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Original Article
- Factors Influencing Quality of Caregiving by Caregivers for Elders with Dementia
- Chan Mi Kang, Jung Soon Kim, Jeong Hee Jeong
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Journal of Korean Academy of Community Health Nursing 2016;27(3):193-201.
DOI: https://doi.org/10.12799/jkachn.2016.27.3.193
Published online: September 30, 2016
1Pusan National University School of Medcine, Yangsan, Korea.
2College of Nursing, Pusan National University, Yangsan, Korea.
3Department of Nursing, Daedong College, Busan, Korea.
• Received: March 28, 2016 • Revised: July 6, 2016 • Accepted: July 13, 2016
© 2016 Korean Academy of Community Health Nursing
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Abstract
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Purpose
- The aim of the study is to determine factors influencing quality of caregiving by caregivers for the elderly with dementia.
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Methods
- Data were collected from 87 caregivers for elders with dementia who had visited in Busan Metropolitan Center for Dementia and D-University hospital outpatient center from July 10 to September 30, 2015. A self-reported questionnaire was used to assess the severity of the elders' dementia and knowledge of dementia, burdens and quality of caregiving by the caregivers. The SPSS 21.0 version program was used for data analysis. Data were analyzed using descriptive statistics, Pearson's correlation, t-test, ANOVA and multiple regression.
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Results
- Significant predictors of quality of caregiving by caregivers included caregivers' burdens (explanation power 25%), knowledge of dementia (explanation power 4%) and levels of education (explanation power 3%). These factors explained 32.3% of the variances in quality of caregiving.
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Conclusion
- Burdens on caregivers were a major factor that decreased quality of caregiving, and knowledge of dementia was a factor that increased it. These findings show that educational programs and intervention for reducing burdens and improving knowledge of dementia are necessary to improve quality of caregiving by caregivers.
Table 1
Characteristics and Difference in Quality of Caregiving by Characteristics of Elderly with Dementia and Caregivers (N=87)
Table 2
Correlation among Characteristics of Elderly with Dementia and Caregivers and Quality of Caregiving (N=87)
Table 3
Impact on Quality of Caregiving in Caregivers
This article is a revison of the first author's master's thesis from Pusan National University.
This work was supported by a 2-Year Research Grant of Pusan National University.
- 1. Ministry for Health and Welfare. Nationwide study on the prevalence of dementia in Korea elders[Internet] Seoul: Ministry for Health and Welfare; 2012;cited 2015 March 02. Available from: http://www.mohw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=286138&page=1
- 2. Mosby. Mosby's medical dictionary, 8th edition [Internet] Philadelphia, PA: Elsevier Science Health Science div; 2009;cited 2015 November 11. Available from: http://medical-dictionary.thefreedictionary.com/senile+dem entia
- 3. Oh BH. Diagnosis and treatment for behavioral and psychological symptoms of dementia. J Korean Med Assoc. 2009;52(11):1048–1054. Article
- 4. Hwang RI, Lim JY, Lee YW. A comparison of the factors influencing the life satisfaction of the elderly according to their cognitive impairment level. J Korean Acad Nurs. 2009;39(5):622–631.ArticlePubMed
- 5. Park ES. Nursing needs and influencing factors of the elderly with early stage dementia in long-term care facilities [master's thesis]. Daegu: Keimyung University; 2013. 49 p.
- 6. Statistics Korea. Management of cancer, dementia or chronic disease: Therapy method and nursing method [Internet]. Seoul: Statistics Korea; 2014;cited 2015 March 19. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=217&tblId=DT_217A2010A00316&conn_path=I2
- 7. Yoon B, Shim YS, Kim YD, Lee KO, Na SJ, Hong YJ, et al. Who takes care of patients with dementia in Korea: A study on the present state of patients with dementia living alone and primary caregivers. Dement Neurocognitive Disord. 2012;11(1):13–17.Article
- 8. Cho MJ, Kim KW, Kim MH, Kim MD, Kim BJ, Kim SK, et al. Nationwide study on the prevalence of dementia in Korean elders. Research Report. Seoul: Ministry for Health and Welfare, Seoul National University Hospital; 2008. Report No.: 11-1351000-000227-01.
