본문 바로가기
KERD
논문KCI 등재

노인 돌봄과 가족자원에 관한 질적 연구

A Qualitative Study on Care Resources for Family Caregivers‘ of the Elderly

한동희
한국아동가족복지학회 (Korea Child & Family Welfare Association)|2017.06|한국가족복지학 (Korean Journal of Family Welfare)|제22권 제2호|pp. 355-377|DOI https://doi.org/10.13049/kfwa.2017.22.2.7

0

조회

0

다운로드

4

인용

0

참고문헌

키워드

노인 돌봄장기요양보험가족부양자family caregiver가족자원elderly carefamily resourceslong term care insurance

초록

With our increasing older population, care issues are growing in importance. In Korea, the NLTCI (National Long Term Care Insurance for the Elders) policy for elders was set up to expand social services for elders. However, the role of family caregivers in elderly care remains the most important resource for older adults. Data were collected from 11 cases representing the different situations of family caregivers who visited a welfare medical devices center between March 2 and April 30, 2015. Six cases were of elders in facilities or hospital who were continually supported by family caregivers; the other 5 cases were of elders being cared for at home. Six of the caregivers were female, and 5 were male; and they cared of their parents and/or spouse. Their ages were from 46 years to 78 years. The result of this study showed best ways of caring, difficult factors in caring, and different coping strategies used by family caregivers. Findings also offer suggestions to improve the NLTCI and to expand training programs and coping strategies and resources for family caregivers. Even though family stories revealed many hardships, stories also showed how family is continually connected through affection and obligation. More information and support can help empower family caregivers and assure good quality of services by family caregivers as our informal elder care system. Our society must prepare policies to support family caregivers and provide life coaching in elderly care.

Abstract

With our increasing older population, care issues are growing in importance. In Korea, the NLTCI (National Long Term Care Insurance for the Elders) policy for elders was set up to expand social services for elders. However, the role of family caregivers in elderly care remains the most important resource for older adults. Data were collected from 11 cases representing the different situations of family caregivers who visited a welfare medical devices center between March 2 and April 30, 2015. Six cases were of elders in facilities or hospital who were continually supported by family caregivers; the other 5 cases were of elders being cared for at home. Six of the caregivers were female, and 5 were male; and they cared of their parents and/or spouse. Their ages were from 46 years to 78 years. The result of this study showed best ways of caring, difficult factors in caring, and different coping strategies used by family caregivers. Findings also offer suggestions to improve the NLTCI and to expand training programs and coping strategies and resources for family caregivers. Even though family stories revealed many hardships, stories also showed how family is continually connected through affection and obligation. More information and support can help empower family caregivers and assure good quality of services by family caregivers as our informal elder care system. Our society must prepare policies to support family caregivers and provide life coaching in elderly care.

참고문헌 (46)

