• 제목/요약/키워드: Caring Burden

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장애아동 어머니의 돌봄 행위 구조모형 (A Structural Model of Caring Behavior of Mothers of Disabled Children)

  • 이애란
    • 대한간호학회지
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    • 제39권5호
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    • pp.673-682
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    • 2009
  • Purpose: This study was done to develop a model which explains factors influencing caring behavior of mothers who have children with disabilities, and to verify the appropriateness of the model and the relationship among variables. Methods: The participants in the research were the mothers who had a 3 to 12 yr-old children with disabilities. The data were collected from 451 mothers through self-reported questionnaires from July 14 to 31, 2008. A total of the 371 data sets were analyzed using SPSS/WIN 11.5 and AMOS 5.0 version. Results: The children's behavior characteristics, social support, objective burden and parenting self-esteem had an impact on the mothers' caring behavior. Especially, parenting self-esteem including parenting satisfaction and self-efficacy was the most influential factor. These variables explained 77% of the mothers' caring behavior for these children. Conclusion: The results suggest that some strategies for promoting mothers' parenting self-esteem focused on parenting satisfaction and self-efficacy should be developed in order to help mothers in caring for their child who is disabled.

장애아동 전담보육시설 이용자의 보육서비스에 대한 요구와 만족도 - 경상북도를 중심으로 - (Caring Services in Specialized Facilities for Handicapped Children in Gyeongbuk Province : Users' Needs and Satisfaction)

  • 남상순;최외선
    • 아동학회지
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    • 제28권4호
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    • pp.209-227
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    • 2007
  • A structured questionnaire was distributed to families using some of the ten specialized caring facilities throughout Gyeongbuk Province. Of the 294 responses, 242 were usable. Results showed that (1) facilities were most used by families of children with autism (31.3%) and by families with severely handicapped children (96.3%). (2) Suggestions for improving facilities, included physical-, performance-, and language-therapies (60%) and teachers with expertise in special education (47.8%).(3) More than half of the respondents were satisfied with the degree of care. (4) Satisfaction with degree of caring services varied with academic background of mothers, mothers' job status, degree of child's disability, length of usage, average expenditure for hospital visits, and burden to the family.

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근위축성측삭경화증 환자를 돌보는 가족간호자의 삶의 질과 영향 요인 (Quality of Life and the Factors Related to Family Caregivers Caring for Those with Amyotrophic Lateral Sclerosis)

  • 윤미현;최스미
    • Perspectives in Nursing Science
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    • 제8권1호
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    • pp.62-72
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    • 2011
  • Purpose: The purpose of this study was to investigate QOL and the factors related to family caregivers who care for Amyotrophic Lateral Sclerosis (ALS) patients. Methods: The subjects were 83 family caregivers caring for ALS patients who visited the neurology outpatient section of a tertiary hospital located in Seoul between January and July of 2008. Their demographic characteristics were assessed and data were collected using the amyotrophic lateral sclerosis functional rating scale (ALSFRS), the caregiver burden inventory (CBI), HADS, and SF-36. Results: The mean score of the physical health component (PHC) of the family caregiver's QOL was $62.6{\pm}24.4$, and the mean score of the mental health component (MHC) of their QOL was $57.7{\pm}22.4$. The mean score of caregiver burden was $76.5{\pm}30.7$. Anxious family caregivers amounted to 55.4% and depressed family caregivers accounted for 63.9% overall. In a multivariate analysis, the PHC of QOL was explained by caregiver burden (41.1%), depression (9.4%), caregiver gender (3.8%), and caregiver age (3.1%). Anxiety (39.8%), caregiver burden (10.9%), patient gender (5.4%) and depression (1.7%) were predictive factors of the MHC of QOL. Conclusion: Caregiver burden and depression affected both the PHC and the MHC. Caregiver burden affected the PHC more than it did the MHC of QOL, but anxiety affected the MHC more than it did the PHC of QOL.

