• 보건행정학회지
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• 제24권1호
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• pp.71-84
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• 2014

Background: Informal care is increasingly recognized as placing a significant burden on the lives of family caregivers. The purpose of this study is to investigate factors related to family caregivers' burden with the community-dwelling disabled elderly under the long-term care insurance system, using the Stress Process Model developed by Pearlin (1990). Methods: Total 1,233 family caregivers with the disabled elderly, using the long-term care services in their home from May to June 2009, completed questionnaires finally. The questionnaire of this study consists of a total of 32 questions, including 11 questions related to background and context, 17 questions related to objective stressors, and 4 questions related to coping resourses. Family caregivers' burden is measured by the Korean Revised Caregiving Appraisal Scale (K-RCAS, Cronbach's alpha=0.86). To investigate factors related to family caregivers' burden, multiple regression analysis was conducted. Results: The average score of caregivers' burden was 22.0 (${\pm}6.12$). In multiple regression analysis, there were statistically significant factors affecting on the family caregivers' burden, that are related to background and context (region, living status, education level, relationship with beneficiary), objective stressors (duration of caregiving), coping resourses (caregiver's health status). Conclusion: This study found that family caregivers experience a considerable burden. The findings suggest that policies must be taken to relieve family caregivers of their duties temporarily, and to support them with counselling and education.

• Child Health Nursing Research
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• 제18권4호
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• pp.184-191
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• 2012

Purpose: The purpose of this study was to provide basic data for nursing interventions to assist primary caregivers of young children by determining the degree stress and fatigue that caregivers were under due to parenting young children. Methods: Participants were primary caregivers (181 mothers and 160 grandmothers) of young children. Results: 1) Mean score for degree of parenting stress was 2.61 (${\pm}.69$) and for fatigue, 1.97 (${\pm}.54$). 2) There was a significant difference in degree of parenting stress according to primary caregivers' age, employment status, income, whether the children were wanted babies, health status of the children and caregivers, personality of the children, and benefits from, and satisfaction with costs of childcare. Likewise, there was a significant difference in degree of fatigue according to relationship of primary caregivers to the children, primary caregivers' age, religion, income, whether the children were wanted babies, health status of the children and caregivers, personality of the children, and benefits from, and satisfaction with costs of childcare. 3) Stress and fatigue perceived by the primary caregivers were significantly correlated (r=.554 p<.001). Conclusion: To alleviate more effectively primary caregivers' parenting stress and fatigue, early nursing intervention and educational programs need to be developed.

• Human Ecology Research
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• 제51권3호
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• pp.275-284
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• 2013

The purpose of this study is to provide useful insights into community-level support services for family caregivers in Korea by comparing them with the services in the United States. Similar to most developed countries, life expectancy has led to rapid population aging in Korea over the last several decades. However, despite increased social needs of long-term care for the elderly, many elderly Koreans are still dependent on their family for the long-term care. Yet, existing support programs for family caregivers are very limited. As a result, family caregivers often suffer from a lack of financial resources and emotional support. In this study, we comprehensively review the extensive literature, including relevant studies and documents of community-level support services for family caregivers of the elderly at home in Korea and the United States. One of the most important differences is that compared to Korea, diverse services based on the law of NFCSP to support the family caregivers, such as counseling, organization of support group, and educating have been available in the United States since 2000. Additionally, the legal definition of family caregivers in the United State is broader than that in Korea, where family caregivers are limited to those who are related by blood or marriage. Therefore, more caregivers are eligible for support programs and benefit from the programs in the United States. The findings of the study suggest that policy makers in Korea should legislate for diverse and comprehensive services for family caregivers. Further, it is necessary to define legal terms for family caregivers more broadly to extend beneficiaries of the programs.

