• Title/Summary/Keyword: caregiving

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Convergence Study on Caregiving Burden of Families with Patients Suffering from Lou Gehrig's Disease (루게릭환자 가족의 부양부담에 관한 융복합 연구)

  • Heo, Suk-Min;Chong, Hee-Kyong
    • Journal of Digital Convergence
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    • v.13 no.8
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    • pp.559-567
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    • 2015
  • The purpose of this study is to investigate patients with Lou Gehrig's disease, their families, and their actual conditions of the disease, and to find the factors to alleviate caregiving burden and the needs of service. According to the study, the sociodemographic characteristics of the patients with Lou Gehrig's disease and their patients, the disease and caregiving, and activity support service didn't influence alleviation of caregiving burden. When the main caregiver of the patient was not a spouse, or graduated from high school and less, and when the disease was diagnosed initially, there was a difference in caregiving burden. Based on the results, this study suggested that it would be necessary to make medical support suitable to Lou Gehrig's disease and come up with a convergence policy to support personalized and specialized welfare service.

A Study of the Family Caregiver's Burden for the Elderly with Chronic disease in a Rural Area (일부 농촌 지역 노인 만성질환자 가족의 부담감에 관한 연구)

  • Jang, In-Sun
    • Journal of Home Health Care Nursing
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    • v.2
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    • pp.19-34
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    • 1995
  • The purpose of this study was to analysis level on family caregiver's burden for the elderly with chronic disease in a rural area and to choose priority care group, thereby facilitating the development of interventions to reduce the caregiver's burden. For this purpose, data were collected by questionaire from June 10 to October 8, 1994. The instruments for data collection were Caregiver Burden Inventory by Novak(1989) and Zarit et al(1982), severity of dementia by Hughes Scales(1982), ADL by Lawton(1971), patients' family caregiving activity by pre-survey and reference review(Lee, 1993 ; Jang, 1990 ; Yoo, 1982). The subjects were 213 family caregiver of elderly with chronic disease in a rural area. The data was analysed by the use of t-test, ANOVA, correlation and multiple regression. The results were as follows ; 1. Total burden was evaluated below average, the mean of family burden was 46.98. By the diagnostic classification, Hypertension was 27.37, DM 32.46, CVA 62.96, Dementia 61.24. 2. Significant variables which were correlated to the family caregiver's burden were the patient's disease diagnosis (F=33.82, p<0.001), severity of dementia(F=30.52, p<0.001), the status of disease management(F=11.53, p<0.001), ADL(F=10.54, p<0.001), PADL(F=7.50, p<0.001), income(F=7.17, p<0.001), caregiver's health status(F=24.53, p<0.001), a view of patient's prognosis (F=22.17, p<0.001), relationship with the patient(F=33.82, p<0.001), the number of hours per day spent on caregiving(F=77.52, p<0.001), level of intimacy of caregiver and patients(F=8.75, p<0.001), level of helping(F=4.90, p<0.01), the frequency of caregiving activity(F=3.80, p<0.01), the number of admission(F=5.54, p<0.01), the length of caregiving(F=4.43, p<0.01), other chronic patient in family(t=2.81, p<0.01), caregiver's job(F=3.11, p<0.01), the duration of illness(F=2.98, p<0.05), caregiver's religion(F=2.93, p<0.05), medical security(F=3.89, p<0.05), caregiving's helper(t=2.42, p<0.05). 3. PADL was the most important predictor to family caregiver burden(R2=0.6611). In addition to this, IADL, caregiver's health status, the length of caregiving. level of intimacy of caregiver and patients, patient's age, the patient's disease diagnosis and patient's job accounted for 76% of family caregiver burden. 4. The criteria of priority care group were as follows ; the mean of family caregiver burden was above 58, above of moderate ADL, the number of hours per day spent on caregiving above of 8 hours, above of moderate dementia. By the diagnostic classification, number of priority care group, Hypertension was 4 (8.0%), DM 4(8.0%), CVA 34(64.1%), Dementia 45(75.0%).

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Cost Analysis of Long Term Care Services (장기요양보호서비스의 비용분석)

