연하장애 보호자 교육 프로그램이 보호자의 간병 지식과 부담 및 삶의 질에 미치는 영향
Effect of a Dysphagia Education Program for Caregivers on Knowledge, Burden, and Quality of Life
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
목적 : 본 연구는 연하장애 환자를 간병하는 보호자를 대상으로 시행한 교육 프로그램 중재가 간병 지식과 부담 및 삶의 질에 미치는 영향을 알아보고자 시행하였다. 연구방법 : 연구 대상자는 D재활 병원에 입원하여 연하치료를 받고 있는 환자의 주보호자 28명으로 선정하였다. 교육 프로그램 중재는 8주 동안 주 1회, 회기 당 30분씩 총 8회기로 진행하였다. 교육 프로그램은 선행 연구에 기반하여 이론 중심 회기4, 상담 중심 회4기로 구성하였다. 중재의 효과를 확인하기 위해 연하장애 지식척도, K-RCAS (Korean Revised Caregiving Appraisal Scale), K-WHOQOL-BREF (Korean version of World Health Organization Quality of Life assessment instrument-BREF)를 사용하였다. 평가 시점은 중재 전, 4주 후, 8주 후로 변화를 측정하였다. 자료분석은 기술통계, 반복측정 분산분석, 사후검정 시 본페로니를 실시하였다. 결과 : 교육 프로그램을 적용한 결과 중재 전, 4주 후, 8주 후의 연하장애 지식척도, K-RCAS, K-WHOQOL-BREF 모두 총점에 유의한 변화가 있었으며, 각 평가도구의 하위 항목의 변화도 유의한 차이가 있었다(p <.05). 결론 : 본 연구에서 개발한 교육 프로그램은 보호자의 간병 지식 및 부담 ,삶의 질에 긍정적인 영향을 미치는 것으로 확인하였다. 추후 임상 및 지역사회 분야에서 교육 프로그램 중재가 유용하게 활용되기를 기대한다.
Abstract
Objective : This study examined the impact of educational program for caregivers on dysphagia knowledge, burden, and quality of life. Methods : Twenty-eight caregivers of patients admitted to D hospital receiving dysphagia treatment participated. The program was conducted once a week for 8 weeks, 30 minutes per session, a total of 8 sessions. Based on previous studies, it divided into four theoretical and four counseling sessions. To confirm the effectiveness of the intervention, it were used that dysphagia knowledge, K-RCAS, K-WHOQOL-BREF. It were measured before, at four weeks, and after eight weeks. Data analysis included descriptive statistic, Repeated ANOVA, and Bonferroni post-hoc test. Results : There were significant improvements in total score of dysphagia knowledge, K-RCAS, K-WHOQOL-BREF before, 4 weeks after, 8 weeks after intervention. Also, there was also significant difference changes in subscales of each evaluation. Conclusion : It was confirmed that educational program had a positive effect on the caregiver’s knowledge, burden, and quality of life. The program’s usefulness in clinical and community fileds is anticipated.