• 가정과삶의질연구
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• 제31권1호
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• pp.49-59
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• 2013

The purpose of this study was to explore the relationship of caregivers' accreditation experience and their motivational self-concept. Questionnaire were gathered from caregivers who work in Seoul, Incheon, and Kyunggi areas. Data were analysed by t-test, MCA, and multiply regression analysis. The result showed that caregivers who experienced accreditation at child are centers had higher scores in their motivational self-concept than caregivers who inexperienced accreditation procedure yet had. This tendency was clear in caregiver groups who work at unsupported child care centers, and who got certificate from institutions except college. With controlling individual background variables which influence on caregivers' motivational self-concept, independent effect of caregivers' accreditation experience on their motivational self-concept was still significant especially at the caregiver group who work in unsupported child care centers.

• 가정간호학회지
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• 제24권1호
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• pp.79-86
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• 2017

Purpose: This study was conducted to identify the factors affecting burnout of caregivers in geriatric hospitals. Methods: Data were collected from 266 formal caregivers working at Korean geriatric hospitals using self-report questionnaires between May 16 and June 30, 2016. The measured variables were burnout, emotional labor, job stress, job satisfaction, and self-efficacy experienced by caregivers. T-tests, ANOVA, Pearson correlation coefficients, and multiple regression were employed for data analysis. Results: The results indicated that emotional labor and job stress significantly influenced burnout of caregivers in geriatric hospitals; the explanatory power of the model was 27.3%. Conclusion: Based on the study results, we suggest further investigation of factors influencing burnout, and the development of strategies to prevent burnout by reducing emotional labor and job stress experienced by caregivers.

• 한국가정과학회지
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• 제7권4호
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• pp.41-54
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• 2004

The purpose of this study was to develop the cure program for family caregivers of elderly with dementia, As the lifespan has been expanded, Most of family caregivers had serious problems which are burden for caregiving(economic burden. physical & social burden, negative elderly-family caregiving relationship) and the life quality of the elderly and family caregivers and the future social welfare alternatives for taking care of the elderly. To develop the cure program for family caregivers of elderly with dementia is very important. This program can prevent to be another elderly with dementia. The results can be used as basic data to develop educational programs for family caregivers.

• 한국직업건강간호학회지
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• 제32권4호
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• pp.141-151
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• 2023

Purpose: This study explored caregivers' support needs to relieve their physical burden while working in long-term care facilities. Methods: Participants were 12 caregivers with more than 10 years of experience working at six long-term care facilities in Gwangju, South Korea. Data were collected through individual interviews conducted between June and July 2023. The results were analyzed using qualitative content analysis. Results: Of the four sub-categories and 13 codes, two categories emerged: "need for welfare medical devices" and "need for improved working conditions." Conclusion: Caregivers working in long-term care facilities require support in deploying and utilizing welfare medical devices to reduce their physical burden, along with improving staffing standards and ensuring they receive the proper amount of days off. Therefore, it is necessary to mandate the provision of a certain level of welfare medical devices to ease the physical burden on caregivers and improve the standards for the placement of caregivers in long-term care facilities.

• 대한간호학회지
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• 제30권4호
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• pp.893-904
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• 2000

The sample of this study consisted of 140 informal caregivers who provided care to the older adults(over 60 years of age) in Great Cleveland, USA. Self-rated questionnaires were utilized to collect information. The purpose of the study was to identify coping strategies most frequently utilized by informal caregivers of older adults and to examine predictors of the caregivers' health responses to the caregiving situation applying Lazarus and Folkman stress model(1984). Stepwise multiple regression was used to identify significant predictors among caregivers' demographic-socio-economic factors, older adult's dependency of activities of daily living(ADLs), caregiver's appraisal to the caregiving situation, and coping strategies. Informal caregivers (N=140) included in the study utilized help-seeking and problem-solving coping strategies more than self-blame and minimization of threat coping strategies. Caregivers' responses to the caregiving situation were observed by caregivers' perceived physical health, depression and life satisfaction. For perceived physical health, threat appraisal, older adult's dependency on ADLs, existential growth coping strategy, and monthly income accounted for 25% of the variance. Caregivers who appraised the caregiving situation as more threatening, reported higher dependency on ADLs, used more existential growth coping strategy, and had higher monthly income reported better physical health. For depression, threat appraisal, stress appraisal, existential growth coping strategy, self-blame coping strategy, and monthly income accounted for 48% of the variance. Caregivers who used more existential growth coping and less self-blame coping, appraised the situation as less threatening, less stressful, and had higher monthly income reported less depression. For life satisfaction, self-blame coping, existential growth coping, monthly income, stress appraisal accounted for 49% of the variance. Caregivers who used more existential growth coping, less self-blame coping, less stress appraisal, lower monthly income reported better life satisfaction. In conclusion, informal caregivers in this study utilized positive coping strategies such as problem-focused, existential growth, help-seeking, rather than negative coping strategies including self-blame. When they utilized positive coping strategies more often, caregivers experienced higher perceived physical health, higher life satisfaction and lower depression. Therefore, nursing intervention which utilized positive coping strategies is needed to enhance informal caregivers to have positive health responses to the caregiving demands.

