국 문 요 약 본 연구의 목적은 장기요양노인을 돌보는 가족부양자들이 경험하는 부양스트레스 수준 및 영향요인을 파악하고 부양스트레스가 가족관계 만족에 미치는 영향을 파악하는 것이다. 연구대상으로는 2010년 현재 서울특별시에서 거주하고 6개월 이상 노인장기요양보험의 재가서비스를 이용하고 있는 장기요양노인의 가족부양자이며 2010년 4월 15일부터 5월 25일까지 설문조사를 실시하여 회수된 332부의 설문지를 조사분석 자료로 사용 하였다. 이러한 연구를 통하여 가족부양자의 스트레스 경감과 함께 가족관계 만족을 높일 수 있는 방안모색에...
국 문 요 약 본 연구의 목적은 장기요양노인을 돌보는 가족부양자들이 경험하는 부양스트레스 수준 및 영향요인을 파악하고 부양스트레스가 가족관계 만족에 미치는 영향을 파악하는 것이다. 연구대상으로는 2010년 현재 서울특별시에서 거주하고 6개월 이상 노인장기요양보험의 재가서비스를 이용하고 있는 장기요양노인의 가족부양자이며 2010년 4월 15일부터 5월 25일까지 설문조사를 실시하여 회수된 332부의 설문지를 조사분석 자료로 사용 하였다. 이러한 연구를 통하여 가족부양자의 스트레스 경감과 함께 가족관계 만족을 높일 수 있는 방안모색에 일조할 수 있을 것이다. 본 연구의 주요 연구결과는 다음과 같다. 첫째, 본 연구에서 조사된 장기요양노인은 75세 이상의 후기고령자로 여성이 많으며, 주요 질환은 치매와 뇌졸중 질환이었다. 이러한 질환의 특성으로 인하여 가족부양자들은 스트레스 영역 전반에 걸쳐 부양스트레스를 겪고 있음을 확인하였다. 둘째, 장기요양노인 부양으로 인한 가족의 부양스트레스는 가족관계 만족 전반에 걸쳐 만족감을 감소시키고 있었다. 부양가족의 경제적 문제와 정서적 문제로 인한 부양스트레스가 가족관계 만족을 감소시키고 있는 주요 변인임을 확인하였다. 셋째, 부양자의 일반적 특성이 부양스트레스에 영향을 미치는 주요변인은 하루에 노인을 돌보는 시간이 길수록, 노인과 같이 동거하며 부양할 때, 단독주택에 주거하며 부양할 때, 생활수준이 낮을 때, 종교는 무교일 때, 학력이 낮을수록, 연령도 낮을수록, 노인을 모신기간이 길수록, 결혼 상태는 미혼, 이혼, 사별상태이면서 부양할 때가 부양스트레스를 증가시키고 있었다. 그렇지만 부양자의 건강이 좋을수록 스트레스 영역 전반에서 부양스트레스를 감소시키고 있었다. 넷째, 부양자의 적극적 대처행동인 문제 중심 대처행동과 재구성 대처행동은 부양스트레스 감소에 영향을 미쳤고, 소극적 대처행동인 회피·도피 대처행동과 퇴행적 대처행동은 부양스트레스를 증가시키고 있었다. 다섯째, 부양자의 일반적 특성이 가족관계 만족에 영향을 미치는 주요변인은 생활수준이 높을수록, 학력이 높을수록, 연령이 높을수록, 건강이 좋을수록, 결혼 상태는 기혼일 때, 가족의 수는 많을수록 가족관계 만족을 증가시키고 있었지만 노인을 모신기간은 길수록 가족관계 만족을 감소시키고 있었다. 여섯째, 부양자의 적극적 대처행동인 문제 중심 대처행동과 재구성 대처행동을 많이 사용할수록 가족관계 만족은 증가하였지만 소극적 대처행동인 회피·도피 대처행동은 부부관계, 자녀관계, 친척관계 만족 모두에서 가족관계 만족을 감소시키고 있었다. 일곱째, 장기요양노인의 일반적인 특성에 따른 가족의 부양스트레스는 요양중인 노인이 남성이며, 노인의 배우자가 함께 살아 있고, 노인의 요양인정 등급이 높을수록, 노인의 질병기간이 길수록 부양스트레스가 높게 나타났다. 부양자의 일반적 특성으로는 종교생활을 하지 않고, 단독주택에 주거하고, 건강상태는 나쁠수록, 부양자가 노인과 함께 동거할 때, 직업이 없고, 생활수준이 불안정 할수록, 노인과의 관계는 배우자, 아들, 며느리 순으로 부양스트레스가 높게 나타났다. 여덟째, 장기요양노인의 일반적 특성에 따른 가족관계 만족은 요양중인 노인이 여성이고, 노인의 배우자는 없고, 장기요양보험의 서비스 이용을 하지 않을 때, 즉 노인의 질환상태가 경미하고 노인과 동거하지 않고, 하루에 노인을 돌보는 시간이 짧을수록 가족관계 만족이 높은 것으로 나타났다. 부양자의 일반적 특성에 따른 가족관계 만족은 부양자의 학력이 높을수록, 주거형태는 아파트 등에 주거하고, 가족의 수는 5명 이상에서 가족관계 만족이 높게 나타났다. 이상의 연구결과에서 확인된 부양자의 스트레스 요인을 중심으로 부양자의 스트레스 감소에 관한 중재프로그램의 개발과 함께 대처방법에 대한 상담과 교육서비스를 실시하여 부양자의 가족관계 만족을 높여주어야 하겠다.
