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Lee: Caregiver Burden in Caring for Elders Before and After Long-term Care Service in Korea
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2012; 42(2): 236-247.

Published online: 30 April 2012

DOI: https://doi.org/10.4040/jkan.2012.42.2.236

Caregiver Burden in Caring for Elders Before and After Long-term Care Service in Korea

Hung Sa Lee

Associate Professor, Department of Nursing, Daegu Haany University, Daegu, Korea.

Address reprint requests to: Lee, Hung Sa. Department of Nursing, Daegu Haany University, 165, Sang-dong, Suseong-gu, Daegu 706-828, Korea. Tel: +82-53-770-2289, Fax: +82-53-770-2286, lhj@dhu.ac.kr

Received 5 May 2011       Accepted 26 April 2012

© 2012 Korean Society of Nursing Science

Abstract

Purpose

Purposes of this study were: evaluation of family burden of caring for elders who receive long term care services, and examination of differences in burden before and after the introduction of long term care service in Korea.

Methods

Data were collected by questionnaires from 416 caregivers of elders who were registered with the Long Term Care Insurance Corporation in six cities. Data were collected in September, 2010 and analyzed using descriptive statistics, paired t-test, and ANOVA with the Scheffe test, and stepwise multiple regression.

Results

Family burden decreased significantly after long-term care service was initiated. Subjective burden decreased from 2.93 to 2.69 (t=11.78, p<.001), and objective burden, from 3.40 to 3.10 (t=12.73, p<.001). Stepwise multiple regression analysis revealed that factors affecting subjective burden were family relations (F=13.60, p=.003), age (F=5.47, p=.019), job (F=6.98, p=.008), and education (F=4.59, p=.032), and that factors affecting objective burden were living together (F=17.66, p<.001), job (F=13.34, p=.003), monthly income (F=6.61, p=.010), and type of service (F=6.62, p=.010).

Conclusion

The results of this first study to investigate caregiver burden after the Korean Long-term Care Insurance System was begun provide positive information for the development of strategies to decrease family burden in long term care.

Keywords: Family, Dependency Burden, Long-Term care, Elderly

Figures and Tables

Table 1
General Characteristics of Participants (N=416)
jkan-42-236-i001
Table 2
Subjective and Objective Burden before and after Long-term Care Service (N=416)
jkan-42-236-i002

†This item was analyzed conversely.

*p<.05; **p<.01.

Table 3
Differences in Subjective and Objective Burden before Long-term Care Service (N=416)
jkan-42-236-i003

†SB=Subjective burden; OB=Objective burden; ‡Single includes widow and divorced.

*p<.05; **p<.01.

Table 4
Differences in Subjective and Objective Burden after Long-term Care Service (N=416)
jkan-42-236-i004

SB=Subjective burden; OB=Objective burden.

Table 5
Factors Affecting Subjective and Objective Burden after Long-term Care Service (N=416)
jkan-42-236-i005

*Family relations (1: adult children, 2: daughter in law, 3: spouse); †Age (1:<50, 2: 50-59, 3: ≥ 60); ‡Job (1: yes, 2: no, 3: housewife); §Education (1: elementary, 2: middle-high, 3: college; ∥Living together (1: yes, 2: no), Monthly income (1:<1000,000 won, 2: 1,000,000-2,000,000 won, 3: ≥ 2,000,000 won); #Type of service (1: facility service, 2: home visiting service); **Gender (1: male, 2: female).