참고문헌 (28)
- Badesha, M., "Caregiver burden interventions in speech-language pathology : A systematic review", International Journal of Language & Communication Disorders, 58(4), pp.1335~1356 (2023)[DOI]
- Bang, Y. S., "The effects of dysphagia management education on knowledge, practice, and stress of family caring for the patients with post-stroke dysphagia", Korean Journal of Occupational Therapy, 17(3), pp.55~65 (2009)
- Chadwick, D. D., "Carer knowledge of dysphagia management strategies", International Journal of Language & Communication Disorders, 37(3), pp.345~357 (2002)[DOI]
- Cohen, D. L., "Post-stroke dysphagia : A review and design considerations for future trials", International Journal of Stroke, 11(4), pp.399~411 (2016)[DOI]
- Coutts, K. A., "The use of diet modifications and third-party disability in adult dysphagia : The unforeseen burden of caregivers in an economically developing country", South African Journal of Communication Disorders, 67(1), pp.1~8 (2020)[DOI]
- Davis, C., "Contributors to poststroke dysphagiarelated caregiver burden", American Journal of Speech-Language Pathology, 30(3), pp.1061~1073 (2021)[DOI]
- DeFabrizio, M. E., "Contemporary approaches to dysphagia management", Journal for Nurse Practitioners, 6(8), pp.622~630 (2010)[DOI]
- Eltringham, S. A., "Experiences of dysphagia after stroke : An interview study of stroke survivors and their informal caregivers", Geriatrics, 4(4), pp.67~ (2019)[DOI]
- George, L. K., "Caregiver wellbeing : A multidimensional examination of family caregivers of demented adults", The Gerontologist, 26(3), pp.253~259 (1986)[DOI]
- Han, J. H., "The influence of nurses’ knowledge and preventive attitude on practice of preventive nursing for dysphagia", Journal of the Korean Dysphagia Society, 3(2), pp.62~69 (2013)[DOI]
- Howells, S. R., "Living with dysphagia in the community : Caregivers"do whatever it takes"", Dysphagia, 36, pp.108~119 (2021)[DOI]
- Jo, Y. R., "Development of smart phone-based nebulizer educational material using QR cord for parents of hospitalized preschool children", Korean Parent Child Health Journal, 22(1), pp.1~9 (2019)
- Kim, N. Y., "Effect of management education for respiratory disease on disease management, stress, and confidence of primary caregivers of hospitalized children", Korean Society of Health Service Management Journal, 14(3), pp.47~58 (2020)[DOI]
- Lee, J., "Korean version of the revised caregiving appraisal scale : A translation and validation study", Journal of Advanced Nursing, 59(4), pp.407~415 (2007)[DOI]
- Min, S. G., "Development of Korean version of WHO Quality of Life scale and abbreviated version(WHOQOL-BREF)", Journal of Korean Neuropsychiatric Association, 39(3), pp.571~579 (2000)
- "Survey on the status of disabilities" (2017)[URL]
- Namasivayam-MacDonald, A. M., "The burden of dysphagia on family caregivers of the elderly : A systematic review", Geriatrics, 3(2), pp.30~ (2018)[DOI]
- Nund, R. L., "Carers’ experiences of dysphagia in people treated for head and neck cancer : A qualitative study", Dysphagia, 29, pp.450~458 (2014)[DOI]
- Rangira, D., "Understanding burden in caregivers of adults with dysphagia : A systematic review", American Journal of Speech-Language Pathology, 31(1), pp.486~501 (2022)[DOI]
- Reitz, S. M., "Occupational therapy in the promotion of health and well-Being", AJOT : American Journal of Occupational Therapy, 74(3), pp.1~14 (2020)[DOI]
- Rogus-Pulia, N., "Approaches to the rehabilitation of dysphagia in acute poststroke patients", Seminars in Speech and Language, 34(3), pp.154~169 (2013)[DOI]
- Seo, J. H., "Care-helpers' knowledge, preventive attitude and practice for dysphagia of the elderly in long-term care facilities", Master, pp.2017
- Shune, S. E., "Swallowing impairments increase emotional burden in spousal caregivers of older adults", Journal of Applied Gerontology, 39(2), pp.172~180 (2020)[DOI]
- Song, S. H., "The management of dysphagia patients of knowledge for caregivers & the educational needs survey", Journal of Korea Aging Friendly Industry Association, 4(2), pp.43~50 (2012)
- Sullivan, A. B., "Who is taking care of the caregiver?", Journal of Patient Experience, 2(1), pp.7~12 (2015)[DOI]
- Suzuki, M., "The effect of care receivers' dysphagia severity on caregiver burden among family caregivers", Geriatrics & Gerontology International, 22(10), pp.870~875 (2022)[DOI]
- Teuschl, Y., "Systematic dysphagia screening and dietary modifications to reduce stroke-associated pneumonia rates in a stroke-unit", PloS One, 13(2), pp.e0192142~ (2018)[DOI]
- Yoo, H. Y., "A study on the knowledge and education of the caregivers of stroke patients", Journal of Korea Aging Friendly Industry Association, 4(2), pp.31~42 (2012)