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노인요양시설 요양보호사를 위한 낙상예방교육프로그램이 낙상관련 지식, 낙상관련 부담감 및 낙상예방 돌봄행위에 미치는 효과 (Effects of the Fall Prevention Education Program (FPEP) for Caregivers in Elderly Care Facilities on Fall-related Knowledge, Fall-related Burden, and Caring Behaviors for Fall Prevention)

  • 김민숙;김정선
    • 한국콘텐츠학회논문지
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    • 제13권11호
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    • pp.778-790
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    • 2013
  • 본 연구는 노인요양시설 노인에게 직접 돌봄을 제공하는 요양보호사가 시설노인의 낙상을 예방하고 낙상으로 인한 상해를 최소화하기 위해 노인요양시설의 요양보호사를 위한 낙상예방프로그램을 개발하였으며 낙상예방교육프로그램이 요양보호사의 낙상관련 지식, 낙상관련 부담감 및 낙상예방 돌봄행위에 미치는 효과를 검증하고자 하였다. 본 연구의 낙상예방교육프로그램은 4주 프로그램으로 주 1회 80분씩 총 4회 실시하였다. 프로그램 효과를 검증하기 위해 2012년 7월 16일부터 8월 31일까지 C지역의 A장기요양시설 요양보호사 실험군 24명, B장기요양시설 요양보호사 대조군 23명, 총 47명을 대상으로 프로그램 적용 전 후 사전 사후 조사를 실시하였다. 수집된 자료는 SPSS/Win 19.0 프로그램을 이용하여 실수와 백분율, 평균과 표준편차, ${\chi}^2$-test와 Fisher's exact probability test, independent t-test, ANCOVA로 분석하였다. 연구결과, 낙상예방교육프로그램을 받은 노인요양시설의 요양보호사는 교육을 받지 않은 요양보호사에 비해 낙상 예방교육프로그램 적용 후 낙상관련 부담감이 감소하였으며, 낙상관련 지식과 낙상예방 돌봄행위가 증가하였다. 따라서 본 연구에서 개발된 낙상예방교육프로그램은 노인요양시설 요양보호사의 낙상관련 지식과 낙상예방 돌봄행위를 증진하고 낙상관련 부담감을 완화하는 적절한 프로그램으로 노인노인요양시설 노인의 낙상예방을 위한 요양보호사의 교육자료로서 활용 가치가 있다 하겠다.

중산층 이상 가족이 인식하는 치매노인 그룹흠의 장점과 국내 도입의 문제점 (Merits of this Group Homes far the Elderly with Dementia Recognized by Middle and Upper Class Families, and Potential Obstacles to its Introduction in Korea)

  • 김대년;권오정;최정선
    • 가정과삶의질연구
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    • 제19권6호
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    • pp.113-128
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    • 2001
  • middle and upper class families, and examine obstacles to their introduction in Korea. Since a few large-scale facilities for the elderly with dementia have been provided for only low-income families free of charge, the necessity of group homes for middle and upper class families willing to pay for such services has become an issue recently in order to lessen the burden on families, as well as to promote the well-being of the dementia victims themselves. The survey was conducted by questionnaires collected from 577 respondents from middle and upper class families. The results of the survey were as follows: The merits of the group homes were 1)decreasing loneliness of the elderly, 2)providing active and stimulating environments allowing for participation everyday life activities, and 3)lessening the emotional and physical burden on the caring families. Potential obstacles to its introduction in Korea were 1)the difficulty of finding sites to build the group home because of the negative perception of people with disabilities and a NIMBY(Not In My Back Yard) reaction to the construction of it and 2)the economic burden on the caring family. Surprisingly, the guilt factor associated with sending the parents into group homes was not considered as a big obstacle. Referring to results of this study, it is asserted that group homes for the elderly with dementia would be embraced throughout the country if Koreans could have the chance to understand what group homes are.

