• 한국노년학
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• v.30 no.1
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• pp.159-177
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• 2010

This study focused on elderly caring issues and proposes Information Technology (IT) as the complementary tool of care activities, and it was aimed to identify application and feasibility of complementary IT for elderly care activities. Focus Group Interview (FGI) was conducted with current and potential caregivers respondents to explore caregivers' opinions and needs of care activities, and to suggest roles of IT which are helpful for elderly caregiving. The results showed that caregivers desire to check elderly care receivers' health, safety, and location whenever and wherever they want, and these caregivers' needs can be satisfied with IT by supporting caring ubiquitously. Moreover, this article provided more specific guidelines of IT applications for elderly caring services, so it expected positive roles of IT for elderly caring activities. However, this paper consequently emphasized IT must focus on only supporting and complementary roles of caregiving activities rather than alternative roles to enhance caregivers' caring efficiency and reduce their caring burden.

• Korean Journal of Adult Nursing
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• v.12 no.3
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• pp.384-395
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• 2000

This study examined burdens of primary family caregivers, and family functioning of patients with cancer. In addition, the relationship between two concepts was assessed to develop nursing intervention to reduce the burdens of caregiving, and to improve family functioning. Ninety-two primary family caregivers of patients with cancer at a general hospital in Seoul participated in this study. The patients with cancer aged from 19 to 84 years with a mean age of 51 years, and sixty-one percent were male. About 30 percent of the patients suffered liver and billiary tract cancer. Fifty-six percent of the primary family caregivers were spouses of the patients and 70.7 percent were women. Primary family caregivers' burdens were assessed by the Burden Scale originally developed by Zarit (1980) and Novak & Guest(1989) and modified by Jang (1995) for use in Korea. The instrument consists of six subscales: time-dependent burden, developmental burden, physical burden, emotional burden, social burden, and financial burden. Family functioning was assessed by the Family APGAR developed by Smilkstein(1978). The results were as follows: 1. The average burden score was 86.1, indicating a moderate level of burden. The time-dependent burden scored highest followed by developmental, physical, social, financial, and emotional burdens. The mean score of family APGAR was 9.71; among subjects 82.6% were included in dysfunctional families. 2. Of the characteristics of patients, age, gender, number of admissions, and job were found to be associated with the level of burden. There was no significant difference between patient characteristics and family functioning. Of the characteristics of primary family caregivers, caregiver's perception of patient prognosis was significantly related to the level of burden, and family functioning. Caregiver's sex and age were also related to family functioning. The quality of relationship between a patient and a caregiver was significant situational factors affecting the level of burden, and family functioning. In addition, the income of family, and help from other family members were related to the level of burden. Given the results, it is essential to develop nursing intervention to reduce burden and to improve family functioning, such as support groups.

• Journal of Digital Convergence
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• v.15 no.9
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• pp.301-309
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• 2017

The purpose of this study was to explore family caregiver's need for online education for dementia caregiving. Participants in this study were 220 family caregivers from district dementia centers in Seoul. Family caregiver's usability and needs of online education program were assessed using self-administered questionnaires. Descriptive statistics and t-test comparisons were conducted. About 50% of family caregivers answered they could use and have intention to use online education. The results showed that there were the highest demand for the video lectures which give information about dementia and case video about caregiving skills. There were differences in needs of online program according to the gender and age. The use of online program offers users the opportunity to participate support program at their own time and pace. In order to maximize the effects of online support programs, it is important to establish the strategies of the customized programs considering the characteristics of the caregivers.

• 한국사회정책
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• v.23 no.1
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• pp.227-256
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• 2016

This study examines whether formal home care has led to a reduction in family member's allocation of time to care of elderly and changing the allocation of other time: informal care, market work, leisure, etc. Long-term care for the elderly is not the entire burden of elderly families anymore due to the increasing of the formal home care service for elderly since mid-2000's. This study uses triple difference(DDD) methods for evaluating policy reforms when reforms are equally and nation-wide accessible and analyzes data from the 2004 and 2009 Time Use Survey Data of the National Statistical Office in Korea. The treatment group is composed of the families of the elderly who need care and low- and middle- income family. Controlling for demographic characters, the three-way interaction term has statically significant and negative impact on care time of family members in treatment group statistically significant. The results reveal that the policy changes in elderly home care service affect time allocation of family members with old adults, which decreases caregiving time in a daily life. This result becomes apparent when we limit the case of women. But the level of reduction is not enough to change other kinds of time-informal care, market work, leisure, etc. The results indicate that formal home care for the elderly can reduce the burden of caregiving in families, but only minimally.

• Journal of Korean Academy of Nursing
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• v.37 no.6
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• pp.914-923
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• 2007

Purpose: This qualitative study aimed to identify the common, lived experiences of grandmothers who cared for their grandchildren as the primary caregivers. Methods: This study was based on the phenomenological method described by Colaizzi (1978). Results: Seven theme clusters emerged from the data as follows: "grandmother caregivers accept the parenting role of the incessant responsibilities and the distrust of non-kin caregivers.", "grandmother caregivers have a double maternal roles; an instrument-oriented maternal role to their own child and relationship-oriented maternal role to their grandchild.", "grandmother caregivers are partially authorized to make decisions in the matters of their grandchild.", "grandmother caregivers suffer a deterioration in their health by an acceleration of the aging process.", "caregiving causes grandmother caregivers to feel a sense of social isolation, and persue various coping strategies to control this feeling.", "grandmother caregivers have a greater feeling of self-esteem, but they often conflict with their adult children if they don't feel appreciated by them.", "grandmother caregivers have limited social support and their health issues are often overlooked in the family context.' Conclusion: The results of this study can guide nurses and health care workers to understand the experiences of grandmother caregivers and to implement individualized nursing interventions suited for them.