  • Park, Changje;Kim, Soo-Young;Joo, Soo-Hyeon
    • 한국노년학
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    • v.29 no.3
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    • pp.1043-1061
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    • 2009
  • The purpose of this study is to evaluate cost side by type of long term care services economically, and then to discuss the findings and implications for the results of analysis. For this research, primary caregivers that provide care the elderly requiring long term care services sanctioned by National Health Insurance Corporation were drawn and surveyed. Among collected data, data for 422 primary caregivers were used for this study. The subjects used in this study consisted of family caregivers from various settings that give care to the elderly. The results of this study can be summarized as follows. First, caregiver's household income level is low. Therefore, caregiving families with the elderly are likely to have financial difficulties. Second, under coverage of long term care insurance system, the direct cost caregiving households pay for the elderly is still very high. Third, indirect cost of caregiving households accounted for the larger proportion caregiving costs. Fourth, social cost burden for caregiving the elderly is very high. This cost amount is appropriately equal to household income of caregivers surveyed in the research. Fifth, service use cost of caregiving households is differentiated by type of long term care service. Sixth, direct cost of caregiving households is statistically significantly differentiated by type of long term care service, but is differentiated less than service use cost. Seventh, social indirect cost for caregiving the elderly is statistically significantly differentiated by type of long term care service. Eighth, social cost amounts for the elderly utilizing long term care service is very high, total social cost per capita by types of long term care service tend to converge on average social cost per capita of total service.

The Effect of Motivation and Social Support on Burden of Spouse Caregivers: Focused on Gender Differences (배우자 부양자의 부양 동기, 사회적 지지와 부양 부담: 성별 차이를 중심으로)

  • Han, Gyoung-Hae;Lee, Seo-youn
    • 한국노년학
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    • v.29 no.2
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    • pp.683-699
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    • 2009
  • Family caregiving to the elderly is one of the most important social issues in recent Korea. Among various kinds of family caregivers, spouse caregivers particularly constitute a special group, generally characterized by continuous intimate association with the care recipients at many levels and by special commitments and responsibilities associated with the marriage bond. And the number of spouse caregiver is expected to increase in the future. Moreover, since a conjugal relation is consisted of husband and wife, their caregiving experiences and caregiving burden may vary by gender. Thus, the present study was to examine the effect of caregiving experience, especially caregiving motivation and social support focusing on the gender differences. We analysed 「2001 Survey of Care-giving Status and welfare Needs of Older Persons in Korea」 data by performing descriptive statistics, t-test and logistic regression. As a result, we found that the husband was likely to feel more burden when he started caregiving because of few alternatives. For wife caregivers, the less awareness of social support they had, the more possibility of economic burden they felt. With these results, we suggest the necessity of having gender-sensitive perspective in research and policy making for caregivers.

The Factors that Influence Amount and Types of Informal Caregiving to the Severely Disabled Elderly (중증장애노인의 비공식 보호 제공량과 유형의 결정요인 연구)

  • Park, Chang-Je;Kim, Ki-Tae
    • Korean Journal of Social Welfare
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    • v.54
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    • pp.203-220
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    • 2003
  • The purpose of this study is to identify and empirically study the factors that significantly influence amount and types of Informal caregiving to severely disabled elderly who have functional limitations. For this research, a set of caregivers living with the severely elderly were surveyed. Among collected data, data for 211 caregivers were used for this study. The results suggest that a variety of factors determine informal caregivers do systematically determine their allocation of time to the provision of elderly care. The results of four OLS regressions using data surveyed are as follows. First, The hypothesized role of income is supported in model 1 of the four regression models. Second, the technological components of informal care production significantly influences caregiving hours include the number of ADLs and IADLS needs help, the number of caregivers in the team, the utilization of formal services. Third, any component of production technology of household goods do not significantly influence caregiving hours. Fourth, the components of preferences significantly influence caregiving hours include caregiver's participation in market work, willingness money to pay market-purchased care for the elderly.

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Elderly Caregiving and Health : Analysis of the mediate effect of social network and Satisfaction (노년기 수발 경험에 따른 건강 변화 : 사회적 관계망과 만족도의 매개효과 분석)

  • Lee, Seo-yeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.10
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    • pp.642-651
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    • 2017
  • This study aimed to examine the changes in the health status, social network and satisfaction of caregivers as a result of caregiving using a structural equation model. As a result, it was found that caregiving increased the level of depression and decreased the subjective health status in both men and women. The social network and satisfaction were found to differ according to gender. For the women caregivers, caregiving affected their subjective health status and depression. In the case of the men caregivers, the total effect of caregiving on their subjective health was 1.087(p<.05), while the indirect effect was 0.546(p<.05). Also, caregiving affected the subjective health status of the male caregivers through the functional family network as a mediating factor(0.42, p<.01). The results suggest the necessity to take these gender differences into consideration when discussing the health of caregivers. Also, the functional family network needs to be strengthened to prevent the deterioration of the health status of male caregivers.

