Journal List > J Korean Acad Nurs > v.43(6) > 1002967

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Hong and Tae: Structural Relationship of Burnout and Related Variables among Family Caregivers of Cancer Patients
Original Article

Journal of Korean Academy of Nursing 2013; 43(6): 812-820.

Published online: 31 December 2013

DOI: https://doi.org/10.4040/jkan.2013.43.6.812

Structural Relationship of Burnout and Related Variables among Family Caregivers of Cancer Patients

Min Joo Hong1, Young Sook Tae2

1Department of Nursing, Changshin University, Changwon, Korea.

2College of Nursing, Kosin University, Busan, Korea.

Address reprint requests to: Hong, Min Joo. Department of Nursing, Changshin University, 262 Paryong-ro, Masanhoewon-gu, Changwon 630-764, Korea. Tel: +82-10-2319-0190, Fax: +82-55-250-3170, mj1225@hanmail.net

Received 12 August 2013       Accepted 22 November 2013

© 2013 Korean Society of Nursing Science

Abstract

Purpose

The purpose of this study was to construct a structural equational model to explain and predict burnout in family caregivers of patients with cancer. The study was based on the Stress-Appraisal-Coping Model of Lazarus and Folkman (1984) and Family Stress Theory (Hill, 1958).

Methods

Data were collected from July 10 to September 30, 2012 through direct interviews and a self-report questionnaire survey. Participants in this study were 206 family caregivers providing care for patients with cancer in In-patient or Out-patient departments of three different general hospitals located in Busan. Measured variables were exogenous variables (social support and perceived health status) and endogenous variables (perceived stress, hope and burnout).

Results

Goodness of fit in the hypothetical model was χ2=174.07, TLI=.95, CFI=.97, RMSEA=.08. Perceived health status, perceived stress, and hope showed statistically significant direct effects on burnout of family caregivers. Social support affected burnout of family caregivers indirectly. These variables explained 68.5% of total variance in burnout.

Conclusion

The results from this study suggest that perceived stress, perceived health status, and hope should be considered as major influential factors when developing nursing interventions to control burnout of family caregivers (of patients with cancer).

Keywords: Caregivers, Burnout, Stress, Hope, Social support

Figures and Tables

Figure 1
Conceptual framework.
jkan-43-812-g001
Figure 2
Path diagram for the modified model.
jkan-43-812-g002
Table 1
Descriptive Statistics of Variables (N=206)
jkan-43-812-i001

PHS=Perceived health status.

Table 2
Fitness Statistics for Hypothetical and Modified Model (N=206)
jkan-43-812-i002

NPAR=the Number of parameters in the model; DF=Degree of freedom; CMIN=Chi-sqaure value; TLI=Turker-Lewis index; SRMR=Standardized root mean square residual; CFI=Comparative fit index; RMSEA=Root mean square error of approximation; LO=Low RMSEA; HI=High RMSEA.

Table 3
Effects of Variables in the Modified Model (N=206)
jkan-43-812-i003

CR=Critical ratio; SMC=Squared multiple correlations.

Notes

This manuscript is based on a part of the first author's doctoral dissertation from Kosin University.

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