본문 바로가기
KERD
논문KCI 등재

가족 돌봄 고령자의 돌봄 부담감이 삶의 만족도에 미치는 영향과 노화 태도의 매개 효과

The Impact of Older Primary Family Caregivers’ Caregiving Burden on Their Life Satisfaction and the Mediating Effect of Attitude toward Aging

0

조회

0

다운로드

2

인용

0

참고문헌

키워드

초록

이 연구의 목적은 가족을 돌보는 고령자의 돌봄 부담감이 삶의 만족도에 미치는 영 향과 돌봄 부담감과 삶의 만족도 관계에서 노화 태도의 매개 효과를 확인하는 것이다. 대전광역시와 세종특별자치시에 소재한 15개 유관기관의 협조를 받아 유의표집된 55세 이상 가족 돌봄 고령자 204명이 설문 조사에 참여하였다. 자료 분석은 SPSS 26.0을 사 용하여 주요 변수에 대한 기술통계분석과 상관관계 분석, 위계적 회귀분석을 하였다. 분 석결과 첫째, 가족 돌봄 고령자의 돌봄 부담감은 삶의 만족도의 유의미한 영향요인으로 밝혀졌다. 둘째, 노화 태도는 돌봄 부담감과 삶의 만족도 관계에서 부분 매개 효과가 있 는 것으로 나타났다. 연구결과에 기반하여 가족 돌봄 고령자의 삶의 만족도 향상을 위 해 돌봄 부담감 감소와 긍정적 노화 태도 증진 관련 제언을 하였다.

Abstract

The purpose of this study was to examine the impact of older primary family caregivers’ caregiving burden on their life satisfaction and the mediating effect of attitude toward aging. Data using a structured questionnaire were collected from 204 primary family caregivers aged 55+ in 15 social service agencies in Daejeon Metropolitan City and Sejong City. Using SPSS 26.0 software, descriptive analysis, correlation analysis, and hierarchical regression analysis were conducted. The results showed that (1) older primary caregivers’ caregiving burden significantly affected the level of their life satisfaction; (2) attitude toward aging mediated the relationship between primary caregivers’ caregiving burden and their life satisfaction. Based on the results, suggestions for social work intervention to relieve caregiving burden and promote positive attitude toward aging were discussed for the improvement of life satisfaction.

참고문헌 (63)

