상단 PDF Factors Influencing Quality of Caregiving by Caregivers for Elders with Dementia

Factors Influencing Quality of Caregiving by Caregivers for Elders with Dementia

Factors Influencing Quality of Caregiving by Caregivers for Elders with Dementia

서 론 1.. 가 발병하게 되면 심한 건망증과 기억력 장애가 생기고 우울증, 피해망상 등의 정신장애와 수면장애와 같은 신체적 장애가 나 타나며[3] 치매노인의 독립적인 기능을 제한하여 일상생활수 행에 대한 의존성을 높인다[4]. 주부양자는 치매 노인과 동거하면서 돌봄의 과정에서 부양에 대한 책임을 맡아 치매노인을 일차적으로 보호[r]

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A Prediction Model for Unmet Needs of Elders with Dementia and Caregiving Experiences of Family Caregivers

A Prediction Model for Unmet Needs of Elders with Dementia and Caregiving Experiences of Family Caregivers

치매 환자의 증상은 가족부양자의 돌봄만족감에도 직접적 영향 을 미치는 것으로 나타났다. 특히 돌봄만족감의 하위 영역 분석에 서 돌봄에 대한 가족의 목표의식 영역이 인지기능장애, 행동문제, 기본적·도구적 일상생활수행 의존도와 양의 상관관계를 보였다. 목 표영역은 가족부양자가 환자 돌봄을 통해 개인적 성장이나 새로운 기술이나 능력 개발, 어려움 극복, 새로운 삶의 목표를 가지는 등의 경험을 하는 것을 의미하며, 이는 본 연구와 동일한 도구를 사용한 Figure 2. Path diagram of the final model.
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Factors Influencing Care Burdens of Caregivers of Elders with Dementia who Request Dementia Domiciliary Welfare Services

Factors Influencing Care Burdens of Caregivers of Elders with Dementia who Request Dementia Domiciliary Welfare Services

3) Assistant Professor, Department of Nursing, College of Medicine, Inha University Purpose. The purpose of the study was to identify the factors, which predict care burden perceived by caregivers of elders with dementia. Methods: The participants in this descriptive survey were 92 caregivers who used one of six daycare centers located in Incheon. The data were collected by questionnaires composed of items on general characteristics of the elders and caregivers, care burden, caregiver fatigue, and functional status of the elders. Results: General characteristics of the elders associated with care burden were age, gender, religion, and the presence of a spouse. Features of caregivers related to care burden were education, relationship with elderly, amount of rest, intention to care, monthly family income, and perceived family economic status. There were significant correlations among care burden, fatigue of caregiver and functional status of the elders. In stepwised multiple regression analysis, significant influencing factors were identified as caregiver fatigue, functional status of the elders, intention to care, relationship with the elders, amount of rest and elder's gender. Those variables explained 46% of variance of care burden. Conclusion: Functional status of elders and amount of rest were significant predictors and are supported by other previous studies. Future interventions for caregivers need to be focused on the slowing down of functional status of elders and increasing of number and length of caregiver's rest periods.
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Influencing Factors on Care Burden among Family Caregivers for Elders with Dementia: Focusing on Family Caregivers using a Support Center for Dementia

Influencing Factors on Care Burden among Family Caregivers for Elders with Dementia: Focusing on Family Caregivers using a Support Center for Dementia

