• Title/Summary/Keyword: Family Care

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Burnout and Burden of Family Care-Givers for Caring of Terminal Patients with Cancer (말기암환자 가족원의 부담감과 소진)

  • Ahn, Eun-Jung;Lee, Young-Sook
    • Asian Oncology Nursing
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    • v.5 no.1
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    • pp.40-51
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    • 2005
  • The purpose of this study was to explore the relationship between burden and burnout of the family care-givers for caring of terminal patients with cancer. A total of 99 convenience sample was recruited form hospitals. The data were collected by a direct interview with Questionnaire about family burden and burnout. The mean score of burnout of main care-givers was 2.98, and the mean score of burden was 3.03. The care-givers' burnout was significantly different by age, sex, job, duration of treatment, level of acceptance on the stage of death, and ability of daily living activities. The family care-givers' burden was significantly different by the jobs, complication of patients, level of acceptance on the stage of death, and ability of daily living activities. In conclusions, the burnout of family care-givers was highly and positively correlated with the burden.

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Physical symptoms, Hope and Family Support of Cancer Patients in the General Hospitals and Long-term Care Hospitals (종합병원과 요양병원에 입원한 암 환자의 신체적 증상과 희망 및 가족지지 비교 연구)

  • Chae, Seon Yeong;Kim, Kye Ha
    • Korean Journal of Adult Nursing
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    • v.25 no.3
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    • pp.298-311
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    • 2013
  • Purpose: The purpose of this study was to compare reported physical symptoms, hope and family support of cancer patients between general hospitals and long-term care hospitals. Methods: Subjects were 175 patients diagnosed with cancers from two general hospitals and six long-term care hospitals located in G city. Subjects completed a questionnaire with questions about general characteristics and questions about the disease, physical symptoms, hope and family support. Data was collected from February to April and the data were analyzed using an independent t-test and one-way ANOVA. Results: The subjects in long-term care hospitals showed higher percentage in pain, nausea, fatigue, sleep disorder, and change in appearance. There was a significant difference in family support between two groups. A significant positive correlation was found between hope and family support in subjects in general and long-term care hospitals. Conclusion: Significant differences were found in some physical symptoms and family support between cancer patients in general hospitals and long-term care hospitals. Thus, nurses in long-term care hospitals need provide care suitable for the characteristics of cancer patients in long-term care hospitals.

Relation to the Burden and Function of Family Care-givers Caring for Home Care Clients (가정간호 대상자 가족의 부담감과 가족기능과의 관계)

  • Oh, Seung-Eun;Kim, Soon-Lae
    • Journal of Home Health Care Nursing
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    • v.14 no.2
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    • pp.91-97
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    • 2007
  • Purpose: This thesis focuses on researching the burden of the Home Health Care that the Family Care-givers have. Method: This study had been conducted for the duration of 3 consecutive months from January 2006 to March 2006 and had investigated 120 person registered as the Home Health Care Clients to a University Hospital located in Incheon City. The thesis adopted the 'feeling of burden' measuring method jointly developed by Seo, Mi-Hye and Oh, Ga-Sil(1993), and FACES-III(Family Adaptability Cohesion Evaluation) developed by Olson(1985) etc. translated by Kim, Yun-Hee(1989) as the measuring method for Family Function. Result: The overall Health Status of the Home Health Care Clients was 2.18 point of average out of 3 point, where as 1.83 for Activities of Daily living and 1.98 for Vital sign, which are below the average. In the mean time, the Competence for Modified Barthel Index marked 30.88 point out of the full mark. The analyzed result of the burden that the family members have was 3.43 point of average out of 5 point which shows that the interviewee feel that they are considerable burden to their families. When it comes to 'the Burden to the family members' and 'the Function of the family' according to the characteristics of the patient, the result shows statistically significant differences, which are varied according to gender, the relationship between the care-givers and the patients. When it comes to the Family Cohesion, the difference was examined as 'statistically significant' according to the Academic background of the patients and the relationship between the patients and the interviewee.(p<0.05). The result also suggests that there exists 'Negative correlation' among the level of patients' health status, the Family Cohesion and the Family Burden. Conclusion: From the result of this study stated above, this thesis is strongly insisting that there is an urgent need for us to develop a health care mediation program, which could eventually reduce the burden of home health care that the patients' family have. At the same time, a follow-up research to prove the effect of the program is imminent.