  1. 김고은, "성인 지적장애인을 돌보는 노년기 어머니의 돌봄경험 평가", 노인복지연구, (52), pp.369~390 (2011), 한국노인복지학회[DOI]
  2. 김준표, "노인의 노화태도가 삶의 만족에 미치는 영향:부모-자녀 간 결속의 다중매개효과 검증", 한국노년학, 38(3), pp.521~536 (2018), 한국노년학회[DOI]
  3. 백주희, "미국 치매노인 부양자의 우울증에 영향을 미치는 요소 : 배우자 부양자와 딸 부양자 비교 연구", 한국노년학, 29(4), pp.1591~1609 (2009), 한국노년학회
  4. 안정신, "성숙한 노화 태도와 성공적 노화 및 심리사회적 성숙의 관계 – 성숙한 노화개념의 탐색", 한국심리학회지: 발달, 26(2), pp.127~143 (2013), 한국심리학회 산하 한국발달심리학회
  5. 유혜경, "주관적 사회경제적 지위와 건강 인식 수준에 따른 노년 여성의 연령주의,노화에 대한 태도, 신체만족도 비교 연구", 한국의류산업학회지, 21(5), pp.586~596 (2019), 한국의류산업학회[DOI]
  6. 이영휘, "치매노인 부양자의 부양부담과 생활만족도 예측모형", 노인간호학회지, 13(3), pp.204~214 (2011), 한국노인간호학회
  7. 임낭연, "한국에서의 Diener의 삶의 만족 척도 (Satisfaction With Life Scale: SWLS) 사용 연구 개관", 한국심리학회지:일반, 29(1), pp.21~47 (2010), 한국심리학회
  8. 100세 시대 대비 여성노인의 가족돌봄과 지원방안 연구, "최인희", 한국여성정책연구원, ~ (2012)
  9. 황미경, "발달장애인 어머니의 삶의 질에 영향을 미치는 요인: 돌봄경험, 가족기능, 사회적 자본을 중심으로", 미래사회복지연구, 6(1), pp.83~113 (2015), 한국사회복지실천연구학회[DOI]
  10. Andren, S., "Family caregivers’ subjective experiences of satisfaction in dementia care : Aspects of burden, subjective health and sense of coherence", Scandinavian Journal of Caring Sciences, 19(2), pp.157~168 (2005)
  11. Aschbrenner, K. A., "Subjective burden and personal gains among older parents of adults with serious mental illness", Psychiatric Services, 61(6), pp.605~611 (2010)
  12. Au, A., "The effects of informal social support on depressive symptoms and life satisfaction in dementia caregivers in Hong Kong", Hong Kong Journal of Psychiatry, 19(2), pp.57~64 (2009)
  13. Barker, M., "Cross-sectional validation of the aging perceptions questionnaire : A multidimensional instrument for assessing self-perceptions of aging", BMC Geriatrics, 7(1), pp.9~ (2007)
  14. Baron R. M., "The moderator-mediator variable distinction in social psychological research : Conceptual, strategic, and statistical considerations", Journal of Personality and Social Psychology, 51(6), pp.1173~1182 (1986)
  15. Caqueo-Urizar, A., "Quality of life in caregivers of patients with schizophrenia : A literature review", Health and Quality of Life Outcomes, 7, pp.84~ (2009)
  16. Chow, E. O. W., "Caregiver strain, age, and psychological well-being of older spousal caregivers in Hong Kong", Journal of Social Work, 15(5), pp.479~497 (2015)
  17. Conde-Sala, J. L., "Differential features of burden between spouse and adult-child caregivers of patients with Alzheimer’s disease : An exploratory comparative design", International Journal of Nursing Studies, 47(10), pp.1262~1273 (2010)
  18. Diener, E. D., "The satisfaction with life scale", Journal of Personality Assessment, 49(1), pp.71~75 (1985)
  19. Dillenburger, K., "How long are we able to go on? Issues faced by older family caregivers of adults with disabilities", British Journal of Learning Disabilities, 39(1), pp.29~38 (2011)
  20. Ekwall, A. K., "The association between caregiving satisfaction, difficulties and coping among older family caregivers", Journal of Clinical Nursing, 16(5), pp.832~844 (2007)
  21. Ghosh, S., "Caregiver adaptation to multiple caregiving roles: As a spouse and a parent", Doctoral, pp.2010
  22. Ghosh, S., "Adaptation to a spouse's disability by parents of adult children with mental illness or developmental disability", Psychiatric Services, 63(11), pp.1118~1124 (2012)
  23. Goldsworthy, B, "Caregiving for Parkinson’s disease patients : An exploration of a stress-appraisal model for quality of life and burden", The Journals of Gerontology : Series B, 63(6), pp.372~376 (2008)
  24. Grasessel, E., "Subjective caregiver burden : Validity of the 10-item short version of the Burden Scale for Family Caregivers BSFC-s", BMC Geriatrics, 14(23), pp.1~9 (2014)
  25. Ha, J., "Age and gender differences in the well-being of midlife and aging parents with children with mental health or developmental problems : Report of a national study", Journal of Health and Social Behavior, 49(3), pp.301~316 (2008)
  26. Hong, S. H., "Testing configural, metric, scalar, and latent mean invariance across genders in sociotropy and autonomy using a non-Western sample", Educational and Psychological Measurement, 63(4), pp.636~654 (2003)
  27. Hoyert, D. L., "Factors related to the well-being and life activities of family caregivers", Family Relations, 41(4), pp.74~81 (1992)
  28. Ingrand, I., "Positive perception of aging is a key predictor of quality-of-life in aging people", PLoS ONE, 13(10) (2018)
  29. Irwin, M., "Screening for depression in the older adult : Criterion validity of the 10-item Center for Epidemiological Studies Depression Scale(CES-D)", Archives of Internal Medicine, 159(15), pp.1701~1704 (1999)
  30. Jones, S. L., "The relation of pain and caregiver burden in informal older adult caregivers", Pain Medicine, 12(1), pp.51~58 (2011)
  31. Jones, S. L., "Caregiver burden : Who the caregivers are, how they give care, and what bothers them", Journal of Health and Social Policy, 6(2), pp.71~89 (1994)
  32. Judd, L. L., "Psychosocial disability in the course of bipolar I and II disorders : A prospective, comparative, longitudinal study", Archives of General Psychiatry, 62(12), pp.1322~1330 (2005)
  33. Kim, H., "Predictors of caregiver burden in caregivers of individuals with dementia", Journal of Advanced Nursing, 68(4), pp.846~855 (2011)