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선천성 대사장애아 어머니의 부담감에 대한 연구 (A Study of Burden in Mothers of children With Congenital Metabolic Disorders)

  • 이명숙
    • Child Health Nursing Research
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    • 제1권1호
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    • pp.26-36
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    • 1995
  • Children with metabolic disorders suffer from retardation and cognitive dysfunction. The task of caring for a mother may mean that she has less time and mony and more workload which may result in increased fatigue and depression and low well-being. The burden carried by mother due to the responsiblity take care of child. The descriptive study was done identify the burden in mother of children with metabolic disorders. The data was collected from November 1 to November 16, 1993. nineteen mothers were interviewed with metabolic disorders with questionnaire by mail. Burden was measured using existing tools by Zarit (1980), Montgomery(1985) . et al. Burden data was analyzed by the SPSS /pc+ program were tested using means, frequencies, Mann-Whitney, U-Wilcoxon Rank Sum Test and Kruskal-Wallis one way ANOVA The result of this study as follows : The meas score for burden was 2.8. (range from 34 to 4.95) The result of reiationship of demographic character and burden was no significant. In conclusion it was found that burden is correlated negatively to quality of life. In this study, burden was scored relatively low. Further qualitative research is needed to validats the nature of burden.

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유아의 배려행동에 미치는 공감능력과 대인관계형성능력의 영향 (The Effect of Young children's Empathicability and Interpersonal competence in Forming relationships on Caring behavior)

  • 마지순
    • 한국산학기술학회논문지
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    • 제19권5호
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    • pp.418-425
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    • 2018
  • 본 연구의 목적은 유아의 배려행동에 미치는 공감능력과 대인관계형성능력의 영향을 알아봄으로써 유아교육 현장에서 유아의 배려행동을 증진시키기 위한 방안을 탐색하는 것이다. 연구대상은 중소도시 I시의 4,5세 유아 152명이며, 검사도구는 배려행동, 공감능력, 대인관계형성능력의 질문지를 활용하였으며, 교사에 의해 측정되었다. 수집된 자료는 pearson의 적률상관관계를 분석하고 단계적 중다회귀분석을 실시하였다. 연구결과는 첫째, 유아의 공감능력과 배려행동은 관계가 없는 것으로 나타났지만 배려행동 중 가치부여적행동과는 관련이 있는 것으로 나타났으며 특히, 가치부여적행동과 공간능력의 하위영역인 기쁨과 심적부담이 정적 관련이 있는 것으로 나타났다. 유아의 배려행동과 대인관계형성능력 전체는 관계가 있었으며, 특히 사회적 반응성과의 관계가 가장 높게 나타났다. 하위영역에서는 규범적 행동과 사회적반응성, 능동적행동과 지시따르기, 가치부여적행동과 긍정적 상호작용, 정서적행동과 사회적반응성과 가장 높은 정적 관계가 있음을 알 수 있다. 둘째, 배려행동 중정서적행동에는 사회적반응성이 정적인 예측변인이며, 관계형성하기는 부적 예측변인으로 나타났다. 능동적 행동에는 지시따르기가 정적예측 변인이며, 심적부담은 부적 예측변인으로 나타났다. 규범적 행동은 사회적반응성이 정적인 예측변인, 관계형성하기와 심적부담 부적 예측변인인 것으로 나타났다. 가치부여적행동에는 긍정적 상호작용이 정적 예측변인인 것으로 나타났다. 이러한 결과로 볼 때 유아의 배려행동을 증진시키기 위한 프로그램을 개발하기 위해서는 사회적 반응성, 지시따르기, 긍정적 상호작용을 증진시키는 내용을 포함해야할 것이며, 유아의 관계형성능력과 불안의 요소를 줄이는 내용을 구성해야 할 것으로 판단된다.

퇴원에 따른 만성 질환아 어머니의 반응과 환아 돌보기 지지 요구 (The Reaction and the Supporting Need for the Mother in Caring for their Chronicly III Child after Discharge)