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A Qualitative Study on the Process of Child Care Leave (육아휴직과정에 관한 질적 사례 연구)

  • Kim, Seon-Mi;Koo, Hye-Ryoung;Lee, Seung-Mie
    • Journal of Family Resource Management and Policy Review
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    • v.18 no.3
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    • pp.21-40
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    • 2014
  • This qualitative study focused on the motives and patterns of child care leave by analyzing its facilitating and constraining factors. Fourteen participants were interviewed in-depth using non-structured interview questions. Motives for child care leave include mothers' active choice, mothers' inevitable secondary choice, and mothers' instrumental choice. The patterns of child care leave in terms of total period, time, and distribution vary according to individual circumstances and occupational culture surrounding child care leave for female workers. Female workers will occasionally use this child care leave as a rare opportunity to take a rest during their labor lifecycle and to achieve work-family balance.

Longitudinal Relationship between Public Care and Family Care: Focusing on Home Care for Older People in South Korea (공적돌봄과 가족돌봄의 종단적 관계: 재가 노인 돌봄을 중심으로)

  • Lee, Seungho;Shin, Yumi
    • 한국노년학
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    • v.38 no.4
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    • pp.1035-1055
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    • 2018
  • The purpose of this study is to investigate the relationship between public care and family care. Public care for older adults began in 2008 with the implementation of the Long-Term Care insurance in South Korea. Although the expansion of public care has the purpose of reducing the care burden for the family, it is not easy to say whether the developments of public care system reduce the amount of family care for older family members. Theoretically, public care and family care are expected to have various relationships depending on the degree of the role and function(substitution, hierarchical compensatory, task specific, supplementation, complementarity). And literatures have showed inconsistent results depending on the country, data, and methods. In this study, we analyzed the relationship between two care types focusing on home care services for older persons. Analyses were based on data from the second(2008) to sixth(2016) waves of Korean Longitudinal Study of Ageing(KLoSA). To investigate elderly care dynamics in the households, we pooled the data for four changes between two periods(2008-2010, 2010-2012, 2012-2014, and 2014-2016). This study used an analytic sample of 262 older adults, who are aged 55 over and experienced public care at least one point of time. We used Fixed-Effects(FE) model to analyze the differences within the same individuals under the condition that time-invariant unobserved factors are controlled. This study distinguished the cases of entry into public care and other cases of exiting public care. The results showed that older people who are dependent on public care are less dependent on family care than before. In both entry and exit groups, negative relations were maintained, but in the entering stage of public care, the degree of negative relations was relatively small, whereas in the stage of maintaining or departing from public care, relatively negative relations were strong. At the beginning periods, even though public care increased, family care did not decrease significantly. On the other hand, at the time of ending public care and relying on family care, family care increased significantly. The results of this study show that the relationship between public care and family care is close to hierarchical compensatory model and varies according to the stage of caring transition. Also, it was found that the cases of transition from public care to family care have the biggest burden of elderly care than other groups.

The Effects of the Child Care Center-Family Linked Sensory Activity on Infant's Physical Development and Infant-Parent Interaction (보육시설과 가정의 연계를 통한 감각활동이 영아의 신체발달과 영아-부모 상호작용에 미치는 효과)

  • Lee, Sook Hwa;Hwang, Sung Ha;Nam, Mi Kyoung
    • Korean Journal of Childcare and Education
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    • v.6 no.3
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    • pp.103-125
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    • 2010
  • The purpose of this study is to investigate effects of 1 or 2 years old infant to target infant care facilities and the sense of family activities conducted in conjunction with the infant's physical development and infant-parent interaction. The purpose of this study, research questions are as follows. First, child care center-family linked sensory activity is effective in the infant's physical development? Second, child care center-family linked sensory activity is effective in the infant-parent interaction? The subjects of this study are 56 infants of 1-2 year old and their mother or father 56 people in S and D infant care facilities in K city. S infant care center, experimental group, carry out child care center-family linked sensory activity. D infant care center is control group to apply an integrated program. The child care center-family linked sensory activity are conduct on 24 times, 3 times a week, totally 8 weeks. The results were as follows. First, child care center-family linked sensory activities are partially effective on the infant's physical development than the control group. Therefore, in order to promote the development of the infant's physical development, home and child care center will be done in conjunction with sensory activities are needed. Second, child care center-family linked sensory activities had positive effect on infant-parent interaction than the control group. Therefore, to improve infant-parent interaction, it is necessary to carry out child care center-family linked sensory activities. In conclusion, child care center-family linked sensory activities are correlated in positive effects on the physical development of infants and the infant-parent interaction.

