• 제목/요약/키워드: Caring Burden

검색결과 145건 처리시간 0.019초

취업 여성의 미혼 성인자녀 돌봄 부담이 우울에 미치는 영향 : 부부의사소통과 일 만족도의 매개효과 (The Effect of Burden of Caring Unmarried Adult Children on Depression of Employed Women: Mediating Effects of Couple Communication and Job Satisfaction)

  • 조옥선;백진아
    • 융합정보논문지
    • /
    • 제8권6호
    • /
    • pp.293-303
    • /
    • 2018
  • 본 연구의 목적은 취업 여성의 미혼 성인자녀 돌봄 부담감이 우울감에 미치는 영향과 그 과정에서 부부의사소통 및 일 만족도의 매개효과를 검증하는데 있다. 이를 위해 여성가족패널(KLoWF) 4차년도 자료를 기준으로 미혼 성인자녀와 베이비부머 남편을 둔 취업 기혼여성 586명을 표본으로 추출하여 구조방정식을 실행하였다. 연구결과를 살펴보면 첫째, 취업 여성의 미혼 성인자녀 돌봄에 대한 부담감은 우울감에 정(+)적인 영향을 미치며, 부부의사소통과 일 만족도에는 부(-)적인 영향을 미치는 것으로 나타났다. 둘째, 부부의사소통은 취업 기혼여성의 우울감에 부(-)적인 영향을 주고, 미혼 성인자녀 돌봄 부담감과 우울감 사이에 부분매개 역할을 하는 것으로 나타났다. 셋째, 취업 기혼여성의 일 만족도는 우울감에 부(-)적인 영향을 미치며, 미혼 성인자녀 돌봄 부담감과 우울감 사이에 부분적인 매개효과가 있는 것으로 나타났다. 이상의 연구결과를 바탕으로 취업 여성의 우울감을 낮추고, 부부의사소통과 일 만족도를 고취시키기 위한 다양한 프로그램의 개발과 적용을 제시하였다.

노인성 치매환자를 간호하는 가족의 부담감에 대한 연구 (A Study on the Care burden of Family Caregivers for Senile Dementia)

  • 유광수
    • 한국보건간호학회지
    • /
    • 제15권1호
    • /
    • pp.125-147
    • /
    • 2001
  • The objective of study is to investigate the degree of burden of family who care for the elderly with dementia and to find out the factors related to the family burden as a pilot study. The number of subjects was total 137 and they were the families who were caring for elderly with dementia. The data was analyzed by SPSS/PC, t-test ANOVA. The results were as follows: 1. The score of family burden who were caring for elderly with dementia was 2.90 and the score of burden was high in case of the limitation of indivisual social activities. which was 3.09 and the lowest score was in case of the health of physical and limited which was 2.58 2. There was the correlation the level of dementia and the degree of burden of family who care for the elderly with dementia in character of dementia (p<0.05). 3. There was the correlation between the abnormal activities of the elderly with dementia and the degree of burdens of family (r=0.330). 4. There was the correlation between ADL of the elderly with dementia and the degree of burdens of family (r=-0.330). 5. The service duration had statistically significant correlation with burden In the character of family (P<0.05). 6. The using facility had statistically significant correlations with burden in the character of socity (P<0.05).

  • PDF

만성질환자 배우자의 돌봄 경험에 대한 이론 구축 (A Theory Construction on the Care Experience for Spouses of Patients with Chronic Illness)