치매노인은 신체적 스트레스 유발 인자에 매우 취약하여, 치매 이외의 다른 질환에 이환되는 경향이 높을 뿐 아니라 청력이나 시력저하, 체중감소 등 신체기능이 저하되기 때문에 독립적인 일상생활이 어렵게 되는 경우가 많아(Kwon, 1994), 가족부양자의 부양부담을 높이게 된다. 본 연구결과에서도 도 구적 일상생활수행 의존도가 가족부양자의 부양부담에 유의한 요인으로 파악되었다. 이는 미국의 로드아일랜드(Rhode Island) 에서 알츠하이머 치매노인을 돌보는 가족부양자는 다른 가족 부양자의 두 배정도 집안일을 하고 있으며 매주 40시간 이상 직접간호를 제공하고 있어 부담을 느낀다(Epstein-Lubow, 2009) 는 결과와도 유사하였다. 특히 우리나라에서는 가족부양 비율 이 높은 편이고(MOHW, 2018), 치매노인의 일상생활수행능력 저하는 시간이 지나면서 지속적으로 악화되므로 가족부양자들 의 부양부담을 가중시킨다(Etters et al., 2008; Han et al., 2014). 이에 서울시에서는 25개 구별로 치매지원센터를 운영 하며 치매조기검진, 치매등록자 사례관리, 물품 및 치료비 지 원, 인지재활프로그램운영, 가족지원 사업 등을 실시하고 있 다. 앞으로 전국의 치매안심센터에서 중요한 역할을 담당할 간호사는 세계적 추세인 ‘노인의 지역사회 계속 거주(aging in place)’ 기조에 부응하여 치매노인이 발병 후에도 지역사회의 가족구성원으로서 기능하며 가능한 오래 가족과 더불어 살아 갈 수 있도록 치매친화적환경(dementia-friendly environment) 조성 등에도 힘써야 할 것이다. 향후 치매안심센터를 비롯한 공적 지원체계를 중심으로 이루어지는 다양한 사업이 가족부 양자들의 부양부담을 줄여주는지 밝히는 연구가 지속되어야 한다.
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Importance of and Influencing Factors on Nurses' Caring Behaviors for Elders with Dementia

Importance of and Influencing Factors on Nurses' Caring Behaviors for Elders with Dementia

Professor, Division of Nursing, Hallym University Purpose: The purpose of this study was to investigate the importance of nurses' caring behaviors and to identify influencing factors on nurses' caring behaviors for elders with dementia. Methods: Data were collected through questionnaires from 156 nurses in several demented elderly setting and analyzed by applying descriptive statistics, t-test, ANOVA, Scheffe-test, Pearson's correlation coefficient and stepwise multiple regression with SPSS/WIN 16.0. Results: The average score for importance of nurses' caring behaviors was 3.55 and the 'attentive to other's experience' factor was the highest level. The mean score of nursing professional value was 8.46 and job satisfaction, 3.86. Importance of nurses' caring behaviors had a significant positive correlation with nursing professional value, job satisfaction and nurse's age. Four significant variables influencing importance of nurses' caring behaviors were job satisfaction, nursing professional value, working area of nurses and cognition dysfunction of elderly. Conclusion: With the results of this study, importance of nurses' caring behaviors can be improved by intervening the factors affecting this importance. Based on the findings of this study, further nursing practice and research for nurses' caring the elders with dementia should be focused on job satisfaction, nursing professional value, working area of nurses and cognitive dysfunction of elderly.
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Effects of Family Support Programs for Caregivers of People with Dementia - Caregiving Burden, Depression, and Stress: Systematic Review and Meta-analysis

Effects of Family Support Programs for Caregivers of People with Dementia - Caregiving Burden, Depression, and Stress: Systematic Review and Meta-analysis

Park, Seyeon · Park, Myonghwa College of Nursing, Chungnam National University, Daejeon, Korea Purpose: The objective of this systematic review was to assess the effects of family support programs on caregiving burden, depres- sion, and stress in family caregivers of people with dementia. Methods: A literature search was conducted of electronic databases to identify randomized controlled studies with family support programs done between 2000 and 2014. Studies published in English and/or Korean were included for the analysis with search strategies adapted from the Cochrane Dementia and Cognitive Improve- ment Group. Studies were rated for quality assessment by two independent reviewers using the appraisal checklist developed by Cochrane Reviews and Dissemination. Of 8,334 articles identified in the literature search, full texts of 76 articles that met the inclu- sion criteria were reviewed and 38 were found to include relevant outcomes. Results: Results from selected studies were pooled in statistical meta-analysis using Review Manager Software and heterogeneity between combined studies was assessed using the Chi- square test. Meta-analysis showed that the effect sizes of family caregiver support programs were small to medium for categories of caregiving burden (Hedge’s g = - 0.17, 95% CI = - 0.30~ - 0.04), depression (Hedge’s g = - 0.30, 95% CI = - 0.40~ - 0.20), and stress (Hedge’s g = - 0.39, 95% CI = - 0.52~ - 0.25). Conclusion: The review results indicate that a support programs can assist family care- givers in reducing their psycho-emotional distress.
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Health-Related Quality of Life among Women Caregivers of Older Adults with Dementia

