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Kim and Kim: Effects of Home Care Services Use by Older Adults on Family Caregiver Distress
Original Article

Journal of Korean Academy of Nursing 2016; 46(6): 836-847.

Published online: 30 December 2016

DOI: https://doi.org/10.4040/jkan.2016.46.6.836

Effects of Home Care Services Use by Older Adults on Family Caregiver Distress

Jiyeon Kim1, Hongsoo Kim2

1College of Nursing, Ewha Womans University, Seoul, Korea.

2Graduate School of Public Health, Department of Public Health Science·Institute of Aging·Institute of Health and Environment, Seoul National University, Seoul, Korea.

Address reprint requests to: Kim, Hongsoo. Graduate School of Public Health, Seoul National University, 1 Gwanak-gu, Seoul 08826, Korea. Tel: +82-2-880-2723, Fax: +82-2-762-9105, hk65@snu.ac.kr

Received 1 February 2016       Revised 10 July 2016       Accepted 19 September 2016

© 2016 Korean Society of Nursing Science

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

Abstract

Purpose

The purpose of this study was to examine the association between utilization of home care services under the national long-term care insurance system and family caregiver distress.

Methods

A secondary data analysis was conducted in this study using data collected in 2011 and 2012 from the Korean version of International Resident Assessment Instrument (interRAI) Home Care assessment system. The study sample included 228 clients receiving community based home care and their family caregivers in Korea. Descriptive statistics, χ2 test, t-test, and Heckman selection model analysis were conducted using SAS 9.3.

Results

Presence of family caregiver distress was significantly associated with days of nurse visits (β=-.89, p=<.001) and home helper visits (β=-.53, p=.014). Level of caregiver distress was also significantly associated with days of nurse visits (β=-.66, p=.028). Other factors which were significantly associated with caregiver distress were depression, cognitive function, inadequate pain control, social support for older adult, and caregiver relationship to the older adult.

Conclusion

The results of this study show that visiting nurse service and appropriate support programs for Older Adults and family caregivers experiencing caregiver distress should be developed and provided to families based on the health care needs of older adults and their family caregivers for effective and sustainable home care.

Keywords: Family Caregivers, Distress, Long-Term Care, Home Care Services

Figures and Tables

Figure 1

Conceptual framework of the study.

jkan-46-836-g001
Table 1

General Characteristics of Participants (N=228)

jkan-46-836-i001

ADL=Activities of daily living.

Table 2

Characteristics of Healthcare Services for Older Adults and Caregiver Distress (N=228)

jkan-46-836-i002
Table 3

Caregiver Distress by Utilization of Healthcare Services among Older Adults (N=228)

jkan-46-836-i003
Table 4

Heckman Selection Model Analysis of Caregiver Distress (N=228)

jkan-46-836-i004

ADL=Activities of Daily Living

Notes

This manuscript is a revision of the first author's master's thesis from Seoul National University.

This research was supported by the National Research Foundation of Korea (NRF) Grant funded by the Ministry of Science, ICT & Future Planning (Grant number: 2010-0002802).

CONFLICTS OF INTEREST The authors declared no conflict of interest.

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