• Title/Summary/Keyword: caregiving

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The Meaning of Death and Caregiving in Old Age: Reading from the Novels of Kyung-ran Jo (문학 텍스트 속의 노년 죽음과 돌봄: 조경란 소설을 중심으로)

  • Park, Sun Ae;Kim, Cheong Seok
    • 한국노년학
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    • v.36 no.3
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    • pp.785-808
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    • 2016
  • This study portraits the way of self-preparation for death among the elderly and examines the meaning and values attached to the elderly-care by their family and friends through the analysis of Kyung-ran Jo's novels. First, the author describes the difficulties and inner conflict of women who provide care for the elderly, especially those facing death in the near future. She also describes how the acceptance of death and self-discovery among the caregivers can be developed from the experience of long term care. These are consistent with the arguments by Ecofemnist on positive sides of providing caregiving in an aging society. In her novels, caregiving from young women is not described as the consequences of internalized gender norms of traditional Confucian culture. Rather, it is depicted as attitude toward a life in a commune where the meaning of life and death of elderly is shared between generations. In addition, struggles of the elderly figures against diseases and the process of their death provide an opportunity for young caregivers to overcome the trauma of other's death witnessed in their childhood. They lead the young caregivers to reflect themselves by raising ontologistic questions on life and death. The author shows the communication between generations presenting the self-preparation of death from the old generation undergoing irreversible aging and caregiving activities of significant others from the young generation. In doing so, the author points out the ethical grounds for diseases and death in old age given the condition of personalization of death in the modern society.

The Moderate Effect of Social Support on Family Caregivers' Burdens and Health and Quality of Life with Demented Patients (치매환자 가족부양자의 부양부담과 건강 및 삶의 질에 대한 사회지원의 중재효과)

  • Kyung-Hyun Suh ;Kyung-Im Chun
    • Korean Journal of Culture and Social Issue
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    • v.15 no.3
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    • pp.339-357
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    • 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.

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Study of the Positive and Negative Caregiving Experiences in the family members who care for the psychiatric mentally ill relatives (정신장애인 가족의 긍정적, 부정적 돌봄의 경험에 관한 연구)

