• Korean Journal of Social Welfare
• /
• v.48
• /
• pp.150-178
• /
• 2002

The elderly have higher potential for contracting chronic diseases and suffering from development of a complication. Also, the extended old age period leads the elderly to demand more medical services. All those facts indicate that the elderly need more medical services than any other age groups. Consequently, medical care for the elderly with chronic diseases causes high costs burden. However, there is few studies researching the financial burden of chronic illness of the elderly. This study aimed to 1) understand how much the elderly with chronic diseases pay for medical expenses; 2) find out some specific factors related to health care financial burden; 3) suggest the alternative policies to decrease excessive financial burden of caring for the elderly with chronic illness. National Health and Nutrition Survey, which was surveyed by the Korea Institute for Health and Social Affairs in 1998, was used in this study. 4,707 persons with chronic diseases out of 5385 persons over age 60 were selectively sampled. Using SPSSWIN, correlation analysis, T-test, ANOVA and Regression were used as statistical methods in this study. Stepwise multiple regression was employed to analyze the data with a ratio of health care expenditure to income(financial burden) as a dependent variable. Out of Korean old people, 87% had the chronic diseases and their health care financial burden rate showed the average of 17.9%, which meaned they expended almost 20% income to buy medical services. The variables having a great influence on financial burden were monthly income, activity, limitation and single household of an old person. The excessive financial burden was experienced by people who had more than 4 activity limitations(37.1%) and were in the lowest Income level(32.6%), and single household of an old person(31.4%). The new policies should be considered to 1) reduce the financial burden in these groups and to develop the sliced medical cost system considering the characteristics of chronic illness and income level; and 2) develop the medical management system to care for the elderly with chronic illness.

• The Journal of the Korea Contents Association
• /
• v.17 no.11
• /
• pp.229-241
• /
• 2017

The purpose of this study is to examine the Influence of burden of care for families of the mentally disabled on the quality of life and the moderating effect of family resilience and social support. This study carried out a survey of 102 families of the mentally disabled registered in the mental health centers and social rehabilitation facilities in Seoul, Gyeonggi and Incheon areas. As a result, first, the burden of caring for families of the mentally disabled has a negative impact on the quality of life. Second, family resilience has a moderating effect on the relationship between the burden of care and the quality of life of families of the mentally disabled. The subscales of family resilience were all buffered. Finally, social support has proved to be moderating in the relationship between the burden of care and the quality of life. Based on the results of this study, it was suggested that the need for providing information for improving the resilience of the family is needed, and the institutional support to mitigate the economic burden of the mental disabled family's social support network is needed.

• Journal of Korean Public Health Nursing
• /
• v.14 no.1
• /
• pp.131-146
• /
• 2000

The purpose of this study is to clarify the correlation between the degree of patients daily activities and that of a sense and social support of families. This study covers families of 252 patients under home health nursing care at 6 University Hospitals during the period of March to May. 1999. The data were collected by using three different questionnaires. Data were analysed by utilizing SAS program such as frequency. average. percentage. t-test. ANOVA. Scheffe test and Pearson Correlation Coefficient. The results were as follows: 1. The average score of patients' daily living activity was $2.36\pm0.67$. $97.2\%$ patients turned out to be. in part. dependent on their family's care. $66.5\%$ of the patients were still dependent on their families in walking: $66.3\%$ In bathing: and $61.0\%$ in using toilet. 2. The average score burdened family caregivers had felt was 2.25 in 4 full point which can be interpreted as average. Among the six burden dimensions. time was said to be the No. 1 burden-yielding factor. When it comes to the characteristics of patients. there were tendencies for patients with lower incomes residing in communal housing. with cerebrovasculal diseases and with higher score of daily living activity to show a higher burden scores. 3. The average score of social support was 2.49 in 5 point. which represents a average score. Among other items. the opportunity of social integration was 2.66. topping the list whereas a chance of upbringing was starkly low at 2.42. The higher scores of social support were shown in cases where the caregiver was male spouse. total care giving duration exceeded 25 months and malignant patients daily living activity scores were low. 4. The score of patients daily activity was positively correlated to the degree of the family burden (r=0.1942). Data indicates there was direct correlation between daily living activity and burden of time consuming, self-improving and physical impairment. 5. The score of the patients daily living was negatively correlated to the social support (r=0.3414), As a whole. there was negative correlation between social support and the formation of intimacy and self-confidence.

