• Korean Journal of Social Welfare
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• v.42
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• pp.41-82
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• 2000

The purpose of this study is to provide empirical findings about intragenerational and intergenerational discrepancies in eldercare attitude and behavior in Korea. Specifically, intragenerational discrepancies refer to phenomena in which eldercare attitude and behavior diverge from each other within the caregiving and care-receiving generations, respectively. Intergenerational discrepancies, on the other hand, refer to two kinds of phenomena, one in which eldercare attitudes are different between caregiver and care-receiver and the other in which eldercare behavior is differently recognized between the two parties. For the last couple decades, these kinds of discrepancies tended to be simply assumed without any coherent theoretical and/or empirical rationales. Thus, the current study tried to investigate the degree, pattern, and characteristics associated with the discrepancies. Analysis of data collected from 276 matched pairs of caregivers (i.e., daughters-in-law) and care-receivers (i.e., the elderly) in Kwangju and its suburb areas has indicated a substantial amount of both intra- and inter-generational discrepancies. In other words, both caregivers and care-receivers were found to be experiencing huge discrepancies between attitude and behavior in their respective generation: the factual discrepancies in attitude between the two generations were quite salient: the cognitive discrepancies in behavior between them were salient, too. In addition, it was also found' that the extent to which the discrepancies became salient differed for the three subdimensions of eldercare (i.e., emotional, economic, and physical care), and that such discrepancies have intimate relationships with a set of sociodemographic characteristics for caregivers - notably, age, educational attainment, area of residence, household income - on the one hand, and those for care-receivers - notably, gender, age, educational attainment, cohabitation, family size, inheritance, owned property - on the other. A series of theoretical, empirical, and clinical implications stemming from the findings were suggested and fully discussed in the context of Korean society.

• Research in Community and Public Health Nursing
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• v.19 no.2
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• pp.205-215
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• 2008

Purpose: This study was to compare the effects of individual and group intervention programs on the demented elderly and their families. Methods: The programs were applied to two groups, one by home visiting and the other by group intervention. The groups were composed of 14 elders and 12 elders, respectively, with their families. The programs were applied twice a week, ninety minutes per session for four weeks. Programs consisted of cognitive therapy, music and art therapy, and massage for the demented elderly, education on dementia, cognitive-behavioral intervention for problematic behavior, methods to lessen stress, and counselling for the families. Results: AER, problematic behavior, QOL of pts and QOL, caregiving burden, and relationship with the pts of caregivers were improved after each program but not significantly except QOL of pts (Z=-3.37, p=.00) in the group intervention. When the two interventions were compared with each other, the group intervention program was more effective than the home visiting program in all variables but not significantly except QOL of pts (U=32.00, p=.00). Conclusion: In summary, both the individual and group intervention programs were helpful to both pts and families, and even though there was no statistically significant difference between the two intervention programs except in QOL of pts, the group intervention was more effective.

• The Journal of the Korea Contents Association
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• v.16 no.3
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• pp.649-660
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• 2016

The purpose of this study was to identify the differences and relations among burden, coping behavior and ego-resilience on caregivers of stroke patients. Participants were 74 caregivers of stroke patients who were hospitalized in the department of Neurosurgery and Neurology. Data was collected from March, 30 to September, 30 of 2014. Result: Caregivers burden was 3.66, coping behavior and ego-resilience were 2.67 and 3.10. Caregivers burden had significant differences according to caregivers gender, age, relationship with the patient, education level, marital state, and subjectively perceived physical condition. Coping behavior had significant differences according to martial state and caregiving hours, ego-resilience had no variable which showed significant differences. There is little correlation among these three variables. In conclusion, the burden levels are high in caregivers. It requires measures for reducing the caregivers burden. Further replication studies to identify the relation among these three variables are needed as well.