  • Lee, Kwang-Ok;Kim, Hee-Jung
    • Research in Community and Public Health Nursing
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    • v.10 no.2
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    • pp.435-454
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    • 1999
  • The caregiving experiences of 100 family menbers of outpatients with schizophrenia and schizoaffective disorders were investigated for the presence of positive(positive family-patient relationship. patient' contribution to the family) and negative caregiving experience(objective and subjective burden) and their predictors. This study attempts to make the analysis of caregiving experience more useful by expanding the focus to incoporate these positive aspects of the experience of family caregiver. Objective burden consists of two elements: 'disruption of family life', 'care'(amount of caregiving related to activity of daily living). Subjective burden is defined as emotional reactions to the care giving and it comprised of 6 emotional subdimensions such as 'stigma', 'grief'. 'worry', 'pity', 'fear', 'despair'. Also we investigate the severity of patients' disturbing behaviors into two categories, positive and negative disturbing behaviors and patient' contribution to the family as a predictors of positive and negative caregiving experiences. This study use Pearson's correlation coefficient, Hierardhical regressions in the SAS Program. The results are as follows: 1. Respondents reported moderate level of objective burden 'disruption of family life' (mean = 2.48, range = 1-4), and 'care' (mean=2.54, range = 1-4), and slightly high level of total subjective burden(mean = 2.19, range = 1-4). Mean scores for the measure of the severity of behavioral disturbance indicated that the caregiver experienced negative disturbing behaviors around almost 'somtimes'(mean=2.28, range = 1-4), and positive disturbing behaviors 'almost not frequent'(mean=2.78. range=1-4). So they reported that they perceived patient's negative disturbing behaviors more than positive disturbing behaviors. Mean scores for the measure of the patient' contributions (mean = 1.99. range = 1-4) indicated that caregivers experienced these contributions a little. It means that there should be a positive aspect of possibilities of patient' family roles that can be developed in the daily life. Mean scores for the measure of the positive family-patient relationship indicated that caregivers experienced moderate level of positive family-patient relationship(mean=2.52, range = 1-4). 2. Hierardhical regression analysis 1) Hierardhical regression of 'disruption of family life' showed that the interaction between positive disturbing behaviors and patient' contributions (B = .20. p = .022) and caregiver's educational level(B=.06. p=.000) were 'significant and Hierardhical regression of 'care' showed that 'negative disturbing behaviors'(B= .35. p= .007). 'patient' contributions'(B= .28, p= .019). 'family income'(B=-.l1. p=.096) were significant. 2) Hierardhical regression of 'total subjective burden', 'stigma', 'grief', 'worry', 'pity'. 'fear', 'dispair' showed that 'positive disturbing behaviors'(B=.51. p=.000). 'negative disturbing behaviors' (B = .17, p = .026), 'caregiver's educational level'(B = .03. p=.036), 'family income'(B=.08. p=.041) were significant predictors of 'total subjective burden': 'positive disturbing behaviors'(B=.32. p=.066). 'negative disturbing behaviors'(B=.24, p=.096) 'durations of illness'(B= .03. p= .079) were significant predictors of 'stigma' 'negative disturbing behaviors'(B=.28. p=.005). 'patient sex'(B=-.32. p=.022). 'positive disturbing behaviors'(B=.28. p=.020), 'patient age'(B=.02. p=.010), 'caregiver age'(B=-01, p= .002) were significant predictors of 'grief' 'negative disturbing behaviors'(B= .28, p= .005). 'patient sex'(B= -.32. p=.039), 'caregiver age'(B=-.02, p= .023). 'caregiver's educational level'(B= .04, p = .044) were significant predictors of 'worry' 'patient sex'(B=-.46. p=.005). 'negative disturbing behaviors'(B= .28. p=.018), 'caregiver age'(B=-.01, p=.037) were significant predictors of 'pity' 'positive disturbing behaviors'(B=.83. p=.000). 'patient' contributions' (B = .22, p =.017). 'family income'(B=.09. p=.65) were significant predictors of 'fear' 'positive disturbing behaviors'(B=.49, p=.001). 'negative disturbing behaviors'(B= .24. p=.057) 'patient sex'(B=-.4l, p=.017), 'family income'(B=.14, p=.047) were significant predictors of 'dispair'. 3) Hierardhical regression of 'positive relationship' showed that 'patient contributions'(B=.32, p=.000). 'negative disturbing behaviors'(B= .24, p= .005), 'patient sex'(B=-.23, p=.036).

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Brazelton's Neonatal Behavioral Assesment Scale

  • Sin, Yeong-Hui
    • 아동간호학회:학술대회논문집
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    • 1999.12a
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    • pp.21-24
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    • 1999
  • ${\cdot}$ Comprehensive behavioral assessment scale ${\cdot}$ Caregiving program for the parents ${\cdot}$ Quality of the parent-clinician relationship

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The Experiences of Family Caregiving in a Chronic Care Unit

  • Cho, Myung-Ok
    • Journal of Korean Academy of Nursing
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    • v.35 no.8
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    • pp.1461-1475
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    • 2005
  • Purpose. The main purpose of this critical ethnography was to examines the process and discourses through which family caregivers experience while caring for their sick family member in a hospital. Methods. This was achieved by conducting in-depth interviews with 12 family caregivers, and by observing their caring activities and daily lives in natural settings. The study field was a unit for neurologic patients. Data was analyzed using taxonomy, discourse analysis, and proxemics. All research work was iteratively processed from March 2003 to December 2004. Results. Constant comparative analysis of the data yielded the process of becoming a successful family caregiver: encountering the differences and chaos as novice; constructing their world of skilled caregivers; and becoming a hospital family as experienced caregivers. During the process of becoming an experienced hospital family, the discourse of family centered idea guided their caring behaviors and daily lives. Conclusion. The paternalistic family caregivers struggled, cooperated, and harmonized with the patriarchal world of professional health care system. During this process of becoming hospital family, professional nurses must act as cultural brokers between the lay family caring system and the professional caring system.