  • 최경숙;은영
    • 대한간호학회지
    • /
    • 제30권1호
    • /
    • pp.122-136
    • /
    • 2000
  • Chronic illness requiring attention and management during a long period of time puts great burden onto patients, their family and society. For patients with chronic illnesses, providing social support is the most important, and the fundamental support comes from their spouses. Amount and quality of support from spouses seems to differentiated according to the sex of patients. Female patients tend to believe that their spouses are not very supportive. Therefore, the researchers assessed the burden of husbands of female arthritis patients to discover the factors that result in greater burden. Also, they developed a theoretical model of husbands′ care for their wives through a qualitative research into husbands′ experience. Method 1: The study material was 650 female arthritis patients registered in an arthritis clinic. The questionnaire about the disease experience of female arthritis patients and the burden of husbands were sent. Returned questionnaires numbered 210(32.3%) and 27 were excluded because of inadequate answers. The remaining 183 questionnaires were analyzed. The mean age of the patients was 51 years and the mean age of spouses was 55 years. The mean marital period was 28 years. The average duration since diagnosis was 9.1 years. Education level was varied from primary school to graduate school, and average income/month was 1,517,300 won. Method 2: Initial questionnaire studies on the burden of husbands were performed. Among 183 responding husbands, 23 consented to participate for a qualitative research. Data was obtained by direct and telephone interviews. The mean age of participants was 58 years, and the educational level and socioeconomic status also varied. Result: 1. Husbands′ burden: The average burden was 57.68 with a range of 6-96. 2. Burden and general characteristics: The husband′s burden correlated with the age of the patients, numbers in the family, therapy methods, patient′s level of discomfort, patient′s disease severity, patient′s level of dependence and the husband′s understanding of the level of severity. 3. Linear correlation analysis on burden: The husbands′ burden is explained in 22.5% by husband′s recognition of level of severity and husbands′ age. 4. There were four patterns of the burden on husbands: both objectve burden and subjective burden were high(pattern I), both of objectve burden and subjective burden were low(pattern II), objective burden was high but subjective burden was low(pattern III), objective burden was low but subjective burden was high(pattern IV). The pattern was correlated with the family income, educational level of the patients and their husbands, therapy methods, patient′s level of discomfort, patient′s disease severity, patient′s level of dependence and husband′s understanding of level of severity. 5. The core category of the caring experience of the husbands with arthritis patients was "companionship". The causal factor was the patients′ experience due to symptoms : physical disfigurement, pain, immobility, limitation of house chores, and limitation of social activities. Contextural factors are husbands′ identification of housework and husbands′ concern about the disease. The mediating factors are economic problems, fear of aging, feeling of limitation and family support. The strategy for interaction is mind control and how to solve emotional stress. The "companionship" resulted from caring activities, participation of household activities, helping patients′ to coping with emotional experience. 6. Companionship is established through the process of entering intervention, and caring state of mind. Entering intervention is the phase of participation of therapy and involvement of houseworks. The caring phase consists of decision on therapy, providing therapy, providing direct care, and taking over the household role of wife. Through caring phase, the changing phase set a stage in which husbands consolidate the relationship with their wives, and are reminded of the meaning of marriage. As a result, in changing phase, husbands′ companionship is enhanced. In conclusion, nursing care of chronic illnesses should include a family member especially the spouse. All information on disease shoud be provided to patients and whole family member. Strong support should also be provided to overcome difficulties in taking over role of other sex. Then the quality of life of patients and families will be much improved.

  • PDF

한국 30대~40대 여성의 이중돌봄 현실과 돌봄경험의 다중성에 관한 연구 (A Study on Double-Care and Multiplicity of Caring Experiences among Women Aged 30s to 40s in Korea)

  • 송다영
    • 한국사회복지학
    • /
    • 제66권3호
    • /
    • pp.209-230
    • /
    • 2014
  • 본 논문은 30대 부터 40대까지의 여성들 가운데 6세 이하의 자녀를 양육하는 시기와 부모/노부모를 동시에 돌봐야 하는 이중돌봄의 문제가 상당히 광범위하게 존재하고 있음을 보여주면서, 돌봄이 특정 시기의 특정 연령대에 분절적으로 일어나는 것이 아니라 생애주기의 어느 시점에도 발생할 수 있는 일상성에 주목하였다. 또한 돌봄은 부담으로서 뿐만 아니라 즐거움이나 보람을 동시에 주고 있으며, 돌봄제공자-돌봄대상자-돌봄보조자의 관계에 의하여 다양한 층위의 경험으로 분화될 수 있음을 드러내었다. 연구결과, 6세 이하 아동돌봄과 노인돌봄을 동시에 하는 이중돌봄 가구는 전체의 38%에 달했고, 향후 이중돌봄이 예상된다는 가구까지 합하면 54.9%에 이르러 이중돌봄이 상당히 보편적임을 보였다. 돌봄의 즐거움과 부담을 분석한 결과, 돌봄의 즐거움은 아동돌봄>부모돌봄>시부모돌봄 순이었으며 부담은 역순으로 나타났다. 그러나 돌봄제공자와 대상자간 관계는 돌봄 자체의 즐거움이나 부담에 영향을 미치는 주요한 요인으로 나타났다. 구체적으로 며느리-시부모간 돌봄도, 딸-부모간 돌봄도 그들이 맺어온 관계에 따라 돌봄경험이 달라지는 것으로 나타났다. 또한 딸이 부모를 돌볼 경우에 남성 배우자로부터의 무관심이 더 높고 도움이 수반되지 않아서 딸로서의 돌봄이 며느리로서의 돌봄의 경우보다 부담이 가중되기도 하였다. 결론에서는 이중돌봄의 어려움을 감소시킬 수 있는 사회적 지원방안과 정책이 제안되었다.