The Psychosocial Well-Being of Grandparents Raising their Grandchildren: The Role of Resources, Type of Care and Perception of Caregiving (손자녀 돌봄과 조부모의 심리적 복지: 돌봄 상황, 양육지각, 자원의 상호관련성을 중심으로)

  • Kang, Yoo-Jean
    • Korea journal of population studies
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    • v.34 no.1
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    • pp.73-97
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    • 2011
  • This study examined what factors were associated with psychological well-being of grandparents providing daily care to their grandchildren. More focus on the role of various mediators such as caregiving perception and resources were given to investigate the complicated relationships between providing care and psychological function. I used the nationally representative data from the '2008 Korean National Survey of Welfare Need in the Elderly'. Results showed that there were diverse circumstances of caregiving. Grandparents who cared their grandchildren on behalf of dual career parents emerged predominantly from them. Findings also suggested that type of caregiving was related to external factors. Grandparents shouldering greater responsibility for their grandchildren showed lower levels of resources such as financial conditions and social support, and more negative perception of caregiving, which in turn was associated with lower psychological well-being. Finally, more financial resource and neighborhood support directly influenced more positive perception of caregiving. To enhance resources and empower grandparents raising their grandchildren, community-based intervening mechanism incorporating various environments and effective services to meet the needs of grandparents should be discussed in future studies.

A Study on the Effect of Caregiving Stress to Partner Violence among Adult Children Caregiver for the Elderly with Dementia : Mediating Effect of Depression (치매환자 자녀의 부양부담이 배우자폭력에 미치는 영향 - 우울의 매개효과 검증 -)

  • Kim, Jae Yop;Hwang, Hyun Joo;Jeon, Ji Soo
    • Korean Journal of Family Social Work
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    • no.53
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    • pp.235-263
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    • 2016
  • The purpose of this study was to examine the relationships among caregiving stress, depression, and partner violence by gender. Data were gathered though questionnaires surveying 223 cases living in the Seoul and Kyeonggi, Pusan areas. In analyzing precess, the researchers used t-test, ANOVA, correlation and regression. Additionally, bootstrapping was used to verify the significant mediating effect of depression. The findings are follows: First, approximately 37.3 percent of adult children caregivers reported having experienced partner violence in the past year. And the depression mean score among adult children caregivers was 1.00, higher compared to 0.73 of general population. Female caregiving burden and depression level was higher than those of male. Second, the results from regression analysis revealed that caregiving stress influenced to partner violence positively. Depression has the full mediating effect between caregiving stress and partner violence. The results suggest a necessity of intervention to reduce caregiving stress, depression and prevent partner violence in the dementia caregiver's family. The implications for social work practice were also discussed.

The Burden and Caregiving Satisfaction of Primary Family Caregivers of Older Adults with Dementia: Cultural and Non-Cultural Predictors (치매노인을 돌보는 주가족 간호자의 부담감과 간호만족감: 문화적, 비문화적 요인)

  • Kong, Eun-Hi;Cho, Eunhee;Song, Misoon
    • 한국노년학
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    • v.29 no.2
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    • pp.701-716
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    • 2009
  • The aim of this study was to investigate the burden and caregiving satisfaction of primary family caregivers of older adults with dementia, and to identify cultural predictors and non-cultural predictors of burden and caregiving satisfaction. This study included 112 primary family caregivers of community-dwelling older adults with dementia who utilized 13 dementia day care centers in Seoul or Gyeonggi-do. Data were collected by survey questionnaires. The majority of the primary caregivers were female (81%) and daughters-in-law (46%). The mean burden score was 49.4 and the mean caregiving safisfaction score was 42.3. Regression analyses revealed that the significant predictors of primary caregivers' burden were the non-cultural factors of caregiver's perceived health (β= .421, p= .049) and care recipient's memory and behavioral problems (β= .183, p= .041). The cultural factor of familism (β= .466, p= .005) was the only significant predictor of caregiving satisfaction. There is more need to develop programs which improve caregiver's burden and caregiving satisfaction. Strategies to increase caregiver's utilization of the programs also need to be developed.

Grandmothers' Caregiving Satisfaction of Raising Grandchildren and the Related Variables (조모의 손자녀 돌봄만족과 관련변인의 영향력에 관한 연구 -취업모가정의 동거조모와 비동거조모의 비교-)

  • Yi, Yeong-Sug
    • Korean Journal of Human Ecology
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    • v.19 no.1
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    • pp.15-26
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    • 2010
  • This study was conducted in order to understand grandmothers' satisfaction of caring for working mothers' children and the influence of related variables with regard to living arrangements. The data were collected from 245 grandmothers who have been caring for their grandchildren for more than 6 months. The data were analyzed by mean, t-test, $x^2$-test, and hierarchical multiple regression. The results were as follows: First, Degree of satisfaction was lower in grandmothers who were living with their children than those who were not. Second, the variables affecting the grandmothers living with their children were economic status, extent of care giving activities, and social support, wherein social support proved to be the most influential. In the case of those not living with their children, the significant variables were motive and social support, motive being more influential. This result indicates that affecting variables differ by the grandmothers' living arrangements, and thus the strategy to enhance their care giving satisfaction should differ as well, based on the findings.