  • 채현이
    • 가정간호학회지
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    • 제8권1호
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    • pp.50-61
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    • 2001
  • With the improvement of current medicine, the number of the chronicly ill children are increasing. The illness of the child drives all of the family to despair. especially it is a burden on the mother who takes care of the ill child. She's faced with many emergencies and feels powerless. The home care for a child is for finding a child's problems early and mediating them. The purpose of this study was to investigate the mother's reaction following their chronicly ill child's discharge and to investigate the supporting needs for caring for an ill child. The subjects of this study were mothers with a chronicly ill child being discharged from a general hospital in Seoul and the data was collected from July 20 to September 30. Data was collected by using questionnaires which were developed by the researcher. (The questionnaires were composed of the average 5 points - Likert's method). The Mother's reaction means that the higher the score, the more negative the mother's thoughts about discharge are. Supporting need for caring for ill an child means that the higher the score, the higher the demand of nursing is. The statistical analysis used the SPSS program for t-test. ANOVA, and Pearson Correlation. The results of this study were as follows: 1. The mother's reaction scores following discharge were the lowest. 19 and the highest 72 so that the total average was 43.15. The answer, 'I worry that my baby will be troubled with illness again after discharge gained the high points (3.94 of 5 points). The answer. 'The discharge of my baby makes me gloomy' gained 2.05-it was the lowest points. Their were significant differences according to religion (p=.006). salary (p=.050). the burden of the medical fee (p = .005) and caregiver (p=.027). 2. Supporting Need for caring for ill an child was the lowest 15 and the highest 67. the total average was 47.87. The answer. 'I'd be glad to get a person whom I could always get counsel about the health of my baby with' scored the high point (average 4.04 of 5). The answer. 'Caring for my baby at home makes me exhausted' gained the lowest point. 2.49. Their were significant differences according to religion (p=.019) and diagnosis (p=.019). 3. The relationship between the reaction of the mother and supporting need for caring for an ill child was a positive correlation (r=0.585). In conclusion. this study revealed that mothers weren't positive about their chronicly ill child's discharge and they wanted to get support for caring for an ill child. Through this study. I proposed that the program to support the chronicly ill child at home and home care by continuous counselling after discharge should be develop.

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미혼 성인자녀 부양부담이 기혼여성의 우울감에 미치는 영향: 부부갈등의 매개효과 (The Effect of Burden of Caring Unmarried Adult Children on Depression of Married Women: Mediating Effect of Couple Conflict)

  • 이재봉;백진아
    • 산업융합연구
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    • 제18권6호
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    • pp.107-117
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    • 2020
  • 본 연구의 목적은 미혼 성인자녀 부양부담감이 기혼 여성의 우울감에 미치는 영향과 그 과정에서 부부갈등의 매개효과를 검증하는데 있다. 이를 위해 여성가족패널(KLoWF) 7차년도 자료를 토대로 베이비부머 남편과 미혼 성인자녀 둔 기혼여성 1,076명을 추출해 구조방정식을 활용하여 분석하였다. 분석결과를 살펴보면 첫째, 미혼 성인자녀 부양부담감은 기혼여성의 우울감에 정(+)적인 영향을 미치고, 부부갈등에도 정(+)적인 영향을 미치는 것으로 확인되었다. 둘째, 부부갈등은 기혼여성의 우울감에 정(+)적인 영향을 미치는 것으로 나타났다. 셋째, 부부갈등은 미혼 성인자녀 부양부담감과 우울감 사이에 부분매개 역할을 하는 것으로 확인되었다. 이와 같은 연구결과를 근거로 기혼여성의 우울감을 낮추고 부부갈등을 해소시키기 위한 다양한 프로그램들을 제시하였다.

가족부담감 측정도구의 신뢰도와 타당도 (The Reliability and Validity of Family Burden Questionnaire)

  • 오가실;채선미;전나영
    • Child Health Nursing Research
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    • 제8권3호
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    • pp.272-280
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    • 2002
  • Purpose: This study was conducted to test the reliability and validity of Family Burden Questionnaire. Method: The subjects were 156 caregivers of children with acute or chronic disease. To test the reliability, internal consistency using Cronbach's α coefficient was analyzed, and factor analysis, known-group technique, and concurrent validity were utilized for validity test. Result: Cronbach's α coefficient of the tool was .89. Six factors were identified and explained 58.7% of the total variance. Through analysis using known-group technique, the difference of family burden between acute and chronic disease groups was statistically significant(t= -4.09, p<.001). Correlations with mood state, other family burden score by Family Burden Interview Schedule, quality of life, and health symptoms were also relatively high and statistically significant. Conclusion: Family Burden Questionnaire showed a relatively high validity and reliability to measure the burden of caregivers caring patients with various chronic conditions in Korea. For the further study, it may be reconsidered to identify the factor structure of the Family Burden Questionnaire with the various subjects from different age groups.

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