  • PDF

재가 와상 환자를 돌보는 노인배우자의 경험 (The Elderly Spouses' Experiences of Providing Care for their Bedridden Patient at Home)

  • 조연실;손수경
    • 성인간호학회지
    • /
    • 제29권1호
    • /
    • pp.63-75
    • /
    • 2017
  • Purpose: This study was to explore and describe the reported experiences of elderly spouses who care their bedridden spouse in the home. Methods: The participants of this study were 14 male and female elderly spouses who live in B metropolitan city and have provided care for more than six months. Data were collected from July 3 to November 6, 2014. Data analysis was done simultaneously with data collection, using the analytical methods of Strauss and Corbin for Grounded theory. Results: The core category was identified as 'going together bearing a heavy burden of care in old age.' In this study, the caring process of elderly spouses can be explained in terms of three stages such as 'a period of trial and error,' 'a period of mastering a role,' and 'a period of role transcendence'. Conclusion: The results of this study can provide an intervention framework to reduce the heavy burden of caring for an elderly spouse.

장기요양서비스 전.후 가족의 수발 부담감에 영향을 미치는 요인 (Caregiver Burden in Caring for Elders Before and After Long-term Care Service in Korea)

  • 이홍자
    • 대한간호학회지
    • /
    • 제42권2호
    • /
    • pp.236-247
    • /
    • 2012
  • Purpose: Purposes of this study were: evaluation of family burden of caring for elders who receive long term care services, and examination of differences in burden before and after the introduction of long term care service in Korea. Methods: Data were collected by questionnaires from 416 caregivers of elders who were registered with the Long Term Care Insurance Corporation in six cities. Data were collected in September, 2010 and analyzed using descriptive statistics, paired t-test, and ANOVA with the Scheffe test, and stepwise multiple regression. Results: Family burden decreased significantly after longterm care service was initiated. Subjective burden decreased from 2.93 to 2.69 (t=11.78, $p$<.001), and objective burden, from 3.40 to 3.10 (t=12.73, $p$<.001). Stepwise multiple regression analysis revealed that factors affecting subjective burden were family relations (F=13.60, $p$=.003), age (F=5.47, $p$=.019), job (F=6.98, $p$=.008), and education (F=4.59, $p$=.032), and that factors affecting objective burden were living together (F=17.66, $p$<.001), job (F=13.34, $p$=.003), monthly income (F=6.61, $p$=.010), and type of service (F=6.62, $p$=.010). Conclusion: The results of this first study to investigate caregiver burden after the Korean Long-term Care Insurance System was begun provide positive information for the development of strategies to decrease family burden in long term care.

집단지지 중재가 뇌졸중 환자 가족원의 제 적응에 미치는 효과 (The Effect of Support Group Intervention on Various Adaptations of Primary Family Caregivers Caring for Cerebro-Vascular Accident Patients)

  • 김복랑
    • 성인간호학회지
    • /
    • 제12권3호
    • /
    • pp.334-344
    • /
    • 2000
  • The purpose of this research was to examine the effect of support group intervention on the various adaptations of primary family caregivers caring for Cerebro- Vascular Accident patients. The nonequivalent control group pretest-posttest design within the framework of Lazarus & Folkman's stress-adaptation model was used for this experimental study. The subjects were 86 primary family caregivers caring for Cerebro- Vascular Accident patients at K hospital in Taegu, D herbal hospital in Kyung Ju, H hospital in Pohang from March, 1998 to July, 1998. Among 86 subjects, 43 were placed in an experimental group and 43 in a control group. The experimental group was treated by researcher who administered informational and emotional support group intervention once a week over a five weeks period. The data were collected through interviews. Collected data was analized by means of a chi-square test, t-test, ANCOVA, and Pearson correlation coefficient. The results of this research were as follows: 1. Physical, emotional, and social adaptation scores in the experimental group were revealed to be significantly higher than those of the control group. 2. There was significant positive correlation among physical health, subjective burden, depression and objective burden. Accordingly, it is concluded that informational and emotional support group intervention was a useful nursing intervention on the various adaptations of primary family caregivers caring for Cerebro-Vascular Accident patients.