Health-Related Quality of Life among Women Caregivers of Older Adults with Dementia

66.10 for norm based scoring. HRQoL of women caregivers was correlated with patients' ADL, severity of dementia, caregivers' age, burden, and family support. The major factors that affected the physical components of women caregivers of patients with dementia was the age of the caregiver, burden, and ADL which explained 36.0% of HRQoL. The main predictors of women caregivers' emotional state was the caregiver's burden. Conclusion:
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The comprehensive factors affecting the sleep quality in family caregivers of patients with dementia in the community of South Korea

The comprehensive factors affecting the sleep quality in family caregivers of patients with dementia in the community of South Korea

sleeper [21]. In Sohn et al. [22], Cronbach's ⍺ for that tool was .84 and in this study, it was .771. 4. Data Collection This study was performed after approval from the af- filiated Institutional Review Board (IRB) (40525-201811-HR- 100-03). Data collection was conducted from May 2019 to August 2019 from the FCGs' using 3 public health centers in South Korea. The researcher explained the purpose and contents of the research to each director of public health centers before getting approvals to visit and collect the data. The researcher explained the purpose and proc- ess of the research to the FCGs and PWDs and started da- ta collection when they agreed to participate in the study and gave written informed consents. The questionnaires were divided to PWDs and FCGs and the approvals of consent form were obtained by each. If PWDs had cogni- tive or functional problems, their legal representatives gave the approvals. The FCGs answered both question- naires on patient- and caregiver-related factors. For CSDD, the researcher explained the questionnaire to FCGs and helped the FCGs to answer the instrument. When they faced difficulties in filling it due to vision problems, re- searchers read aloud the questions to them and wrote down their responses on their behalf. The survey took about 30 minutes and a small gift was given to each par- ticipant when the survey was completed.
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Factors Influencing the Caring Burden of Families with Dementia in a Community

Factors Influencing the Caring Burden of Families with Dementia in a Community

Ko, “The Relationship of Caregiving Appraisal and Family Function among Senile Dementia Patients’ Families using In-home Services for the Long-Term Care Insurance”, [r]

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Sleep Disturbances and Predictive Factors in Caregivers of Patients with Mild Cognitive Impairment and Dementia

Sleep Disturbances and Predictive Factors in Caregivers of Patients with Mild Cognitive Impairment and Dementia

cious cycle. 4 A novel finding of our study was that agitation/aggression, depression, and appetite changes as reflected by the K-NPI scores were significantly related to global sleep quality, where- as nighttime behavior was not. Previous studies found that the nighttime behaviors of care recipients precipitated caregiver awakening, and that it can be difficult for vulnerable caregiv- ers to fall asleep again. 4 Although nocturnal behavioral distur- bances are no longer present, disrupted sleep patterns persist. 39 Another finding of our study concerned the predictive effects of cognitive function on sleep quality for dementia patients and caregivers. MOCA-K was negatively associated with the quality of sleep among dementia caregivers. Furthermore, in neuropsychological tests, how a dementia patient performs in the COWAT-A task, which is included in the frontal lobe function test, is related to disturbed sleep quality in their care- giver. This may indicate that some of the aforementioned BPSD or some aspects of frontal dysfunction in dementia patients are early indicators of caregiver sleep disturbances.
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Factors Influencing Dementia Caregivers' Health-related Quality of Life

Factors Influencing Dementia Caregivers' Health-related Quality of Life

Feelings of burden and health related quality of life among family caregivers looking after the impaired elderly.. Caregiver burden and health related quality of life amo[r]