• 사회복지연구
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• 제48권4호
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• pp.187-219
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• 2017

본 연구는 직무스트레스 요인인 장기요양기관 내 위험발생가능성과 감정부조화가 요양보호사의 소진과 이직의도에 미치는 직접효과를 살펴봄과 동시에 스트레스요인들이 소진을 매개로 이직의도에 어떠한 영향을 미치는지 검증하여 요양보호사의 이직의도를 감소시킬 대안을 제시하고자 수행되었다. 이를 위해 노인요양시설 요양보호사 434명에 대한 설문조사자료가 수집되었고, 구조방정식 모형을 구축하여 수집된 자료를 분석한 결과는 다음과 같다. 첫째, 요양보호사가 위험발생가능성을 높게 인식할수록 소진과 이직의도가 높아지는 것으로 나타났다. 둘째, 장기요양기관 내 위험발생가능성은 소진을 매개로 요양보호사의 이직의도에 유의미한 영향을 미쳐 위험발생가능성이 이직의도에 미치는 간접효과가 확인되었고 소진은 두 변수 사이에서 부분매개 역할을 하였다. 셋째, 요양보호사의 감정부조화 현상이 증가할수록 소진의 정도는 높아졌으나 감정부조화가 이직의도에 미치는 직접적인 영향은 없는 것으로 나타났으며 감정부조화와 이직의도사이에서 소진의 완전매개역할이 확인되었다. 넷째, 요양보호사가 경험하는 소진현상이 증가할수록 이직의도는 높아지는 것으로 나타났다. 이상의 결과를 토대로 요양보호사의 이직을 예방하기 위한 제언을 하였다.

• 한국노년학
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• 제25권2호
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• pp.127-141
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• 2005

치매노인을 부양하는 배우자와 성인자녀가 접하는 어려움이 다름에도 불구하고, 선행 연구들은 이들을 한 집단으로 묶어 요양시설로의 입소에 미치는 요소를 분석하였다. 미국 뉴저지(New Jersey)와 오하이오(Ohio)주에 거주하는 치매 노인 부양자 456명을 대상으로 사건사 분석(Event History Analysis)을 실시한 결과, 배우자 부양자가 성인자녀 부양자에 비해 치매노인을 더 빨리 요양시설로 보내는 경향을 보여주었다. 치매노인의 연령과 역할 구속감(Role Captivity)은 두 집단 모두에게 유의미한 변수였는데, 치매노인의 연령과 부양자의 역할 구속감(Role Captivity)이 높을수록 요양시설로의 입소가 빨라지는 경향을 보였다. 교육수준과 소득은 성인자녀 부양자에게만 유의미한 변수로, 교육수준이 높을수록 시설로의 입소가 지연되었던 반면, 소득이 높을수록 시설로의 입소는 빨라지는 경향을 보였다. 한편 탁노소(Adult Day Care) 이용과 피부양자의 문제행동(Behavioral Problems)은 배우자 부양자에게만 유의미한 변수였으며, 탁노소를 이용할 경우와 피부양자의 문제행동이 증가할수록 요양시설로의 입소가 빨라지는 경향을 보였다.