• 한국노년학
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• v.29 no.4
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• pp.1591-1609
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• 2009

Adult child caregivers and spousal caregivers might deal with differential challenges. Studies about caregivers' psychological outcomes, however, tended to investigate associations between caregiving and its outcomes by pooling adult child caregivers and spousal caregivers together. By using a U. S. sample of family caregivers who assisted a relative with dementia, this study examined whether the relationship of caregivers to care receivers (daughter caregivers or spousal caregivers) made a difference in levels of depressive symptoms. The result showed that wife caregivers were more likely to be depressed than daughter caregivers. For daughter caregivers, role overload, role captivity, and behavior problems significantly influenced on depression. Besides these variables, the level of education was a significant predictor for wife caregivers. Role captivity and behavior problems significantly impacted on depression for husband caregivers. Thus, role captivity and behavioral problems were common predictors for all the caregivers. Specifically, higher levels of role captivity and behavioral problems were likely to make caregivers more depressed. The implication of these results were discussed.

• Journal of Families and Better Life
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• v.25 no.5
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• pp.167-183
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• 2007

The purpose of this study was to investigate the changes in infant-mother interactions and to measure infant-mother interaction, mutuality, and reciprocity at the 2nd and 6th postnatal monthperiods. Infant-mother interaction was assessed in the mornings, afternoons, and evenings in the 2nd and 6th postnatal months, by filming unstructured free play in the home and analyzing 28 of these infant-mother film recordingsusing two trained observers. This study can be summarized in five points. First, the separate frequency distribution of each category in MIIBR's maternal behavior was as follows: the frequencies of vocalization category, the kinesthetic exercise & physical contact category, the physical caregiving category, and theuse of play tool category. These all showed changes in the 6th postnatal month compared to the 2nd postnatal month. Second, the separate frequency distribution of each category in MIIBR's infant behavior was as follows: the frequencies of physical behavior category, the vocalization category, and the play behavior category. These also all showed changes in the 6th postnatal month compared to the 2nd postnatal month. Third, the mutuality and reciprocity of mother interaction decreased in the 2nd postnatal month compared to the 6th postnatal month. Fourth, mutuality and reciprocity in the infant interaction increased in 2nd postnatal month compared to the 6th postnatal month. Fifth, mutuality and reciprocity in the infant-mother interaction increased in 2nd postnatal month compared to the 6th postnatal month. In conclusion, it is evident that infant-mother interactions change over time. This study bears particular significance in setting a foundation for the theoretical basis of the interaction between infant and mother by observation.

• Journal of Korean Academy of Nursing
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• v.31 no.6
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• pp.1077-1087
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• 2001

The purpose of this study was to analyze the effects of respite care. The analysis was conducted by reviewing published intervention studies on the effects of formal respite care for caregivers of dementia patients, patients with dementia, and the prevented or delayed rate of institutionalization of the patients. Method: Two computerized databases (MEDLINE, CINAHL) were searched to find respite care-related articles published from the year of 1981 to 2000. A total of 49 published articles were identified. Of them, nine studies, which met for the inclusion criteria of this study, were included. Results: Results revealed that there was little evidence of the effect of respite care on, not only caregivers' burden, stress, depression and well-being, but also the rate of institutionalization of the patients. It was noteworthy that dementia patients reported fewer problems in behavior, although cognitive functioning and activity of daily living abilities continued to decline. However, these findings should be carefully interpreted because of methodological problems, such as non-random sampling, non random group assignment, a small sample size, uncontrolled confounding variables, limited period of services, and no specific types of services. Conclusion: It is recommended to conduct intervention studies of respite care being conducted in Korea with the corrections of methodological problems suggested from this study.

• Journal of the Korean Home Economics Association
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• v.29 no.3
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• pp.85-98
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• 1991

To investigate dietary habits and health and nutritional status of the elderly with cerebrovascular disease(CVD), 31 hospitalized patients and 28 old people who had experienced stroke and were living at home were interviewed for the dietary habits and drinking and smoking habits. Their blood pressure and triceps skinfold thickness were measured and biochemical assessment of blood samples were conducted. The results were compared with those from 30 healthy elderly. Ca Index reflecting ca intake and intake of dietary fiber were significantly lower in the patient elderly groups than in the healthy elderly. Cholesterol intakes were not significantly different among the groups. Although salt intakes were almost similar among the groups, patient elderly tended to like salty taste as compared to the healthy elderly. Systolic and diastolic blood pressures of the patient elderly were significantly higher than those of the healthy elderly. Triceps skinfold thickness and serum total protein and albumin were significantly lower in patient groups than the healthy elderly. Serum cholesterol and hemoglobin concentrations were not different among groups. Among the above variables only Ca index was inversely correlated with blood pressure significantly.