The Influences of Functinal Impariment and Personal Characteristics of Demented Elderly, and Related Variables of Housewives on Caregiving Stress (치매노인의 기능장애 및 개인적 특성과 주부의 관련변인이 부양스트레스에 미치는 영향)

  • 장윤옥
    • Journal of Families and Better Life
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    • v.18 no.2
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    • pp.203-216
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    • 2000
  • The purpose of this study was to explore the degree of caregiving stress in housewives according to functional impaiment and personal characteristics of demented elderly, and related variables of housewives. The subjects of this study were 141 housewives who had cared for dementia elderly. A questionnaire was used as survey method. The data was analyzed by means of t-test, ANOVA, and Scheffe test. The main findings were as follows: First, there was significant difference in the degree of stress in caring for dementia elderly according to functional impairment of demented elderly. Third, the degree of stress in caring for dementia elderly differed significantly according to education, income, and housework time per day of housewives, and relatinship demented elderly with housewife.

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The Effects of Infant Child Care on Infant-mother Attachment (타인양육 영아의 어머니에 대한 애착)

  • Yang, Yeon Suk;Cho, Bok Hee
    • Korean Journal of Child Studies
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    • v.22 no.1
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    • pp.51-66
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    • 2001
  • This study investigated whether infant child care experience, alone or in combination with mother/child factors, is associated with attachment security. Participants were forty 12-to 18-month-old infants and their mothers. Infants were observed in the Strange Situation to assess the pattern of infant-mother attachment; the Observational Ratings of the Caregiving Environment was used to assess the caregiving environment. Mothers were interviewed with the questionnaires and observed in the laboratory "living room". There were significant main effects of maternal sensitivity and responsiveness and of stability of care on attachment security and on insecure/avoidance. Significant interaction effects revealed that infants were more likely to be secure when high maternal sensitivity/responsiveness was combined with good quality child care, non-maternal care initiated prior to six months of age, or care by close relatives.

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Social-emotional Competence of Children in Single-parent Families : Effects of Primary Caregiving by Single Parents Alone Compared with Primary Caregiving by a Non-parent (한부모 가족 아동의 사회·정서적 유능성 발달 : 동거 부모와 주 양육자와의 영향)

  • Chung, Kai Sook
    • Korean Journal of Child Studies
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    • v.29 no.3
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    • pp.207-222
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    • 2008
  • This research studied the social-emotional competence of children whose primary caregiver was a single-mother or single-father alone compared with children living with a single-parent but the primary caregiver was a non-parent (e.g. a grandparent). Subjects were 208 children (105 boys, 103 girls) from 10 elementary schools in 3 metropolitan cities. Instruments were the Adaptive Behavior Checklist constructed by the researcher, Self-esteem Inventory (Kim, 1987) and Emotional Competence Scale (Kim, 1998). Results showed that children in single-mother families were more social-emotionally competent than children in single-father families. Children whose primary caregivers were non-parents had higher self-esteem than children whose primary caregivers were single parents alone. There were interaction effects of caregiver variables on children's peer relationships and awareness/expression of their own emotion.

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Comparison on Middle-aged and Older People's Depression and Life Satisfaction According to Family Caregiving Types

  • Lim, Ahn-Na;Song, No-Won
    • International journal of advanced smart convergence
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    • v.6 no.3
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    • pp.45-52
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    • 2017
  • This study examined data from National Pension Research Institute's 5th Panel Survey on Security for the Aged in 2013. The subjects of this study are middle-aged and older people aged 50 or older providing care for parents or grandchildren. The subjects are total 226, 53 parent caregivers and 173 grandchild caregivers. According to the results, both types indicate low depression, and their life satisfaction records over 3 out of 5. Grandchild caregivers show higher life satisfaction than parent caregivers. Any of the factors influencing depression and life satisfaction are not found to be significant in parent caregivers. Grandchild caregivers' educational level and health condition influence depression negatively and life satisfaction positively.