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Factors Affecting On Caregiving Self-efficacy among Dementia Caregivers

Factors Affecting On Caregiving Self-efficacy among Dementia Caregivers

자의 자기효능감을 연구하였는데 신체적 공격행위 언어적 , 공격행위 신체적 비공격적 행위 등 정신행동증상이 부적 , 으로 강한 연관성이 있음을 밝혔다 또한 치매노인의 정신 . 행동증상을 다루는데 있어 낮은 자기효능감을 가진 가족 은 더 많은 부담감을 경험하게 되며 (Beekman, 1999), 자 기효능감은 부양부담을 알 수 있는 중요한 예측인자가 된 다(Gonyea et al. , 2005). 또한 Gonyea 등 (2005) 은 우울증 상이나 자기효능감이 환자요인이나 부양자의 인구학적 특 성보다 부담감 경험에 의미 있는 효과가 있기 때문에 부담 감을 줄이기 위한 간호중재에 있어 자기효능감을 증가시키 고 우울증상을 완화하는 것을 목표로 하여야 한다고 주장 하였다 이외에도 정신행동증상을 다루는데 있어서 낮은 . 자기효능감은 부양자의 우울 부담감 걱정 분노를 증가시 , , , Table 4. Caregivers' Self-efficacy by Sociodemographic and
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Respite Care for Family Caregivers of Elders with Dementia : Concept Clarification

Respite Care for Family Caregivers of Elders with Dementia : Concept Clarification

Conclusion: Through this study, the concept of respite care for family caregivers of elders with dementia is clarified and reformulated as nursing practice phenomena in the Korean cont[r]

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Factors Influencing Cognitive Impairment in Elders with Dementia Living at Home

Factors Influencing Cognitive Impairment in Elders with Dementia Living at Home

Ji, H. The effects of dementia nursing intervention program on cognitive function, depression, and social behavior in elderly people with mild dementia. A comparative study of cognit[r]

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Association between caregiving activities and care burden among caregivers of people with dementia

Association between caregiving activities and care burden among caregivers of people with dementia

Eun-Ju Park* Abstract The purpose of this study was to examine the difference in the association between caregiver's activities and caregiving burden according to gender and family relationship of caregivers of older people with dementia. This study used data from the Caregivers of Alzheimer’s Disease Research survey (n=476). The association between caregiving activities and care burden was analyzed by multiple regression. In this study, the caregivers were predominantly spouses, followed by daughters. The care burden, especially personal burden, and depression were significantly higher in women than men. The spouses (either male or female), compared with the sons and daughters, spent significantly more time providing care. Care time and depression of caregivers and physical disability of the patient were significantly correlated with care burden. Among the caregiving activities, using transportation, dressing, eating, looking after appearance, and supervising were significantly associated with care burden. The daughters and daughters-in-law presented more care burden with higher number of care days, and the female spouse who were younger tended to experience higher care burden. Daughters who provided longer time looking after appearance exhibited higher care burden. For female spouse, eating time was significantly associated with care burden. The association between caregiving activities and care burden of caregivers of people with dementia differed by gender and family relationship with the patient. This study was characterized by analyzing the effect of caregiving activities on caregiving burden by gender and family relationship of caregivers.
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요양시설 치매노인의 식사행동장애와 관련요인 홍현화

Feeding Difficulty and its influencing factors of Elders with Dementia in Long-term Care Facilities