• Korean Journal of Adult Nursing
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• v.12 no.2
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• pp.256-266
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• 2000

The purpose of this study was to develop and test the validity of the standardized Korean nomenclature of Nursing Outcomes Classification (NOC), developed by Johnson & Maas at the University of Iowa. The four phases of the study were: (1) translation of the NOC into Korean by the research team, (2) four nursing professors and eight nurses with various clinical backgrounds reviewed each nomenclature taking into consideration definitions and nursing activities. The modified Delphi method was used to determine the most appropriate nomenclature for each term; (3) Twenty four academic and clinical experts in nursing were given a questionnaire to rate each Korean nomenclature using a 5 point Likert scale ranging from very inappropriate to very appropriate; (4) the team determined the most appropriate Korean nomenclature for each class of the NOC. The mean validity score of 190 items was 4.54, but several nursing outcome had a score lower than 4.0. They included 'adherence behavior(3.3)', 'ambulation : walking(3.57)', 'transfer performance (3.57)', 'caregiving endurance potential(3.57)'.

• Korean Parent-Child Health Journal
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• v.1
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• pp.56-74
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• 1998

The language of the newborn, like that of adults, is one of gesture, posture, and expression(Lewis, 1980). Helping parents understand and respond to their newborn's cues will make caring for their baby more enjoyable and may well provide the foundation for a communicative bond that will last lifetime. Infant state provides a dynamic pattern reflecting the full behavioral repertoire of the healthy infant(Brazelton, 1973, 1984). States are organized in a predictable emporal sequence and provide a basic classification of conditions that occur over and over again(Wolff, 1987). They are recognized by characteristic behavioral patterns, physiological changes, and infants' level of responsiveness. Most inportantly, however, states provide caregivers a framework for observing and understanding infants' behavior. When parents know how to determine whether their infant is sleep, awake, or drowsy, and they know the implications, recognition of states has for both the infant's behavior and for their caregiving, then a lot of hings about taking care of a newborn become much easier and more rewarding. Most parents have the skills and desire to do what is best for their infant. The skills 7373parents bring to the interaction are: the ability to read their infant's cues: to stimulate the baby through touch, movement, talking, and looking at: and to respond in a contingent manner to the infant's signals. Among the crucial skills infants bring to the interaction are perceptual abilities: hearing and seeing, the capacity to look at another for a period of time, the ability to smile, be consoled, adapt their body to holding or movement, and be regular and predictable in responding. Research demonstrates that the absence of these skills by either partner adversely affects parent-infant interaction and later development. Observing early parent-infant interactions during the hospital stay is important in order to identify parent-infant pairs in need of continued monitoring(Barnard, et al., 1989).

• Korean Journal of Occupational Health Nursing
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• v.17 no.1
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• pp.64-75
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• 2008

Purpose: The purpose of this study was to analyze of PCAs' activity classification system and time of PCAs who worked in Wamco. Method: The data were collected from 2 WAMCO and 308 subjects between February and August, 2007, by questionnaire and 24 time survey. The data were processed with SPSS Win 12.0. Result: In activity analysis, PCAs' activities were classified into 20 domains and 76 activities, which were hygiene, bathing, feeding & nutrition, elimination, respiration, skin care, exercise & transfer, problematic behavior control, communication, observation & measurement comfort, medication, assisting test & treatment, reporting, environment management, patient belongings care, education attendance, indirect caregiving weekly/monthly PCAs' activity. And the PCAs' time analysis showed the average of 24hrs PCAs' time were 798.8 minutes, in which 46.8% were used in day-duty, 33.6% in evening-duty, and 19.6% in night-duty. There were no statistically significant difference in total PCAs time according to the type of industrial accidents and PCAs' type and qualification. But there were statistically significant difference in total PCAs time according to the type of PCAs (day-duty/all-night vigil. Conclusion: The results of this study can be utilized usefully and reasonally in deciding of PCAs staffing and PCAs' type and grade in WAMCO.