국 문 요 약 본 연구의 목적은 장기요양노인을 돌보는 가족부양자들이 경험하는 부양스트레스 수준 및 영향요인을 파악하고 부양스트레스가 가족관계 만족에 미치는 영향을 파악하는 것이다. 연구대상으로는 2010년 현재 서울특별시에서 거주하고 6개월 이상 노인장기요양보험의 재가서비스를 이용하고 있는 장기요양노인의 가족부양자이며 2010년 4월 15일부터 5월 25일까지 설문조사를 실시하여 회수된 332부의 설문지를 조사분석 자료로 사용 하였다. 이러한 연구를 통하여 가족부양자의 스트레스 경감과 함께 가족관계 만족을 높일 수 있는 방안모색에 일조할 수 있을 것이다. 본 연구의 주요 연구결과는 다음과 같다. 첫째, 본 연구에서 조사된 장기요양노인은 75세 이상의 후기고령자로 여성이 많으며, 주요 질환은 치매와 뇌졸중 질환이었다. 이러한 질환의 특성으로 인하여 가족부양자들은 스트레스 영역 전반에 걸쳐 부양스트레스를 겪고 있음을 확인하였다. 둘째, 장기요양노인 부양으로 인한 가족의 부양스트레스는 가족관계 만족 전반에 걸쳐 만족감을 감소시키고 있었다. 부양가족의 경제적 문제와 정서적 문제로 인한 부양스트레스가 가족관계 만족을 감소시키고 있는 주요 변인임을 확인하였다. 셋째, 부양자의 일반적 특성이 부양스트레스에 영향을 미치는 주요변인은 하루에 노인을 돌보는 시간이 길수록, 노인과 같이 동거하며 부양할 때, 단독주택에 주거하며 부양할 때, 생활수준이 낮을 때, 종교는 무교일 때, 학력이 낮을수록, 연령도 낮을수록, 노인을 모신기간이 길수록, 결혼 상태는 미혼, 이혼, 사별상태이면서 부양할 때가 부양스트레스를 증가시키고 있었다. 그렇지만 부양자의 건강이 좋을수록 스트레스 영역 전반에서 부양스트레스를 감소시키고 있었다. 넷째, 부양자의 적극적 대처행동인 문제 중심 대처행동과 재구성 대처행동은 부양스트레스 감소에 영향을 미쳤고, 소극적 대처행동인 회피·도피 대처행동과 퇴행적 대처행동은 부양스트레스를 증가시키고 있었다. 다섯째, 부양자의 일반적 특성이 가족관계 만족에 영향을 미치는 주요변인은 생활수준이 높을수록, 학력이 높을수록, 연령이 높을수록, 건강이 좋을수록, 결혼 상태는 기혼일 때, 가족의 수는 많을수록 가족관계 만족을 증가시키고 있었지만 노인을 모신기간은 길수록 가족관계 만족을 감소시키고 있었다. 여섯째, 부양자의 적극적 대처행동인 문제 중심 대처행동과 재구성 대처행동을 많이 사용할수록 가족관계 만족은 증가하였지만 소극적 대처행동인 회피·도피 대처행동은 부부관계, 자녀관계, 친척관계 만족 모두에서 가족관계 만족을 감소시키고 있었다. 일곱째, 장기요양노인의 일반적인 특성에 따른 가족의 부양스트레스는 요양중인 노인이 남성이며, 노인의 배우자가 함께 살아 있고, 노인의 요양인정 등급이 높을수록, 노인의 질병기간이 길수록 부양스트레스가 높게 나타났다. 부양자의 일반적 특성으로는 종교생활을 하지 않고, 단독주택에 주거하고, 건강상태는 나쁠수록, 부양자가 노인과 함께 동거할 때, 직업이 없고, 생활수준이 불안정 할수록, 노인과의 관계는 배우자, 아들, 며느리 순으로 부양스트레스가 높게 나타났다. 여덟째, 장기요양노인의 일반적 특성에 따른 가족관계 만족은 요양중인 노인이 여성이고, 노인의 배우자는 없고, 장기요양보험의 서비스 이용을 하지 않을 때, 즉 노인의 질환상태가 경미하고 노인과 동거하지 않고, 하루에 노인을 돌보는 시간이 짧을수록 가족관계 만족이 높은 것으로 나타났다. 부양자의 일반적 특성에 따른 가족관계 만족은 부양자의 학력이 높을수록, 주거형태는 아파트 등에 주거하고, 가족의 수는 5명 이상에서 가족관계 만족이 높게 나타났다. 이상의 연구결과에서 확인된 부양자의 스트레스 요인을 중심으로 부양자의 스트레스 감소에 관한 중재프로그램의 개발과 함께 대처방법에 대한 상담과 교육서비스를 실시하여 부양자의 가족관계 만족을 높여주어야 하겠다.
