본문 바로가기
KERD
논문KCI 등재

비암성 생애말기 환자 가족돌봄자의 삶의 질 영향요인

Factors Influencing Quality of Life among Family Caregivers of Non-cancer Patients at the End-of-life Stage

1

조회

0

다운로드

1

인용

0

참고문헌

키워드

주제분류간호학

초록

Purpose: The aim of this descriptive study was to identify factors influencing quality of life among family caregivers of non-cancer patients at the end-of-life stage. Methods: A cross-sectional survey was conducted using a questionnaire. Participants included 172 family caregivers caring for non-cancer patients. Data were collected from April to May 2016 and analyzed with descriptive statistics, an independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and a hierarchical regression analysis using the SPSS/WIN 24.0 program. Results: The mean of the participants’ quality of life was 51.70±9.98. Factors influencing quality of life among family caregivers were spiritual care (β=-.45, p=.021), coordination among family members or relatives (β=-.27, p=.029), and psychological support (β=-.04, p=.031). The explanatory power of the model was 21.0%. Conclusion: The findings of this study suggest that care needs; spiritual care, coordination among family members or relatives, and psychological support are important factors for family caregivers’ quality of life. To improve quality of life among family caregivers who are taking care of non-cancer patients at the end-of-life stage, national systems establishing comprehensive support considering the respective care needs of patients are crucial.

Abstract

Purpose: The aim of this descriptive study was to identify factors influencing quality of life among family caregivers of non-cancer patients at the end-of-life stage. Methods: A cross-sectional survey was conducted using a questionnaire. Participants included 172 family caregivers caring for non-cancer patients. Data were collected from April to May 2016 and analyzed with descriptive statistics, an independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and a hierarchical regression analysis using the SPSS/WIN 24.0 program. Results: The mean of the participants’ quality of life was 51.70±9.98. Factors influencing quality of life among family caregivers were spiritual care (β=-.45, p=.021), coordination among family members or relatives (β=-.27, p=.029), and psychological support (β=-.04, p=.031). The explanatory power of the model was 21.0%. Conclusion: The findings of this study suggest that care needs; spiritual care, coordination among family members or relatives, and psychological support are important factors for family caregivers’ quality of life. To improve quality of life among family caregivers who are taking care of non-cancer patients at the end-of-life stage, national systems establishing comprehensive support considering the respective care needs of patients are crucial.

참고문헌 (30)