  • PDF

부양자의 죄책감이 수발도움 요청행위에 미치는 영향 (The Effect of Primary Caregivers' Guilt Feelings on their Request Behaviors for Help with Caring)

  • 윤은경;조윤득
    • 한국노년학
    • /
    • 제28권4호
    • /
    • pp.1249-1264
    • /
    • 2008
  • 죄책감은 요보호노인의 주부양자가 가지기 쉬운 역기능적인 감정으로 수발부담을 이중으로 가중시키고 있음에도 불구하고 죄책감이 수발행위에 미치는 영향에 대해 다룬 실증연구는 거의 미비하다. 이에 본 연구는 노인부양에 대한 유교적인 가치가 아직 남아 있는 우리사회에서 부양자가 가지는 죄책감에 착안하여 죄책감이 주부양자의 부양부담과 수발도움요청행위에 미치는 영향에 대해 알아보는 것을 목적으로 하고 있다. 조사는 60세 이상의 요보호노인을 수발하고 있는 주수발자 220명을 대상으로 방문 조사하였다. 죄책감 측정도구는 수발자용으로 자체 개발된 척도를 사용하였고(${\alpha}=.949$), 죄책감은 4가지 요인으로 분류되어 자기통제결핍형, 자원결핍형, 소진형, 규범형으로 명명하였다. 연구결과는 다음과 같다. 첫째, 가족수발자의 죄책감은 부양부담감과 양의 상관관계를 이루며 부양부담감은 죄책감의 4가지요인에 고루 영향을 미치는 것으로 나타났다. 둘째, 주부양자가 수발도움을 요청할 때, 동거가족과 이웃에 대해 죄책감을 느끼며, 죄책감이 적을 경우에 주간보호서비스를 이용하고 있었다. 특히 주부양자에게 영향을 미치는 죄책감요인은 동거가족에게는 규범적인요인, 이웃에게는 자원결핍요인, 그리고 주간보호서비스이용에서는 소진요인으로 나타났다. 이러한 결과는 수발도움 요청에 있어 발생하는 부양자의 역기능적인 감정인 죄책감이 수발부담을 더욱 가중시키고 있음은 물론 부양자 역할을 분담하는데 있어 어려움을 초래할 수 있다는 것을 알 수 있다. 이에 부양자의 정신건강을 위해서는 부양자가 가지는 죄책감에 대해 이해하고 대응하는 프로그램개발이 필요할 것이다.

중년기 취업모의 가족부양부담이 심리적 복지감에 미치는 영향 - 가족지지 자원의 조절효과를 중심으로 - (The Effect of Family Caregiver Burden on Psychological Well-Being among Middle-Aged Working Mothers: Focused on the Moderating Effect of Family Support Resources)

  • 박주희
    • 가족자원경영과 정책
    • /
    • 제23권3호
    • /
    • pp.133-148
    • /
    • 2019
  • This study aimed to explore the moderating effect of family support resources on family caregiver burden as it in turn affects psychological well-being among middle-aged working mothers. Through purposive sampling, the study recruited 325 married employed mothers age 40-50 years who live in Seoul and who have more than 1 child and living parents or parents-in-law. The investigation was performed April 1-30, 2018, with the participants sampled from companies, schools and religious organizations in Seoul. The collected data were statistically analyzed using the SPSS 21.0 package. The results of this study were as follows: First, of all categories of caregiver burden, the score for burden of caring for elderly parents was 3.01 (SD = .81), slightly higher than the median of 3 points; childcare burden scored 3.16 (SD = .73), also higher than the median value; and family support resources scored 3.40 (.89), higher than the median of 3. Overall psychological well-being rated 3.25 (SD = .56). Second, health and educational level, the burdens of caring for elderly parents and childcare and family support resources were found to significantly affect psychological well-being. Third, family support resources, a moderating variable, were found to significantly moderate and ease the effect of childcare burden on middle-aged working mothers' psychological well-being. Furthermore, in the analysis of their moderating effect, family support resources were confirmed to positively affect psychological well-being by moderating childcare burden experienced by middle-aged working mothers.