치매노인 주 가족 간호제공자의 소진에 영향을 미치는 요인
Factors Influencing Burnout in Primary Family Caregivers of Elders with Dementia
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Purpose: The purpose of this study was to identify factors that influence burnout in primary family caregivers of elders with dementia. Methods: The study was conducted from June 28 to July 14, 2011 with 93 registered primary family caregivers of elders with dementia from Seoul Dementia Support Center. Each participant consented to complete a structured questionnaire of; 22 items to measure care burden (5-point), 15 items for social support (7-point), 33 items for coping (4-point) and 22 items for burnout (7-point). Results: The majority of the participants were women, mainly spouses and daughters. Average age was 68.84 and average care period, 2 years or more. The majority reported they spent 19-24 hours a day in care. Mean scores for burnout, social support, coping, and care burden were 79.44±18.13, 70.46±18.22, 93.09 ±13.07, and 51.09±17.95 respectively. Statistically significant factors were care burden and social support, which accounted for 52.8% of total variance (F=31.553, p<.001). Care burden was greater than social support in accountability. Conclusion: Burnout of primary family caregiver is influenced by characteristics of care, care burden and social support. Therefore, it is important to take these variables into account when developing nursing programs to reduce care burden and increase social support.
Abstract
Purpose: The purpose of this study was to identify factors that influence burnout in primary family caregivers of elders with dementia. Methods: The study was conducted from June 28 to July 14, 2011 with 93 registered primary family caregivers of elders with dementia from Seoul Dementia Support Center. Each participant consented to complete a structured questionnaire of; 22 items to measure care burden (5-point), 15 items for social support (7-point), 33 items for coping (4-point) and 22 items for burnout (7-point). Results: The majority of the participants were women, mainly spouses and daughters. Average age was 68.84 and average care period, 2 years or more. The majority reported they spent 19-24 hours a day in care. Mean scores for burnout, social support, coping, and care burden were 79.44±18.13, 70.46±18.22, 93.09 ±13.07, and 51.09±17.95 respectively. Statistically significant factors were care burden and social support, which accounted for 52.8% of total variance (F=31.553, p<.001). Care burden was greater than social support in accountability. Conclusion: Burnout of primary family caregiver is influenced by characteristics of care, care burden and social support. Therefore, it is important to take these variables into account when developing nursing programs to reduce care burden and increase social support.
참고문헌 (30)
- Aysegul, Y., "Predictors of burnout in the family caregivers of Alzheimer's disease: Evidence from Turkey", Australasian Journal on Ageing, 28(1), pp.16~21 (2009)
- Baruch-Feldman, C., "Sources of social support and burnout, job satisfaction, and productivity", Journal of Occupational Health Psychology, 7(1), pp.84~93 (2002)
- Cho, N. O., "Study on family caregiving burden scale of dementia-Korea(FCBSD-K)", Korean Journal of Adult Nursing, 12(4), pp.629~640 (2000)
- 조윤희, "재가 치매노인의 증상에 따른 가족의 부담감 및 전문적 도움 요구", 한국노년학, 30(2), pp.369~383 (2010), 한국노년학회
- Demerouti, E., "Burnout and work engagement: A thorough investigation of the independency of both constructs", Journal Occupational Health Psychology, 15(3), pp.209~222 (2010)
- Hideki, O., "A longitudinal study of coping and burnout among Japanese family caregivers of frail elders", Aging and Mental Health, 12(4), pp.434~443 (2008)
- 주경복, "A Study of Care Burden, Burnout, and Quality of Life among Family Caregivers for the Elderly", 여성건강간호학회지, 14(4), pp.278~289 (2008), 여성건강간호학회
- 강정희, "사회적지지 프로그램이 재가 치매노인 돌봄 제공자의 부담감과 안녕에 미치는 효과", 노인간호학회지, 12(2), pp.142~153 (2010), 노인간호학회
- Kang, S. J., "Time interval between the recognition of dementia symptom and the first hospital sisit in Alzheimer’s disease", Journal Korean Neurol Association, 19(1), pp.62~64 (2001)
- Kim, J. H., "Effects of short-term home visiting program on family caregivers of demented elders", Journal of Korean Gerontological Nursing, 7(1), pp.79~87 (2005)
- 김주성, "가족관계유형별 치매노인가족의 간호제공상황평가, 소진 및 대처유형", 한국노년학, 24(4), pp.39~51 (2004), 한국노년학회
- 공은희, "치매노인을 돌보는 주가족 간호자의 부담감과 간호만족감: 문화적, 비문화적 요인", 한국노년학, 29(2), pp.701~716 (2009), 한국노년학회
- Kwon, J. D., "A study on the assessment of caregiver burden in caring for the demented elderly in Korea", 박사, pp.1984
- Lazarus, R. S., "Stress, appraisal and coping" (1984), Springer
- 이해정, "치매노인을 돌보는 주가족간호제공자의 스트레스원과 우울간의 관계에서 사회적 지지의 역할", Journal of Korean Academy of Nursing, 33(6), pp.713~721 (2003), 한국간호과학회
- 이준상, "치매노인 가족보호제공자의 부양부담에 영향을 미치는 요인에 관한 연구-노인복지센터와 노인요양시설 이용노인 가족을 중심으로", 노인복지연구, 40(40), pp.227~250 (2008), 한국노인복지학회
- 이민홍, "요보호노인 가족수발자의 대처기술이 수발부담에 미치는 영향 분석", 한국사회복지조사연구, 19, pp.31~54 (2008), 사회복지연구소
- 이영미, "치매노인 부양자의 우울과 부양부담감, 사회복지서비스 이용도에 관한 연구", 한국노년학, 25(3), pp.111~121 (2005), 한국노년학회
- 이영휘, "치매노인 부양자의 부양부담과 생활만족도 예측모형", 노인간호학회지, 13(3), pp.204~214 (2011), 노인간호학회
- Maslach, C., "Burned-out", Human Behavior, 9(5), pp.16~22 (1976)
- 2nd Dementia Management Master Plan, "Ministry of Health & Welfare", Ministry of Health & Welfare, ~ (2012)
- Norbeck, J. S., "The development of an instrument to measure social support", Nursing Research, 30(5), pp.264~269 (1981)
- Orem, D. E., "Nursing: Concepts of practice (3rd ed)" (1985), McGraw-Hill
- Quayhagen, M. P., "Coping with conflict", Research Aging, 4(3), pp.364~377 (1982)
- Suh, M. H., "A study of well-being in caregivers caring for chronically ill family members", Journal of Korea Academy Nursing, 23(3), pp.467~486 (1993)
- Vitaliano, P. P., "Predictors of burden in spouse caregivers of individualswith Alzheimer's disease", Psychology and Aging, 6(3), pp.392~402 (1991)
- "Measuring social support: PRQ2000" (2000)[URL]
- Yoo, I. Y., "Influencing factors on care burden in the caregivers of demented elderly", Journal of Korean Gerontological Nursing, 8(1), pp.45~57 (2006)
- 유문숙, "치매노인 가족의 부담감, 대처능력과 건강관련 삶의 질과의 관계", 한국노년학, 30(4), pp.1117~1127 (2010), 한국노년학회
- Zarit, S., "Subjective burden of husband and wives as caregivers: A longitudinal study", Gerontologist, 26, pp.260~266 (1986)