2 College of Nursing, Gyeongsang Nation University 요 약 본 연구는 요양시설 치매노인을 대상으로 식사행동장애 실태와 영향요인을 규명하기 위한 서술적 조사연구이다. 연구대상은 일 지역 3개 요양시설에 거주하는 치매노인 158명이었으며, 연구기간은 2014년 8월18일부터 9월12일까지였으며, 식사행동장애, 신체기능(K-ADL) 및 인지기능(MMSE-K)을 측정하였다. 수집된 자료는 t-test, ANOVA, 상관관계, 회귀분 석으로 검정하였다. 식사행동장애 정도는 전체 평균이 0.62±0.43점(0-2점 범위)이었고, 식사 중 주의 깊은 감독이 필요하다가 가장 빈도가 높은 식사행동장애였다. 회귀분석결과 신체기능(β=.312), 인지기능(β=-.172) 순으로 식사행동장애에 영향을 미 쳤고, 이들 변수의 설명력은 20.0%였다. 이러한 연구결과는 요양시설 치매노인의 식사행동장애를 돕기 위한 식사행동단계별 대처전략 개발, 시설 돌봄 제공자의 교육프로그램 개발 연구의 필요성을 제시한다.
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Development and Evaluation of Community-based Respite Program for Family Caregivers of Elders with Dementia

Development and Evaluation of Community-based Respite Program for Family Caregivers of Elders with Dementia

우리나라에서는 노인을 가족이 부양하는 것이 전통적인 규범 이자 사회적 기대였으며 , 시설보호에 대한 부정적 인식으로 인해 치매노인 수발을 가족이 책임지고 있다 (Lee, 2001). 정부의 노인복지정책 역시 치매노인관리에서 가족을 적극 활용하고자 하는 정책으로 변화를 꾀하고 있다 . 보호가 필요 한 노인인구 분석 결과 , 우리나라의 경우 시설입소를 통해 장 기요양보호를 받아야 하는 노인인구는 81,399명인데 비해 집 에서 보호를 받아야 하는 인구는 545,025명, 그 중 치매노인 은 205,630명으로 추정되었으며, 2020년경에는 시설보호가 필 요한 노인은 14만 명인 반면 재가보호가 필요한 노인은 100 만 명으로 증가할 것으로 전망하고 있다(Task Force Team of Public Support for Older Adults, 2004). 즉 시설보호보다 재가 보호를 받아야 하는 노인 인구가 증가하고 있고 , 요양시설의 확충 대신 재가보호를 늘리는 것이 보다 비용효과적인 것으 로 보고 몇몇 선진국처럼 휴식보호서비스와 같은 재가 및 지 역사회 중심의 요양보호 형태를 유지하는 정책을 제시하고 있다 .
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Factors Influencing Elders' Satisfaction with Sexual Life

Factors Influencing Elders' Satisfaction with Sexual Life

본 연구는 노인의 일반적 특성, 성생활 실태와 성생활 만족도를 파악하기 위한 서술적 조사연구이다.. 2..[r]

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Factors Influencing Quality of Life of Elders in Urban Regions

Factors Influencing Quality of Life of Elders in Urban Regions

*p<0.05. **p< 0.001 Correlation among five domains to Qualityof life in elderly 3.4 삶의 질 영향 요인 분석 노인을 대상으로 삶의 질에 영향을 미치는 요인을 파 악하기 위해 5회의 회귀분석을 실시한 결과는 <표 4>와 같다. 매 회귀분석 실시 전에 분석에 포함된 변수들간의 다공선성(nulticollinearity)여부를 파악하기 위해 VIF(variance inflation factor) 값을 살펴보았다. 본 연구 에 사용된 각 회귀모델의 VIF 값은 1.024-1.389 사이의 값을 가져 다공선성의 위험은 적은 것으로 확인되었다. 더 보기

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Factors associated with Health-related Quality of Life among Family Caregivers of Elders Receiving Home Care Services

Factors associated with Health-related Quality of Life among Family Caregivers of Elders Receiving Home Care Services

결 론 본 연구는 공적 노인장기요양보험의 도입 이후 재가 장기 요양서비스를 이용하는 노인 가족수발자의 건강 관련 삶의 질 정도를 파악하고, 재가서비스 이용형태와 우울이 가족수발자 의 건강 관련 삶의 질에 미치는 영향을 규명하여 가족수발자 의 삶의 질 향상을 위한 간호중재 개발 및 재가 서비스의 정책 적 방향을 모색하는데 도움이 되[r]

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