장기요양노인 가족수발자를 위한 전화-기반 집단적 지지프로그램의 효과
Effects of a Telephone-based Support Group Program for Family Caregivers Providing Long-term Care for Elders
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초록
Purpose: The purpose of this study was to develop a telephone-based support group program for family caregiversproviding long-term care for elders and to identify the program's effects on depression, caregiving burden andsatisfaction. Methods: A non-equivalent control pre-post design was used. Participants were recruited from supportgroups in 3 long-term care agencies and were assigned to the experimental group (n=16) or control group(n=19) receiving usual care. For the experimental group, the telephone-based support group intervention, consistingof the self-help group activity in small group, given for 8 weeks. Outcomes included changes in depression,caregiving burden and satisfaction. Data were analyzed using Fisher’s exact test and Mann-Whitney U-test withSPSS/WIN 21.0. Results: After 8 weeks intervention, the experimental group had significantly increased caregivingsatisfaction (Z=-2.39, p=.017) compared to the control group. Within the experimental group, scores fordepression were significantly decreased (Z= -2.26, p=.024) but not the caregiving burden (Z=-0.99, p=.320). Conclusion: The results indicate that a telephone-based support group program is effective in increasing caregivingsatisfaction, and decreasing depression. Therefore, it can be utilized in the field of nursing for family caregiversproviding long-term care for elders.
Abstract
Purpose: The purpose of this study was to develop a telephone-based support group program for family caregiversproviding long-term care for elders and to identify the program's effects on depression, caregiving burden andsatisfaction. Methods: A non-equivalent control pre-post design was used. Participants were recruited from supportgroups in 3 long-term care agencies and were assigned to the experimental group (n=16) or control group(n=19) receiving usual care. For the experimental group, the telephone-based support group intervention, consistingof the self-help group activity in small group, given for 8 weeks. Outcomes included changes in depression,caregiving burden and satisfaction. Data were analyzed using Fisher’s exact test and Mann-Whitney U-test withSPSS/WIN 21.0. Results: After 8 weeks intervention, the experimental group had significantly increased caregivingsatisfaction (Z=-2.39, p=.017) compared to the control group. Within the experimental group, scores fordepression were significantly decreased (Z= -2.26, p=.024) but not the caregiving burden (Z=-0.99, p=.320). Conclusion: The results indicate that a telephone-based support group program is effective in increasing caregivingsatisfaction, and decreasing depression. Therefore, it can be utilized in the field of nursing for family caregiversproviding long-term care for elders.
참고문헌 (29)
- 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)
- Bank, A. L., "The value of telephone support groups among ethnically diverse caregivers of persons with dementia", Gerontological Society of America, 46(1), pp.134~138 (2006)
- Brodaty, H., "Family caregivers of people with dementia", Dialogues in Clinical Neuroscience, 11(2), pp.217~228 (2009)
- Bulechek, G. M., "Nursing interventions: Essentials nursing treatments" (1992), W. B. Saunders Co
- 천숙희, "치매노인을 돌보는 여성가족수발자의 지각된 속박감과 우울 및 주관적 안녕감의 관계", 여성건강간호학회지, 17(3), pp.285~293 (2011), 여성건강간호학회
- Connell, C. M., "Effects of a telephonebased exercise intervention for dementia caregiving wives : A randomized controlled trial", Journal of Applied Gerontology, 28(2), pp.171~194 (2009)
- Davis, J. D., "A telephone-delivered psychosocial intervention improves dementia caregiver adjustment following nursing home placement", International Journal of Geriatric Psychiatry, 26(4), pp.380~387 (2011)
- Dressen Kinney, C. K., "Support group, nursing interventions: Treatments for nursing diagnosis" (1980), W. B. Saunders Co
- Harwood, D. G., "Predictors of positive and negative appraisal among Cuban American caregivers of Alzheimer's disease patients", International Journal of Geriatric Psychiatry, 15(6), pp.481~487 (2000)
- 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
- Katz, A. H., "Self-help : Concepts and applications" (1992), Charles Press
- 김은영, "노인장기요양보험제도에서의 가족수발자의 경험", 지역사회간호학회지, 23(4), pp.347~357 (2012), 한국지역사회간호학회
- Kim, J. S, "A study on the development of self-help program with care burden for families with demented elderly persons", Journal of Korean Academy of Community Health Nursing, 16(3), pp.260~269 (2005)
- 김용재, "뇌졸중 환자 부양자의 긍정적 경험: 부양 만족과 관련 요인을 중심으로", 대한신경과학회지, 22(6), pp.590~597 (2004), 대한신경과학회
- Kwon, J. D., "Measuring the caregiver burden of caring for the demented elderly", Yonsei Social Welfare Review, 3, pp.140~168 (1996)
- 이홍자, "장기요양서비스 전·후 가족의 수발 부담감에 영향을 미치는 요인", Journal of Korean Academy of Nursing, 42(2), pp.236~247 (2012), 한국간호과학회[DOI]
- 임경희, "The Patient Health Questionnaire-9의 표준화 예비연구", Korean Journal of Health Promotion, 9(4), pp.275~281 (2009), 대한임상건강증진학회
- Mahoney, D. F., "Effects of an automated telephone support system on caregiver burden and anxiety : Findings from the REACH for TLC intervention study", Gerontologist, 43(4), pp.556~567 (2003)
- 박희경, "뇌 ․ 척추질환 노인 환자 주 가족수발자의 부담감에 영향을 미치는 요인", 지역사회간호학회지, 22(4), pp.389~398 (2011), 한국지역사회간호학회
- Park, S. H., "Study on usage of weekend protective service for the caretakers(daughter-in-laws) of elderly Alzheimer’s patients", 석사, pp.2007
- Rootes, L. E., "A conceptual framework for understanding self-help groups", Hospital and Community Psychiatry, 43(4), pp.379~381 (1992)
- Smith, T. L., "The effectiveness of a telephone support program for caregivers of frail older adults", Gerontological Society of America, 46(5), pp.620~629 (2006)
- Son, G. R., "Korean adult child caregivers of older adults with dementia", Journal of Gerontological Nursing, 29(1), pp.19~28 (2003)
- Son, G. R., "Translation and validation of caregiving satisfaction scale into Korean", Western Journal of Nursing Research, 22(5), pp.609~622 (2000)
- Spitzer, R. L., "Validity and utility of the PRIME-MD patient health questionnaire in assessment of 3000 obstetricgynecologic patients : The PRIME-MD patient health questionnaire obstetrics-gynecology study", American Journal of Obstetrics and Gynecology, 183, pp.759~769 (2000)
- Strawbridge, W., "The effects of social factors on adult children caring for older parents", 박사, pp.1991
- Tremont, G., "Telephone-delivered psychosocial intervention reduces burden in dementia caregivers", Dementia, 7(4), pp.503~520 (2008)
- 유은광, "집단적 지지 간호중재 프로그램이 뇌졸중 환자 가족 수발자의부담감에 미치는 효과", Journal of Korean Academy of Nursing, 37(5), pp.693~702 (2007), 한국간호과학회
- Zarit, S. H., "Relatives of the impaired elderly : Correlates of feelings of burden", Gerontologist, 20(6), pp.649~655 (1980)
