본문 바로가기
KERD
논문KCI 등재

치매환자를 돌보는 가족부양자의 부양부담 위험도와 영향 요인

Influencing Factors and Risk of Caregiver Burden of Family Caregivers for Patient with Dementia

2

조회

0

다운로드

15

인용

0

참고문헌

키워드

초록

To reduce the caregiver burden, there is a need to understand caregiver risk in caring for patients with dementia and factors related to the risk. The purposes of this study are to examine comprehensive caregiving risk of family caregivers for patients with dementia and to investigate associations between characteristics of family caregivers and caregiver risk. Family caregivers from dementia centers in a metropolitan city were assessed and 220 samples were used for data analysis. Risk appraisal, personality, and characteristics of family caregivers were measured using self-administered questionnaires. Descriptive statistics and hierarchical multiple regression analyses were conducted. The burden on caregiving skill was the highest risk and safety was the lowest risk. Significant factors of overall risk were subjective health, certified care worker, and monthly income. Neurotic personality was one of main factors that attribute to caregiver risk. Based on the comprehensive assessment of caregiver risk and the related factors, this study suggests that family caregiver’s characteristics can influence caregiver risk differently and individually tailored support with a family-centered approach is beneficial for family caregivers.

Abstract

To reduce the caregiver burden, there is a need to understand caregiver risk in caring for patients with dementia and factors related to the risk. The purposes of this study are to examine comprehensive caregiving risk of family caregivers for patients with dementia and to investigate associations between characteristics of family caregivers and caregiver risk. Family caregivers from dementia centers in a metropolitan city were assessed and 220 samples were used for data analysis. Risk appraisal, personality, and characteristics of family caregivers were measured using self-administered questionnaires. Descriptive statistics and hierarchical multiple regression analyses were conducted. The burden on caregiving skill was the highest risk and safety was the lowest risk. Significant factors of overall risk were subjective health, certified care worker, and monthly income. Neurotic personality was one of main factors that attribute to caregiver risk. Based on the comprehensive assessment of caregiver risk and the related factors, this study suggests that family caregiver’s characteristics can influence caregiver risk differently and individually tailored support with a family-centered approach is beneficial for family caregivers.

참고문헌 (37)