  1. 황숙연, "지역사회 노인 생애말기케어 정책에 관한 탐색적 고찰", 사회과학연구, 33(4), pp.259~282 (2022), 사회과학연구소
  2. Kim SL, "Needs for end-of-life care by home care nurses among non-cancer patients in Korea and Japan", International Journal of Nursing Practice, 20(4), pp.339~345 (2014)[DOI]
  3. 2020 National survey of the living condition and welfare needs of older Koreans, "Lee YK", Ministry of Health and Welfare & Korea Institute for Health and Social Affairs, 264~265, pp.Report No.: 2020-35 (2020)
  4. Cho KS, "Current status of non-communicable diseases in the republic of Korea", Public Health Weekly Report, 14(4), pp.166~177 (2021)
  5. "2022 Cause of Death Statistics" (2023)[URL]
  6. Ikezaki S, "Predictors of dying at home for patients receiving nursing services in Japan : a retrospective study comparing cancer and non-cancer deaths", BMC Palliative Care, 10, pp.3~ (2011)[DOI]
  7. Chochinov HM, "Dignity and distress towards the end of life across four non-cancer populations", Plos One, 11(1), pp.e0147607~ (2016)[DOI]
  8. Health Quality Ontario, "Team-based models for end-of-life care : an evidence-based analysis", Ontario Health Technology Assessment Series, 14(20), pp.1~49 (2014)
  9. 백희정, "가정간호 가족 돌봄 제공자의 요구도", 가정간호학회지, 15(2), pp.115~121 (2008), 한국가정간호학회
  10. Choi YS, "Factors associated with quality of life among family caregivers of terminally ill cancer patients", Psycho-Oncology, 25(2), pp.217~224 (2016)[DOI]
  11. 조현미, "정신장애인 주보호자의 가족부담감, 회복탄력성, 영적안녕이 삶의 질에 미치는 영향", 정신간호학회지, 26(3), pp.226~237 (2017), 한국정신간호학회
  12. 김화순, "치매 노인 주부양자의 삶의 질에 영향을 미치는 요인", 기본간호학회지, 28(4), pp.500~509 (2021), 기본간호학회[DOI]
  13. 고준, "지역사회 거주 뇌졸중환자의 수단적 일상생활동작과 자기 효능감이 보호자의 삶의 질에 미치는 영향", 대한지역사회작업치료학회지, 5(1), pp.11~21 (2015), 대한지역사회작업치료학회[DOI]
  14. Aung TNN, "Caregiver burden and associated factors for the respite care needs among the family caregivers of community dwelling senior citizens in Chiang Mai, Northern Thailand", International Journal of Environmental Research and Public Health, 18(11), pp.5873~ (2021)[DOI]
  15. Sheppard VB, "Spirituality in African-American breast cancer patients : implications for clinical and psychosocial care", Journal of Religion and Health, 57(5), pp.1918~1930 (2018)[DOI]
  16. Hanly P, "Burden and happiness in head and neck cancer carers : the role of supportive care needs", Supportive Care in Cancer, 24(10), pp.4283~4291 (2016)[DOI]
  17. Xie H, "Quality of life in Chinese family caregivers for elderly people with chronic diseases", Health and Quality of Life Outcomes, 14, pp.99~ (2016)[DOI]
  18. Faul F, "Statistical power analyses using G*Power 3. 1 : tests for correlation and regression analyses", Behavior Research Methods, 41(4), pp.1149~1160 (2009)[DOI]
  19. Shimanouchi S, "Nursing strategies from the current situation of home care in Japan and research trends", Paper presented at: The meeting of the 1st Korea-Japan Joint Conference on Community Health Nursing (2007)
  20. Lee JE, "End-of-life care needs for noncancer patients who want to die at home in South Korea", International journal of nursing practice, 26, pp.e12808~ (2020)[DOI]
  21. The WHOQOL Group, "Development of the world health organization WHOQOL-BREF quality of life assessment", Psychological Medicine, 28(3), pp.551~558 (1998)[DOI]
  22. Min SK, "Development of the Korean versions of WHO quality of life scale and WHOQOL-BREF", Quality of Life Research, 11(6), pp.593~600 (2002)[DOI]
  23. Ovayolu Ö, "Quality of life of caregivers : a cross-sectional study", International Journal of Nursing Practice, 20(4), pp.424~432 (2014)[DOI]
  24. 이은실, "재가 복합 만성질환 노인 가족 돌봄 제공자의 지각된 만성질환 관리 지지, 건강 문해력, 사회적 지지가 돌봄 부담감에 미치는 영향", 노인간호학회지, 25(1), pp.76~88 (2023), 한국노인간호학회[DOI]
  25. Gabriel I, "Quality of life and associated factors among adults living with cancer and their family caregivers", Nursing & Health Sciences, 23(2), pp.419~429 (2021)[DOI]
  26. Panzini RG, "Quality-of-life and spirituality", International Review of Psychiatry, 29(3), pp.263~282 (2017)[DOI]
  27. 양주옥, "의료기관 가정간호 환자 주돌봄자의 소진에 영향을 미치는 요인", 지역사회간호학회지, 29(1), pp.54~64 (2018), 한국지역사회간호학회[DOI]
  28. 김연, "뇌손상 환자를 돌보는 가족원의 가족기능과 부담감", 스트레스 硏究, 20(1), pp.61~68 (2012), 대한스트레스학회[DOI]
  29. Baudry AS, "Emotional distress, supportive care needs and age in the prediction of quality of life of cancer patients’caregivers : a cross-sectional study", European Journal of Oncology Nursing, 64, pp.102324~ (2023)[DOI]
  30. 서준영, "가정간호대상자 가족의 사회적 지지와 가족기능, 가정간호 특성 간의 관계", 가정간호학회지, 19(1), pp.63~73 (2012), 한국가정간호학회[DOI]

관련 논문AI추천

이 간행물의 다른 논문 (5건)