  34. Kramer, B. J., "Expanding the conceptualization of caregiver coping : The importance of relationship-focused coping strategies", Family Relations, 42(4), pp.383~391 (1993)
  35. Lai, D. W. L., "Filial piety, caregiving appraisal, and caregiving burden", Research on Aging, 32(2), pp.200~223 (2010)
  36. Lawton, M. P., "The Philadelphia geriatric center morale scale : A revision", Journal of Gerontology, 30(1), pp.85~89 (1975)
  37. Lazarus, R. S., "Stress, appraisal, and coping" (1984), Springer Publising Company
  38. Minnes, P., "Well-being in aging parents caring for an adult with a developmental disability", Journal on Developmental Disabilities, 11(1), pp.47~66 (2004)
  39. Minnes, P., "Mediators of well-being in aging family carers of adults with intellectual disabilities", Journal of Applied Research in Intellectual Disabilities, 20(6), pp.539~552 (2007)
  40. Moser, C., "Self-perception of aging and vulnerability to adverse outcomes at the age of 65–70years", The Journals of Gerontology : Series B, 66(6), pp.675~680 (2011)
  41. Mueser, K. T., "Schizophrenia", Lancet, 363(9426), pp.2063~2072 (2004)
  42. Or, R., "Influence of caregiver burden on well-being of family member caregivers of older adults", Psychogeriatrics, 19(5), pp.482~490 (2019)
  43. Pearlin, L. L., "Caregiving and the stress process : An overview of concepts and their measures", The Gerontologist, 30(5), pp.583~594 (1990)
  44. Pinquart, M, "Gender differences in caregiver stressors, social resources, and health : An updated meta-analysis", The Journals of Gerontology : Series B, 61(1), pp.33~45 (2006)
  45. Pope, N. D., "Views on aging : How caring for an aging parent influences adult daughters’ perspectives on later life", Journal of Adult Development, 20(1), pp.46~50 (2013)
  46. Quah, S., "Caring for persons with schizophrenia at home : Examining the link between family caregivers’ role distress and quality of life", Sociology of Health & Illness, 36(4), pp.596~612 (2014)
  47. Ribé, J. M., "Quality of life in family caregivers of schizophrenia patients in Spain : Caregiver characteristics, caregiving burden, family functioning, and social and professional support", International Journal of Psychiatry in Clinical Practice, 22(1), pp.25~33 (2018)
  48. Roick, C., "Burden on caregivers of people with schizophrenia : Comparison between Germany and Britain", British Journal of Psychiatry, 190(4), pp.333~338 (2007)
  49. Ron, P., "Elderly people’s attitudes and perception of aging and old age: The role of cognitive dissonance?", International Journal of Geriatric Psychiatry, 22(7), pp.656~662 (2007)
  50. Roth, D. L., "Family caregiving and emotional strain : Association with quality of life in a large national sample of middle-aged and older adults", Quality of Life Research, 18(6), pp.679~688 (2009)
  51. Seltzer, M. M., "Accommodative coping and well-being of midlife parents of children with mental health problems or developmental disabilities", American Journal of Orthopsychiatry, 74(2), pp.187~195 (2004)
  52. Sijuwade, P. O., "Attitudes towards old age : A study of the self-image of aged", Studies on Home and Community Science, 3(1), pp.1~5 (2009)
  53. Smith, G. C., "Psychoeducational support groups for aging parents : Development and preliminary outcomes", Mental Retardation, 34(3), pp.172~181 (1996)
  54. Smith, J. L., "Enhancing positive perceptions of aging by savoring life lessons", Aging & Mental Health, 23(6), pp.762~770 (2019)
  55. Sörensen, S., "How effective are interventions with caregivers? An updated meta-analysis", The Gerontologist, 42(3), pp.356~372 (2002)
  56. Speake, D. L., "Health perceptions and lifestyles of the elderly", Research in Nursing & Health, 12(2), pp.93~100 (1989)
  57. Tung, W. C., "Factors related to family caregivers’satisfaction with home care for mental illness in Taiwan", Home Health Care Management & Practice, 22(7), pp.479~484 (2010)
  58. van der Lee, J., "Do determinants of burden and emotional distress in dementia caregivers change over time?", Aging & Mental Health, 21(3), pp.232~240 (2017)
  59. Wakabayashi, M, "Differences in the effects of informal family caregiving on health and life satisfaction between wives and husbands as caregivers", Review of Development Economics, 22(3), pp.1063~1080 (2018)
  60. Wang, S. H., "A study of stress, learned resourcefulness, and caregiver burden among primary caregivers of schizophrenic adolescents", The Journal of Nursing, 54(5), pp.37~47 (2007)
  61. White, N., "Social and professional support for parents of adolescents with severe intellectual disabilities", Journal of Applied Research in Intellectual Disabilities, 17(3), pp.181~190 (2004)
  62. Wong, D. F. K., "Quality of life of caregivers with relatives suffering from mental illness in Hong Kong : Roles of caregiver characteristics, caregiving burdens, and satisfaction with psychiatric services", Health and Quality of Life Outcomes, 10(1), pp.15~ (2012)
  63. Zamzam, R., "Schizophrenia in Malaysian families : A study on factors associated with quality of life of primary family caregivers", International Journal of Mental Health Systems, 5(1), pp.16~ (2011)

관련 논문AI추천

이 간행물의 다른 논문 (3건)