• Journal of Families and Better Life
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• v.32 no.5
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• pp.87-105
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• 2014

The purpose of this study was to investigate the factors associated with instrumental support (i.e., economic and practical support) from parents to their adult children. We examined both parents' attitudes toward instrumental support for adult children and parents' actual provision of instrumental support. From the data of the 2010 second National Survey of Korean Families, we selected 532 mothers and 524 fathers who were married and had at least one adult child aged over 25. Multiple regression analyses by the parents' gender showed that fathers were more likely to agree with instrumental support for adult children in general when they had unmarried children, had a lower household income level, had a lower evaluation of their socio-economic class, were satisfied with their own household economic situation, had positive attitudes toward caregiving for elderly parents, and were satisfied with their couple relationships. For mothers, they were more likely to agree with instrumental support for adult children in general when they had positive attitudes toward caregiving for elderly parents, were satisfied with their couple relationships, and perceived their child as someone to rely on in times of difficulties. Our analyses of the actual provision of support indicated that fathers tended to provide more support when they perceived that they were healthy, had unmarried children, were less satisfied with their household economic situation, had negative attitudes toward child-rearing, and reported a higher quality of parent-child relationship. For mothers, they were more likely to provide actual support when they were healthy, had unmarried children, had a higher level of household income, were financially preparing for later life, and less satisfied with their couple relationships. The findings of this study imply that it is imperative to distinguish the attitudes toward support from the actual provision of support and to also consider parents' gender in the literature on instrumental support for adult children.

• Child Health Nursing Research
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• v.25 no.4
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• pp.377-387
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• 2019

Purpose: The purpose of this study was to examine the correlation between a flexible parental visiting environment and parental stress in neonatal intensive care units (NICUs). Methods: The study participants included 60 parents of premature infants in NICUs. Structured questionnaires and interviews, as well as observations by researchers using a caregiving behavior checklist, were used to measure the flexibility of the parental visiting environment and parents' stress levels. Quantitative and qualitative data were collected concurrently and were initially analyzed as separate data sets. Data collection extended from March 11, 2018 to June 30. 2018 and the data were analyzed using descriptive statistics, the independent t-test, one-way analysis of variance, and Pearson correlation coefficients. Results: There was a negative correlation (r=-.30, p=.021) between parental stress and the total number of visits in 7 days. We also found that the average duration of each visit and the number of caregiving behaviors performed by parents were positively correlated (r=.73, p<.001). Conclusion: When designing a flexible visiting environment for parents, parents should be encouraged to visit their babies. By doing so, stress can be reduced both for babies and for parents. Therefore, it is suggested that the related polices and regulations in South Korea should be changed to provide more a flexible visiting environment to promote better parent-child attachment and family adjustment.

• Journal of Families and Better Life
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• v.32 no.1
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• pp.151-166
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• 2014

This study attempted to explore how middle aged married men and women prospected a Centenarian society and what implications their prospect cast for family policy. We conducted focus group interviews with five groups in order to identify their subjective prospects on marital relations, parent-child relations, caregiving from family or institutions, and alternative living arrangement. From those interviews, we found that married men and women in their 40s, 50s, and 60s possessed ambivalent attitudes toward their marital relationship, either acknowledging an importance of marital relationship or accepting long-standing disrespectful marital relationship. They also had a dualistic perspective on parent-child relationship, accepting parental responsibility for children and even grand-children but maintaining low expectations for children. What they needed was age appropriate opportunities for work or leisure and better community services and facilities. These results showed that the middle-aged was concerned experiencing unprecedented family situations. They needed family life education and services in order to adapt to the Centenarian society. Since family policy has viewed this age group out of service target, programs and services have been underdeveloped for this group. Expecting a Centenarian society however, we need to expand the boundary of family policy and take a new perspective. We need to develop and implement marital education programs, community-based self-care services, and age-appropriated opportunities for work, leisure, and social relations.

• 재활복지
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• v.18 no.4
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• pp.95-117
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• 2014

This study aims to examine the effects of personal assistance services(physical activity support, homemaking activity support, social activity support) on caregiver burden and determine whether family resilience(family belief system, family cohesion, interaction) has a moderating effect between personal assistance services and caregiver burden, thereby presenting a reference data which can be used to seek a practical measure for handicapped welfare. This study was conducted on 200 primary caregivers with disabled family members of rank 1 or 2 in east, west, south, and north Gyeonggi-do using personal assistance services. Data was collected in 2013 from April 1 to May 15, and was analyzed using the SPSS 19.0 statistics program in which a moderated multiple regression analysis based on exploratory factor analysis, confirmatory factor analysis, and hierarchical regression analysis was performed. The primary conclusions of this study were as follows; First, the use of physical activity support was showed to have a positive effect in reducing family burden related to disabled care. Second, personal assistance services exhibit significant moderator effects related to family burden in family belief systems and family cohesion.

• Journal of Families and Better Life
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• v.21 no.1
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• pp.25-36
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• 2003

This study was conducted to reconstitute a family life education program for caregivers and to analyze the system of implementation. Based largely on a pre-existing program for caregiving families, I developed a new educational program. Personal time management and personal needs management were added in the content of the program order to help enhance self-esteem and internal control. The reconstituted educational program, which consists of 6 sessions, was implemented on a small group of caregivers in Jeollabukdo Province who support their elderly parents. The effectiveness of the program was evaluated by a pre-test, a post-test, a follow-up test and open-questionnaire reports. The results from the post-test suggest that the program has been effective in improving the knowledge on aging process, internal control and self-esteem. But the follow-up test results show the program has been effective only in improving the knowledge on aging process. According to the open-questionnaire reports, the program seems to have been effective in improving interpersonal relationships and changing attitudes toward their elderly parents.