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.

Respite Care for Family Caregivers of Elders with Dementia : Concept Clarification (재가 치매가족의 휴식 돌봄: 개념명료화)

  • Chang, Sung-Ok;Song, Mi-Ryeong;Kong, Gye-Soon;Choen, Suk-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.19 no.1
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    • pp.23-34
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    • 2012
  • Purpose: Respite care is not a discrete intervention, but encompasses a range of services. This research was conducted to clarify the phenomenon of respite care for family caregivers of elders with dementia from a nursing perspective. Method: The Hybrid Model of concept development was applied to clarify the concept of respite care for family caregivers of elders with dementia. The study was conducted in the following three steps, theoretical phase, fieldwork phase, and final analytic phase. Results: The definition of respite care for family caregivers of elders with dementia was delineated through integration of data analyses in theoretical and fieldwork phase, and has three dimensions; tailored supports for caregivers, tailored supports based on physical and cognitive function of elders with dementia and community interventions related to family care function. Conclusion: Through this study, the concept of respite care for family caregivers of elders with dementia is clarified and reformulated as nursing practice phenomena in the Korean context, which indicates ways to develop caring practice forms for a family living with an elder with dementia in a community setting.

Factors Affecting Family Caregivers' Burden and Depression in Home-based Long-Term Care Service under the Long-Term Care Insurance System

  • Lee, Hung Sa;Kim, Chunmi
    • Research in Community and Public Health Nursing
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    • v.29 no.4
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    • pp.530-538
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    • 2018
  • Purpose: This study tried to identify changes in family burden after the introduction of the long-term care insurance and to examine the factors influencing subjective and objective caring burden and depression of family caregivers of elders receiving home-based long-term care. Methods: Data were collected from 203 family caregivers of elders from August 1 to 31, 2015 using questionnaires. They were analyzed in descriptive statistics, t test, ANOVA test, and multiple regression analysis. Results: The mean score of depression was 7.24, which suggested mild depression level. The subjective family burden was 2.71 and the objective burden 3.04. The factors affecting depression included subjective burden (t=5.08, p<.001), objective burden (t=2.80, p=.006), time of elderly care per day (t=-3.61, p< .001), caregiving duration (t=3.33, p=.001), age (t=3.13, p=.002), family relationship (t=2.48, p=.014), and economic status (t=1.99, p=.047). Conclusion: The family burden was most important influencing factor on caregiver's depression. Therefore, services and supports to alleviate caregivers' burden in the home-based care should be added to long-term care.

Influencing Factors of Family Caregiving Time (성인가족 돌봄시간의 영향요인)

  • Noh, Hye Jin
    • Journal of Family Resource Management and Policy Review
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    • v.25 no.2
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    • pp.1-12
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    • 2021
  • This study aims to elucidate the actual state of family care on the basis of the exact amount of time, and to verify its influencing factors and results. To this end, family caregiving was analyzed using the 2019 Korean Time Use Survey. The analysis results were as follows. First, the average time spent on adult family care was 115 minutes per day, a large proportion of family caregivers were women, the average age was relatively high, there were many unemployed, and household income was relatively low. Second, the analysis of influencing factors revealed that those who were women, older, married, and of a low household income had a considerable likelihood of becoming a family caregiver and had a longer caring time. Third, analysis of the relationship between family care and other activities showed that the family caregiving time was in a substitute relationship with paid work or leisure time, but it was in a complementary relationship with housework time, which was more evident in the case of high-intensity family caregiving. On the basis of these results, this study proposes the implementation of regular family care surveys, expansion of family care support policies, and modification of support for caring time according to the nature, goals, and attributes of caregivers.