support programs in order to increase their effectiveness.

• Korean Journal of Child Studies
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• v.32 no.5
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• pp.29-47
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• 2011

The purpose of this study was to examine the effects of spousal attachment, spousal caregiving, and parental caregiving behaviors on children's parental representations. One hundred and fifteen preschoolers (72 boys and 43 girls, aged between 4-5 years old) and their fathers and mothers participated in this study. The instruments used were the MacArthur Story-Stem Battery (Bretherton, Oppenheim, Buchsbaum, Emde, and the MacArthur Narrative Group, 1990), the Experiences in Close Relationships Scales (Brennan, Clark, & Shaver, 1998), the Caregiving Questionnaire (Kunce & Shaver, 1994), and the Parental Acceptance-Rejection Questionnaire (Rohner, 1991). The data were analyzed using descriptive statistics and structural equation modeling analysis. In conclusion, parents' spousal attachment, spousal caregiving, and parental caregiving behaviors have influenced on children's parental representations.

• Journal of Korean Academy of Nursing
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• v.46 no.5
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• pp.663-674
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• 2016

Purpose: The purposes of this study were to develop and test a prediction model for caregiving experiences including caregiving satisfaction and burden in dementia family caregivers. Methods: The stress process model and a two factor model were used as the conceptual frameworks. Secondary data analysis was done with 320 family caregivers who were selected from the Seoul Dementia Management Survey (2014) data set. In the hypothesis model, the exogenous variable was patient symptomatology which included cognitive impairment, behavioral problems, dependency in activity of daily living and in instrumental activity of daily living. Endogenous variables were caregiver's perception of dementia patient's unmet needs, caregiving satisfaction and caregiving burden. Data were analysed using SPSS/WINdows and AMOS program. Results: Caregiving burden was explained by patient symptomatology and caregiving satisfaction indicating significant direct effects and significant indirect effect from unmet needs. The proposed model explained 37.8% of the variance. Caregiving satisfaction was explained by patient symptomatology and unmet needs. Mediating effect of unmet needs was significant in the relationship between patient symptomatology and caregiving satisfaction. Conclusion: Results indicate that interventions focusing on relieving caregiving burden and enhancing caregiver satisfaction should be provided to caregivers with high levels of dementia patients' unmet needs and low level of caregiving satisfaction.

• Journal of Hospice and Palliative Care
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• v.24 no.2
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• pp.116-129
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• 2021

Purpose: The purpose of this study was to examine the knowledge, caregiving performance, stress levels, and mental health of family caregivers of terminal cancer patients with delirium, insofar as these characteristics are relevant for delirium. Methods: Between May 1, 2019, and June 1, 2020, 96 family caregivers of terminal cancer patients with delirium completed a structured survey, the results of which were analyzed. Results: The average correct answer rate for delirium-related knowledge was 53.2% across all subcategories, which included knowledge of causes (41.5%), symptoms (65.4%), and caregiving (51.7%). The average score for family caregivers' performance of caregiving for delirium was 2.60±0.5, with subcategories including caregiving for patients without delirium (2.16±0.95), caregiving for patients with delirium (2.84±1.01), and stress related to caregiving for delirium (39.88±16.55), as well as categories such as patient-related caregiving (44.32±28.98), duty-related caregiving (44.21±30.15), and interpersonal relationship-related caregiving (22.35±25.03). For mental health, the average score among family caregivers was 1.96±0.70, with the highest score being for the category of additional items (2.28±0.84). Family caregivers of patients with hyperactive delirium as the delirium subtype had higher scores for caregiving performance than caregivers of patients with mixed delirium. Conclusion: Scores for the delirium-related knowledge and caregiving performance of family caregivers were low, while their caregiving stress levels were high due to their lack of knowledge and experience. This indicates the importance of delirium-related education for family members of patients with delirium and the necessity of developing nursing intervention programs to help manage stress and promote mental health among family caregivers.

• 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.

• The Journal of the Korea Contents Association
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• v.18 no.12
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• pp.611-623
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• 2018

Ten middle-aged women who support their biological parents have been interviewed to investigate their experiences of caregiving their parents. As a qualitative research method, data were collected through in-depth interviews and analyzed by Colaizzi's phenomenological method. Consequently 244 meaningful sentences were selected from the collected interview data and then were sorted into 67 meaningful sentences and, consequently into 9 sub-themes. Finally four high-level themes are wrapped through the summarizing process. The first theme is motivation of caregiving. Inevitable cases are most common for caregiving their biological parents. And, general responsibilities to their parents are also deduced as a motivation of caregiving. The second theme is a psychological phenomenon of middle-aged women while they provide consistent caregiving their biological parents even though they have some troubles with their parents. The third theme is meaning of caregiving. For some women, caregiving their biological parents is their own happiness and gratitude such as lifelong gifts. The final theme is influence of caregiving. Further understanding their parents, and more distinct prospecting their future lives are unexpected fruits from the caregiving their biological parents.