• Journal of Korean Academy of Nursing
• /
• v.27 no.2
• /
• pp.389-400
• /
• 1997

This study examined the effects of group social support on the reduction of burden and increase in well-being of mothers of developmentally delayed children. The research used a one group pre-pose experimental design. The independent variable in the experiment was group social support. Two series of 4-weekly meetings for group social support were conducted by the researcher with the intention of developing a self-help group. The dependent variables were burden and well-being. Well-being was operationalized as physical symptoms and quality of life. Thirty mothers of developmentally delayed infants from the rehabilitation center of a medical center participated in the study. Data were collected by interviews and a self-administered questionnaire. The mean age of the subjects was 29.9 years. Changes of the dependent variables between pre and post tests were compared using the t-test. Even though there was a slight improvement in the scores for the dependent variables, they were not statistically significant. The items, "I resent my baby". "I feel angry about my interactions with my baby", "I feel guilty in my relationship with my baby" showed a significant decrease in burden score and were statistically significant. Symptoms of loneliness, constipation, anxiety, restlessness were less and feeling of happiness was greater after participation in the group social support, than on the pretest. The mothers showed emotional instability and frustrations during the group sessions but their reactions in general were positive. Emotional support, stress management and information provided were identified as the most valuable content of the sessions. However, participation was not active due to the mother's denial, delayed acceptance and /or avoidance of their infants' problems. It can be seen that group social support for the mothers with developmentally delayed children should be provided after infancy when the mothers have time to accept their children's conditions and are ready to receive support. The use of comprehensive instruments which measure burden in both families and mothers needs to be developed for future research.

• Tuberculosis and Respiratory Diseases
• /
• v.69 no.6
• /
• pp.434-441
• /
• 2010

Background: Chronic obstructive pulmonary disease (COPD) is a major health problem resulting in significant burden for patients and families. However, family caregivers' burden has not been well recognized. The objectives of this study were to evaluate the level of caregivers' burden and to explore the related factors based on family, patient, and social support factors. Methods: A face-to-face interview with 86 family caregivers who had been taking care of COPD patients was conducted. The participants answered a self-administered questionnaire. The questionnaire included the level of family caregivers' burden, health status and the relationship within the family, functional limitation of patients perceived by family caregivers and the social support. Results: The level of caregivers' burden among participants was considerably high. Risk factors for caregivers' burden included low educational level of family caregivers, low family income, hours of caregiving, and functional limitation of the patients. Protective factors for caregivers' burden were good relationship within the family and support from other family members or friends. Conclusion: It is proved that family caregivers are facing significant burden in taking care of COPD patients. To reduce family caregivers' burden, it is necessary to address socioeconomic status of the family and to provide various community resources including financial support and nursing services.

• Journal of Home Health Care Nursing
• /
• v.17 no.2
• /
• pp.144-155
• /
• 2010

Purpose: This study investigated the factors affecting the quality of life (QOL) of the primary caregivers of home health care patients. Method: The subjects were 110 primary caregivers of patients who were receiving home health care from two home health care centers affiliated with general hospitals in Seoul. Data collection was conducted using five questionnaires. Results: Positive relationships were evident between QOL and social support and perceived health status of the primary caregiver. Negative relationships were evident between QOL and burden and depression. Multiple linear regression analysis for QOL revealed that the most powerful influencing factor was social support. Social support, burden, and depression explained 34.3% of the variance. Conclusion: Burden, depression, and social support are related with QOL of primary caregivers of home health care patients. Nursing intervention strategies directed at this caregiver population are needed.