  1. Cho, S. N, "The Family Support and Health of the Elderly", Journal of Health and Social Science, 15, pp.31~76 (1999)
  2. The impact of the Korean long-term care insurance system on the beneficiaries and their family caregivers: focusing on quality of life and family relationships, "Choi, I. H.", Korean Women's Development Institute, ~ (2011)
  3. Day, M, "The concept of social care and the analysis of contemporary welfare state", British Journal of Sociology, 51(2), pp.281~298 (2000)
  4. Deacon, R. E, "Family resource management : principles and applications" (1998), Allyn and Bacon, Inc
  5. Espring, A. G, "Social foundations of postindustrial economics" (1999), Oxford University Press
  6. Fisher, B, "circles of care" (1990), Suny Press
  7. Green, L. W, "Health promotion planning: an educational and environmental approach" (1991), Mayfield
  8. Gubrium, J, F, "Qualitative Gerontology: A Contemporary Perspective", pp.154~171 (2002), Springer Publishing Company
  9. Gubrium, J. F., "Who Theorizes Age?", Ageing and Society, 10, pp.131~149 (1990)
  10. 한동희, "고령사회와 액티브에이징 고찰 연구", 노인복지연구, (64), pp.31~51 (2014), 한국노인복지학회
  11. Held, V, "The ethics of care; personal, political, and global" (2006), Oxford University Press
  12. 임선영, "미혼자의 가족가치관, 부모의 자원 제공 요소가 결혼의향에 미치는 영향", 한국가족자원경영학회지, 18(3), pp.177~193 (2014), 한국가족자원경영학회
  13. Family caregiving in an aging society; Evaluation of the current family support system and policy implication, "In-hee Choi", Korean Women's Development Institute, ~ (2014)
  14. Jeong, M. H, "A study on improving the elderly welfare at home in Korea", 석사, pp.2007
  15. Jeong, Y. K, "The contribution and evaluation to the studies in family resource management", Journal of Korean Management Association, 18(1), pp.231~241 (2000)
  16. 강욱모, "노인장기요양보험서비스와 노인돌봄서비스 간 파트너십체계 구축방안", 사회과학연구, 26(3), pp.49~74 (2010), 사회과학연구소
  17. Kittay, E. F, "ethical choices in long term care: what does justice require?" (2002), World Health Organization
  18. 김찬우, "한국사회의 바람직한 노인돌봄문화에 대한 탐색적 고찰", 비판사회정책, (44), pp.82~115 (2014), 비판과대안을위한사회복지학회[DOI]
  19. 김혜숙, "등급 외 치매노인주간보호 프로그램을 이용하는 초기치매노인 가족의 부양부담 변화에 대한 연구", 노인복지연구, (66), pp.167~188 (2014), 한국노인복지학회
  20. 김정은, "돌봄 대상자의 기여 요인이 가족 돌봄 노인의 돌봄 부담감과 만족감에 미치는 영향", 사회과학연구, 26(2), pp.123~150 (2015), 사회과학연구소[DOI]
  21. 김나영, "휴먼서비스조직 돌봄서비스제공자의 심리적 임파워먼트 척도개발 및 타당화 연구: 요양보호사를 중심으로", 한국노년학, 36(1), pp.57~78 (2016), 한국노년학회
  22. 공선희, "노인들의 가족돌봄에 대한 기대변화와 정책욕구", 한국사회학, 47(1), pp.277~312 (2013), 한국사회학회
  23. 이승호, "노인 재가서비스의 확대가 가족의 생활시간에 미친 영향: 삼중차이 방법의 적용", 한국사회정책, 23(1), pp.227~256 (2016), 한국사회정책학회
  24. Lee, S. H, "Policy suggestions for improving care services for older Koreans", Health Welfare Policy Form, pp.54~65 (2014), Korea Institute for Health and Social Affairs
  25. Lee, S. M, "The analysis an evaluation to the studies in family resource management based on the articles: focused on Journal of Korean Home Management Association", Journal of Korean Management Association, 87, pp.83~91 (2007)
  26. Lee, Y. K, "Development of reward system for family care in elderly long term care insurance, Health Welfare Policy Form", Health Welfare Policy Form (2010), Korea Institute for Health and Social Affairs
  27. A study of demand estimation and reorganization of provision system for elderly welfare service in response to an aging society, "Lee, Y. K.", Korea Institute for Health and Social Affairs, ~ (2013)
  28. Margaret E. Arcus, "Handbook of family life education Vol 2-The practice of family life education", pp.287~288 (1996)
  29. 이진숙, "노인장기요양보험은 가족의 돌봄부담을 완화하는가? : 현금급여와 가족요양보호사 이슈를 중심으로", 가족과 문화, 26(2), pp.126~150 (2014), 한국가족학회
  30. Lee, H. S, "A study on the problem and improvement plans of the Korean stay-at-home Elderly Welfare Service", 석사, pp.2009
  31. 마경희, "돌봄의 정치적 윤리: 돌봄과 정의의 이원론을 넘어", 한국사회정책, 17(3), pp.319~348 (2010), 한국사회정책학회
  32. Noddings, N, "Losing ground : American social self" (1984), Oxford University Press
  33. OECD, "Help wanted? providing and paying for long-term care" (2011), OECD
  34. 오세근, "현대 복지국가의 ‘돌봄’ 위기에 대응하는 유교사상의 정책 담론 도출에 관한 연구 - 노인에 대한 ‘좋은 돌봄(good care)’의 이념 구상을 중심으로", 사회사상과 문화, (24), pp.209~247 (2011), 동양사회사상학회
  35. 박연환, "노인을 부양하는 가족의 스트레스", 스트레스 硏究, 15(4), pp.331~337 (2007), 대한스트레스학회
  36. Ray, R. E, "The Search for meaning in Old Age: Narrative, Narrative Process, Narrativity, and Narrative Movement in Gerontology", The Gerontologist, 42(1), pp.131~137 (2002)
  37. 석혜경, "치매노인 가족을 위한 가족레질리언스 강화 프로그램 개발 연구", 가족과 가족치료, 23(3), pp.499~523 (2015), 한국가족치료학회
  38. 신경아, "노인 돌봄의 탈가족화와 노인의 경험: 재가노인과 시설거주 노인의 경험 연구", 한국사회학, 45(4), pp.64~96 (2011), 한국사회학회
  39. Statistics Korea, "2006 Future population projection", Statistics Korea, ~ (2006)
  40. Statistics Korea, "2013 Statistics on the aged", Statistics Korea, ~ (2013)
  41. Statistics Korea, "2014 Statistics on the aged", Statistics Korea, ~ (2015)
  42. Toronto, J. C, "socializing care" (2006), Rowman and Littlefield
  43. Tsutsui, T., "Changes in Perceived Filial Obligation Norms Among Corecipient Family Caregivers in Japan", The Gerontologist, 54(5), pp.797~807 (2014)
  44. Wiener, J, "Key policy issues in long-term care", pp.3~24 (2003), World Health Organization
  45. 윤경아, "치매노인 가족부양자의 부양부담이 부양자의 성장과 가족의 삶의 질에 미치는 영향： 대처전략의 조절효과를 중심으로", 노인복지연구, 72(1), pp.257~282 (2017), 한국노인복지학회
  46. Yokoyama, M, "Care management(Care plan), Care courses and care theory by ICT", International Conference of Developing TOT for the Elderly Care Program: Collaborating with Korea, Indonesia and Japan (2016)

이 간행물의 다른 논문 (6건)

다문화 가족 어머니들의 유아기 자녀양육 경험에 대한 해석현상학적 연구김수지, 강하라, 김민정, 이운경, 윤기봉, 도현심pp. 185-217아동의 학업성취에 대한 다중지능과 학습동기의 관계 연구이 영pp. 219-246할머니들의 손자녀 양육지원 종료 경험에 대한 질적 연구안희란, 김선미pp. 247-271성폭력 피해 여성의 지원서비스 이용 경험 연구 - 성폭력 상담소를 중심으로 -전종설, 김지현, 심혜선pp. 273-303성인용 에니어그램 간편 척도 개발 및 타당화 연구유서현, 이소희pp. 305-327
원문 보기