References

1. Almberg B., Grafström M., Winblad B. Caring for a demented elderly person-burden and burnout among caregiving relatives. Journal of Advanced Nursing. 1997. 25:109–116. http://dx.doi.org/10.1046/j.1365-2648.1997.1997025109.x.
2. Asahara K., Momose Y., Murashima S. Long-term care insurance in Japan: Its frameworks, issues and roles. Disease Management and Health Outcomes. 2003. 11:769–777. http://dx.doi.org/10.2165/00115677-200311120-00002.
3. Bachner Y.G., O'Rourke N. Reliability generalization of responses by care providers to the Zarit Burden Interview. Aging and Mental Health. 2007. 11:678–685. http://dx.doi.org/10.1080/13607860701529965.
4. Bang S.H., Jang H.J. Activities of daily living of the elderly with a chronic disease and burden on family care-givers. Journal of Korean Academy of Nursing. 2007. 37:135–144.
5. Braun M., Scholz U., Hornung R., Martin M. The burden of spousal caregiving: A preliminary psychometric evaluation of the German version of the Zarit Burden Interview. Aging and Mental Health. 2010. 14:159–167. http://dx.doi.org/10.1080/13607860802459781.
6. Cho Y.H., Kim G.S. Family caregivers' burden and needs for a professional help by the symptom level of the elderly with dementia. Journal of the Korean Gerontological Society. 2010. 30:369–383.
7. Choi K.S., Eun Y. A theory construction on the care experience for spouses of patients with chronic illness. Journal of Korean Academy of Nursing. 2000. 30:122–136.
8. Faison K.J., Faria S.H., Frank D. Caregivers of chronically ill elderly: Perceived burden. Journal of Community Health Nursing. 1999. 16:243–253. http://dx.doi.org/10.1207/S15327655JCHN1604_4.
9. Garlo K., O'Leary J.R., Van Ness P.H., Fried T.R. Burden in caregivers of older adults with advanced illness. Journal of the American Geriatrics Society. 2010. 58:2315–2322. http://dx.doi.org/10.1111/j.1532-5415.2010.03177.x.
10. Han G.H., Lee S.Y. The effect of motivation and social support on burden of spouse caregivers: Focused on gender differences. Journal of the Korean Gerontological Society. 2009. 29:683–699.
11. Hsiao C.Y. Family demands, social support and caregiver burden in Taiwanese family caregivers living with mental illness: The role of family caregiver gender. Journal of Clinical Nursing. 2010. 19:3494–3503. http://dx.doi.org/10.1111/j.1365-2702.2010.03315.x.
12. Jones S.L., Hadjistavropoulos H.D., Janzen J.A., Hadjistavropoulos T. The relation of pain and caregiver burden in informal older adult caregivers. Pain Medicine. 2011. 12:51–58. http://dx.doi.org/10.1111/j.1526-4637.2010.01018.x.
13. Kim S.Y., Kim J.S., Youn H.S. Predictors of depression and life satisfaction among family caregivers for demented elderly. Journal of the Korea Gerontological Society. 2004. 24:111–128.
14. Lee I.J. Factors affecting satisfaction of family caregivers in adult day care services. Journal of the Korea Gerontological Society. 2002. 22:99–114.
15. Lee M.A. Rural-urban differences in factors affecting caregivers' burden of impaired elders in Korea. Journal of Welfare for the Aged. 2009. 44:71–88.
16. Lowenstein A., Gilbar O. The perception of caregiving burden on the part of elderly cancer patients, spouses and adult children. Families, Systems, and Health. 2000. 18:337–346. http://dx.doi.org/10.1037/h0091862.
17. Martorell A., Pereda A., Salvador C.L., Ochoa S., Ayuso M.J.L. Validation of the Subjective and Objective Family Burden Interview (SOFBI/ECFOS) in primary caregivers to adults with intellectual disabilities living in the community. Journal of Intellectual Disability Research. 2007. 51:892–901. http://dx.doi.org/10.1111/j.1365-2788.2007.00962.x.
18. Montgomery R.J.V., Gonyea J.G., Hooyman N.R. Caregiving and the experience of subjective and objective burden. Family Relations. 1985. 34:19–26. http://dx.doi.org/10.2307/583753.
19. Oh H., Sok S.H. Health condition, burden of caring, and the quality of life among family members of the elderly with senile dementia. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2009. 18:157–166.
20. Park E.S. A study on burden and depression of the spouses taking care of CVA patients and their adaptation. 1999. Seoul: Hanyang University;Unpublished master's thesis.
21. Park S.H. A study on burden and depression as related to the family function in caregiver of patients with stroke. 2002. Yongin: Yong-In University;Unpublished master's thesis.
22. Rhee K.O., Lee M.J. A study on caregiving burden among family caregivers of impaired elderly. Journal of the Korea Gerontological Society. 2000. 20:215–228.
23. Son Y.J. A study on the importance of care management under the long term care system. Korean Journal of Research in Gerontology. 2007. 16:41–57.
24. National statistics in future. Statistics Korea. 2007. 06. Retrieved April 15, 2011. from http://kostat.go.kr/wnsearch/search.jsp.
25. Suh M.H., Oh K.S. A study of well-being in caregivers caring for chronically ill family members. The Journal of Nurses Academic Society. 1993. 23:467–486.
26. Warren S., Kerr J.R., Smith D., Godkin D., Schalm C. The impact of adult day programs on family caregivers of elderly relatives. Journal of Community Health Nursing. 2003. 20:209–221. http://dx.doi.org/10.1207/S15327655JCHN2004_02.
27. Yamada M., Hagihara A., Nobutomo K. Family caregivers and care manager support under long-term care insurance in rural Japan. Psychology, Health, and Medicine. 2009. 14:73–85. http://dx.doi.org/10.1080/13548500802068990.
28. You K.S. A study on the care burden of family caregivers for senile dementia. Journal of Korea Community Health Nursing Academic Society. 2001. 15:125–147.
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