• Journal of the Korean Home Economics Association
• /
• v.36 no.9
• /
• pp.93-106
• /
• 1998

The purpose of this study were to find the general trends of middle-aged couples' caregiving burden, to investigate correlation between husbands and wives, to estimate the differences according to related variables and analyze the effects of significant variables influencing on caregiving burden. The data were obtained from 172 middle-aged couples living in Seoul and Kwangju. The major findings were as follows; 1. Scores of couples' caregiving burden were lower than medium. Especially, husbands' score were higher than wives' in a sense of guilt and haubands' caregiving burden correlated significantly with the wives'. 2. Couples' caregiving burden showed significant differences according to birth order of husband and family life satisfaction was the most differencial in family relationship variables. Social support and family value orientations were also significant variables. 3. The most influencial variable on husbands' caregiving burden was emotional support, and instrumental support on wives'. And life and communication satisfaction were very important variables. So family relationship must be enhanced and social support system's reinforcements are necessary.

• Journal of Korean Home Economics Education Association
• /
• v.28 no.4
• /
• pp.45-59
• /
• 2016

The purpose of this study was to examine the mediating effects of social supports on the relationship between child-rearing burden and psychological well-being among grandmothers. Data was collected from 249 grandmothers raising preschooler grandchildren who live in Gwangju by self-reported questionnaires. The method used for data analysis was structural equation modeling analysis using SPSS 22.0 and Amos 22.0. The results of this study revealed that child-rearing burden influenced social supports of grandmothers. Social supports influenced psychological well-being of grandmothers. Child-rearing burden influenced psychological well-being of grandmothers. The structural equation modeling analysis indicated that social supports partially mediated the relationship between child-rearing burden and psychological well-being.

• The Journal of the Korea Contents Association
• /
• v.17 no.1
• /
• pp.594-610
• /
• 2017

The purpose of this study was to investigate the effect of caregiving burden of a developmentally disabled child on marital conflict and to examine the moderating effects of social support and social activities. For the purpose, a total of 124 mothers of developmentally disabled children who were enrolled at specialized school in Incheon were surveyed from May 15, 2011 to May 31, 2011 by using self-reported questionnaires. Our analysis on the data suggested as follows: first of all, the burden from caregiving a developmentally disabled child was a significant predictor of marital conflict. In addition, informal social support and participation in social activities moderated the relationship between the caregiving burden and marital conflict. Based on the findings, we provide measures to resolve the family problems of those with a disabled child.

• Korean Journal of Culture and Social Issue
• /
• v.15 no.3
• /
• pp.339-357
• /
• 2009

As quickly becoming an ageing society in Korea, this study aims to investigate how family caregivers' burden with demented patients and social supports are related to their health and quality of life, and the interaction of caregiving burden and social supports on caregivers' health and quality of life. The participants were 207 family caregivers (106 females) of demented patients lived in Seoul, Kyunggi, and Chungcheong areas, whose average of age were 51.62 ( SD=9.25). The psychological tests used in this research included the following: Multidimensional Caregiver Burden Inventory, Chon's Physical Symptom Questionnaire, Hahn & Jang's Perceived Health Inventory, Negative Affect Self-Statement Questionnaire, and the Korean Version of Cambell's Subjective Well-being Scale, Social Support Survey in Medical Outcomes Study, and Kwon's Questionnaire for Maladjusted Problems of Demented. Results indicated that caregivers' burden with demented patient related to physical symptoms and depression positively, and perceived health and subjective well-being negatively. Social supports showed moderate effects on influences of caregiving burden in perceived health, depression, and subjective well-being of family caregivers with demented patients. It was identified the possibility of their buffering effect on negative results of caregiving burden with demented patients. Since caregiving burden accounted for the 34% of the variances for family caregivers' physical symptoms and depression, researchers discussed the promotion and intervention of their health and quality of life. Beside of different effects of social supports with level of caregiving burden, with previous studies it was discussed some saliant findings such as family caregivers with patients who showed severe dementia symptoms were perceiving even less supports from others.