ABSTRACT Research on Caregiver Stress and Family Relationship Satisfaction of Family for Elderly Long-term Care YongWoon Baik Department of Gerontology The Graduate School of Venture Hoseo University Seoul, Korea Supervised by Professor Soo-il Choi Ph. D. This study aims to identify the influential ...
ABSTRACT Research on Caregiver Stress and Family Relationship Satisfaction of Family for Elderly Long-term Care YongWoon Baik Department of Gerontology The Graduate School of Venture Hoseo University Seoul, Korea Supervised by Professor Soo-il Choi Ph. D. This study aims to identify the influential factors and the care-giving stress experienced by the family care-givers who support the 'long-term care of' elderly people, and identify the effects which the care-giving stress has on the family relational satisfaction. The study subjects were the family care-givers of the 'long-term care' of elderly people who lived in Seoul as of 2010 and who used the home visiting service of the long-term senior care insurance of more than 6 months, and we used 332 questionnaires collected as the analysis after conducting a survey for about 40 days from Apr. 15, 2010. Through this study, we'll be able to contribute to seeking the methods to be able to enhance the family relational satisfaction, together with the stress reduction of the family care-givers. The main study results of this study are as follows. First, the long-term care of elderly people investigated in this study were the elderly people of 75 years old and older, and women were more than men. And the main diseases were Alzheimer's disease and cerebral infarction. Due to the characteristics of these diseases, the family care-givers were identified to suffer from the care-giving stress throughout the stress area. Second, the family care-giving stress due to the care-giving of the long-term care of elderly people was reducing the family relational satisfaction. It was identified that the care-giving stress due to the economic and emotional problems of the care-giving family was the main factor to reduce the family relational satisfaction. Third, the variables which the general characteristics of the care-givers have an effect on the care-giving stress were increasing the care-giving stress when the care-givers had to take care of the elderly people for longer time a day, when they had to support the elder people living together with them, when they lived in detached houses, when they had a lower standard of living, when they didn't have a religion, when they had a lower educational background, when they had a lower age, when they supported the elderly people for longer time, when they were single, divorced or were parted from their wife/husband by death, but were reducing the care-giving stress throughout the stress area when the care-givers were healthier. Fourth, the problem-centric coping behavior and reconstruction-coping behavior which are the positive coping-behavior of the care-givers had an effect on the reduction of the care-giving stress, but the coping behavior and the regressive coping behavior such as evasion or escape which are the passive coping behavior were increasing the care-giving stress. Fifth, the variables which the general characteristics of the care-givers have an effect on the family relational satisfaction were increasing the family relational satisfaction when the care-givers had higher standard of living, when they had higher educational background, when they had higher ages, when they were healthier, when they were married and when they had more members in their family, but were reducing the family relational satisfaction when they supported the elderly people for longer period. Sixth, the family relational satisfaction increased when care-givers used more the problem-centric coping behavior and the reconstruction coping behavior which were the positive coping behavior of the care-givers, but the coping behavior such as evasion or escape which was the passive coping behavior was reducing the family relational satisfaction in all the cases of conjugal relations, children relationship and relative relationship. Seventh, the family's care-giving stress based on the general characteristics of 'the long-term care' of elderly people was increasing the care-giving stress when the elderly people who were under medical treatment were men, when the elderly people's spouses lived together, when the elderly people were accredited higher level for the care-giving, and when the disease duration of the elderly people was longer. As the general characteristics of the care-givers, when they didn't have a religion, when they lived in a detached houses, when they were in poorer health, when the care-givers lived together with the elderly people, when they didn't have a job, and when their standard of living was unstable, the care-giving stress was higher, and higher in the order of the spouse, the son, and the daughter-in-law in the relationships with the elderly people. Eighth, the family-relationship satisfaction based on the general characteristics of the long-term care of elderly people was higher when the elderly people who were under medical treatment were women, when the elderly people were spouseless, when they didn't take advantage of the elderly long-term care insurance service, that is, when the disease status of the elderly people was slighter, when they didn't live together with the elderly people, and when they took care of the elderly people for shorter time a day. The family-relationship satisfaction based on the general characteristics of the care-givers was higher when the care-givers had higher educational background, when they lived in an apartment, and they had 5 members in their family. It is necessary to develop the various intervention programs on the reduction of the care-givers' stress and their satisfaction for the living standard centering around the care-givers' stress factors identified in the above study results. That is, it was urgent to develop the programs for the care-givers' economic and emotional supports because the economic stress and emotional stress among the care-giving stresses were reducing the satisfaction throughout the family-relationsh