  1. Reed C., "Caregiver burden in Alzheimer’s disease : differential associations in adult-child and spousal caregivers in the GERAS observational study", Dementia and Geriatric Cognitive Disorders, 4, pp.51~64 (2014)
  2. 조은영, "가족 상호관계가 치매노인 가족원의부담감에 미치는 영향", 한국노년학, 30(2), pp.421~437 (2010), 한국노년학회
  3. 최소라, "재가치매 환자의 미충족요구와 가족부양자의 돌봄경험 예측모형", Journal of Korean Academy of Nursing, 46(5), pp.663~674 (2016), 한국간호과학회
  4. Eysenck H. J, "The biological basis of personality" (1967), Thomas
  5. Family Caregiver Alliance, "Caregiver Assessment: Voices and Views from the Field", National Consensus Development Conference, 2 (2006)
  6. Shurgot, G R, "Influence of neuroticism, ethnicity, familism, and social support on perceived burden in dementia caregivers: Pilot test of the Transactional Stress and Social Support Model", The Journals of Gerontology, 60B(6), pp.331~334 (2005)
  7. 한숙정, "치매노인 가족부양자의 부양부담감 관련요인에 관한 선행연구 고찰", 노인간호학회지, 16(3), pp.242~254 (2014), 노인간호학회[DOI]
  8. 황지선, "가족부양자의 대처자원이 삶의 만족도에 미치는 영향", Family and Environment Research, 53(5), pp.519~530 (2015), 대한가정학회
  9. Abraldes I. G., "The influence of neuroticism and extraversion on the perceived burden of dementia caregivers : an exploratory study", Archives of Gerontology and Geriatrics, 56, pp.91~95 (2013)
  10. 장혜영, "부양부담과 가족극복력이 치매노인 부양가족의 적응에 미치는 영향", 성인간호학회지, 25(6), pp.725~735 (2013), 한국성인간호학회[DOI]
  11. 김은주, "치매환자의 간호의존도 영향요인", Journal of Korean Academy of Nursing, 33(6), pp.705~712 (2003), 한국간호과학회
  12. Kim H. J., "Predictors of caregiver burden in caregivers of individuals with dementia", Journal of Advanced Nursing, 68(4), pp.846~855 (2011)
  13. 김재민, "치매환자 부양자의 부양부담 결정인자", 신경정신의학, 40(6), pp.1106~1113 (2001), 대한신경정신의학회
  14. 김정순, "치매노인 주 부양자의 건강관련 삶의 질 예측인자", 지역사회간호학회지, 18(2), pp.232~241 (2007), 한국지역사회간호학회
  15. 김선영, "노인에서 한국판 성격 5요인 척도의 표준화 및 타당도", 생물정신의학, 17(1), pp.15~25 (2010), 대한생물정신의학회
  16. 김수영, "치매노인 가족부양자 대상 집단교육프로그램의 효과성", 노인복지연구, (36), pp.7~36 (2007), 한국노인복지학회
  17. Kim J. S, "A critical review and visim of family caregiving research on the demented elderly’s in republic of Korea", Journal of Korean Academy of Nursing, 29(6), pp.1419~1733 (1999)
  18. The social burden and care management for people with dementia, "Ko S. J.", Korea Institute for Health and Social Affairs, ~ (2016)
  19. Kwon,J.D, "A Study on the assessment of caregiver burden in caring for the demented elderly in Korea", 박사, pp.1994
  20. 이애숙, "치매노인 부양자의 부양부담 실태 및 부양부담에 영향을 미치는 요인", 보건과 사회과학, 13, pp.29~60 (2003), 한국보건사회학회
  21. 이현주, "치매노인 가족부양자의 부양부담 연구: 사회적 지지의 조절효과", 사회과학연구, 26(1), pp.345~367 (2015), 사회과학연구소[DOI]
  22. 이선아, "치매가족교육 프로그램이 치매 환자 주부양자의 치매 인식도, 부양부담감 및 우울에 미치는 효과", 정신간호학회지, 26(1), pp.14~23 (2017), 정신간호학회
  23. 이윤희, "치매 환자를 돌보는 가족부양자의 부양만족도와 관련 요인", 노인간호학회지, 18(3), pp.117~127 (2016), 노인간호학회[DOI]
  24. 이영휘, "치매노인 부양자의 부양부담과 생활만족도 예측모형", 노인간호학회지, 13(3), pp.204~214 (2011), 노인간호학회
  25. 임현우, "한국 노화성 난청의 현주소", 대한의사협회지, 54(9), pp.910~917 (2011), 대한의사협회
  26. Martinez R. S., "Adaptation and analysis of psychometric features of the caregiver risk screen : a tool for detecting the risk of burden in family caregivers", International psychogeriatrics, 25(5), pp.755~764 (2013)
  27. The 2nd National Dementia Management Master Plan, "Ministry of Health and Welfare", ~ (2012)
  28. Orgeta V, "Personality and dementia caring: a review and commentary", Current Opinion in Psychiatry, 28(1), pp.57~65 (2015)
  29. Papastavrou E., "Caring for a relative with dementia : family caregiver burden", Journal of Advanced Nursing, 58(5), pp.446~457 (2007)
  30. 박세연, "치매 가족 지지프로그램이 가족 부양자의 부양부담감, 우울, 스트레스에 미치는 효과: 체계적 고찰 및 메타분석", Journal of Korean Academy of Nursing, 45(5), pp.627~640 (2015), 한국간호과학회
  31. Schulz R, "Family caregiving of persons with dementia : prevalence, health effects, and support strategies", Journal of Geriatric Psychiatry, 12(3), pp.240~249 (2004)
  32. Czaja S. J., "Development of the risk appraisal measure : a brief screen to identify risk areas and guide interventions for dementia caregivers", The American Geriatrics Society, 57(6), pp.1064~1072 (2009)
  33. Survey on Dementia Elderly, "Seoul National University Bundang Hospital", Ministry of Health and Welfare, ~ (2013)
  34. Caregivers of persons with dementia: roles, experiences, supports and coping, "Smale B", University of Waterloo, ~ (2004)
  35. Belle S. H., "Enhancing the quality of life of dementia caregivers from different ethnic or racial groups", Annals of Internal Medicine, 140(10), pp.727~738 (2006)
  36. 유봉구, "노인 치매 환자의 행동심리 증상과 부양부담과의 관계", Dementia and Neurocognitive Disorders(대한치매학회지), 7(1), pp.1~9 (2008), 대한치매학회
  37. Zarit S. H, "caregiver assessment: voices and views from the field" (2006), Family Caregiver Alliance

관련 논문AI추천

이 간행물의 다른 논문 (6건)