ABSTRACT Research on Caregiver Stress and Family Relationship Satisfaction of Family for Elderly Long-term Care YongWoon Baik Department of Gerontology The Graduate School of Venture Hoseo University Seoul, Korea Supervised by Professor Soo-il Choi Ph. D. This study aims to identify the influential factors and the care-giving stress experienced by the family care-givers who support the 'long-term care of' elderly people, and identify the effects which the care-giving stress has on the family relational satisfaction. The study subjects were the family care-givers of the 'long-term care' of elderly people who lived in Seoul as of 2010 and who used the home visiting service of the long-term senior care insurance of more than 6 months, and we used 332 questionnaires collected as the analysis after conducting a survey for about 40 days from Apr. 15, 2010. Through this study, we'll be able to contribute to seeking the methods to be able to enhance the family relational satisfaction, together with the stress reduction of the family care-givers. The main study results of this study are as follows. First, the long-term care of elderly people investigated in this study were the elderly people of 75 years old and older, and women were more than men. And the main diseases were Alzheimer's disease and cerebral infarction. Due to the characteristics of these diseases, the family care-givers were identified to suffer from the care-giving stress throughout the stress area. Second, the family care-giving stress due to the care-giving of the long-term care of elderly people was reducing the family relational satisfaction. It was identified that the care-giving stress due to the economic and emotional problems of the care-giving family was the main factor to reduce the family relational satisfaction. Third, the variables which the general characteristics of the care-givers have an effect on the care-giving stress were increasing the care-giving stress when the care-givers had to take care of the elderly people for longer time a day, when they had to support the elder people living together with them, when they lived in detached houses, when they had a lower standard of living, when they didn't have a religion, when they had a lower educational background, when they had a lower age, when they supported the elderly people for longer time, when they were single, divorced or were parted from their wife/husband by death, but were reducing the care-giving stress throughout the stress area when the care-givers were healthier. Fourth, the problem-centric coping behavior and reconstruction-coping behavior which are the positive coping-behavior of the care-givers had an effect on the reduction of the care-giving stress, but the coping behavior and the regressive coping behavior such as evasion or escape which are the passive coping behavior were increasing the care-giving stress. Fifth, the variables which the general characteristics of the care-givers have an effect on the family relational satisfaction were increasing the family relational satisfaction when the care-givers had higher standard of living, when they had higher educational background, when they had higher ages, when they were healthier, when they were married and when they had more members in their family, but were reducing the family relational satisfaction when they supported the elderly people for longer period. Sixth, the family relational satisfaction increased when care-givers used more the problem-centric coping behavior and the reconstruction coping behavior which were the positive coping behavior of the care-givers, but the coping behavior such as evasion or escape which was the passive coping behavior was reducing the family relational satisfaction in all the cases of conjugal relations, children relationship and relative relationship. Seventh, the family's care-giving stress based on the general characteristics of 'the long-term care' of elderly people was increasing the care-giving stress when the elderly people who were under medical treatment were men, when the elderly people's spouses lived together, when the elderly people were accredited higher level for the care-giving, and when the disease duration of the elderly people was longer. As the general characteristics of the care-givers, when they didn't have a religion, when they lived in a detached houses, when they were in poorer health, when the care-givers lived together with the elderly people, when they didn't have a job, and when their standard of living was unstable, the care-giving stress was higher, and higher in the order of the spouse, the son, and the daughter-in-law in the relationships with the elderly people. Eighth, the family-relationship satisfaction based on the general characteristics of the long-term care of elderly people was higher when the elderly people who were under medical treatment were women, when the elderly people were spouseless, when they didn't take advantage of the elderly long-term care insurance service, that is, when the disease status of the elderly people was slighter, when they didn't live together with the elderly people, and when they took care of the elderly people for shorter time a day. The family-relationship satisfaction based on the general characteristics of the care-givers was higher when the care-givers had higher educational background, when they lived in an apartment, and they had 5 members in their family. It is necessary to develop the various intervention programs on the reduction of the care-givers' stress and their satisfaction for the living standard centering around the care-givers' stress factors identified in the above study results. That is, it was urgent to develop the programs for the care-givers' economic and emotional supports because the economic stress and emotional stress among the care-giving stresses were reducing the satisfaction throughout the family-relationsh
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