- 9. Lee MH, Yoon EK. The effect of family caregivers' coping strategies on caregiving burden in South Korea. Korean J Soc Welf Res. 2008;19:31–54.
- 10. Sung MR, Kim KA, Lee DY. Factors influencing burnout in primary family caregivers of elders with dementia. J Korean Gerontol Nurs. 2012;14(3):200–208.
- 11. Kong BH. Art of caring in nursing. Philos Med. 2007;3(1):97–116.
- 12. McClendon MJ, Smyth KA. Quality of informal care for persons with dementia: Dimensions and corelates. Aging Ment Health. 2013;17(8):1003–1015.PubMed
- 13. Song JA, Park JW, Kim HJ. Impact of behavioral and psychological symptoms of dementia on caregiver burden in nursing homes. J Korean Gerontol Nurs. 2013;15(1):62–74.
- 14. Kim JS, Lee SI, Kim KT, Jeong IS, Park NH, Lee KN, et al. An investigation on the status of care-giving for the demented elderly and desire for in-house care services. J Korean Community Nurs. 2003;14(3):385–396.
- 15. Panyavin I, Trujillo MA, Peralta SV, Stolfi ME, Morelli E, Perrin PB, et al. Examining the influence of family dynamics on quality of care by informal caregivers of patients with Alzheimer's dementia in Argentina. Am J Alzheimers Dis Other Demen. 2015;30(6):613–621.ArticlePubMedPMCPDF
- 16. Quinn C, Clare L, McGuinness T, Woods RT. The impact of relationships, motivations, and meanings on dementia caregiving outcomes. Int Psychogeriatr. 2012;24(11):1816–1816.ArticlePubMed
- 17. Zarit SH, Todd PA, Zarit JM. Subjective burden of husbands and wives as caregivers: A longitudinal study. Gerontologist. 1986;26(3):260–266.ArticlePubMed
- 18. Teri L, Truax P, Logsdon R, Uomoto J, Zarit S, Vitaliano PP. Assessment of behavioral problems in dementia: The revised memory and behavior problems checklist. Psychol Aging. 1992;7(4):622–631. ArticlePubMed
- 19. Lee MH, Yoon EK. A cross-validation of the Korean version of the revised memory and behavioral problems checklist (K-RM BPC): Exploratory and confirmatory analyses. Korean J Soc Welf. 2007;59(2):65–88. Article
- 20. Won CW, Yang KY, Rho YG, Kim SY, Lee EJ, Yoon JL, et al. The development of Korean activities of daily living (K-ADL) and Korean instrumental activities of daily living (K-IADL) scale. J Korean Geriatr Soc. 2002;6(2):107–120.
- 21. Yong MH, Kim EJ, Yang YA. A study on the knowledge of families with demented elderly persons for dementia. J Korean Assoc Occup Ther Policy Aged Ind. 2010;2(2):41–50.
- 22. Kosberg JI, Cairl RE. The cost of care index: A case management tool for screening informal care providers. Gerontologist. 1986;26(3):273–278.ArticlePubMed
- 23. You KS. A study on the care burden of family caregivers for senile dementia. J Korea Community Health Nurs Acad Soc. 2001;15(1):125–147.
- 24. Shyu YI. Development and testing of the family caregiving factors inventory (FCFI) for home health assessment in Taiwan. J Adv Nurs. 2000;32(1):226–234. ArticlePubMed
- 25. Go SM, Lee KS, Seo SW, Chin J, Kang SJ, Moon SY, et al. Survival of Alzheimer's disease patients in Korea. Dement Geriatr Cogn Disord. 2013;35(3-4):219–228.ArticlePubMedPDF
- 26. Noh JH, Lim EJ, Hur J. The factors influencing careworker's care performance for elders with dementia. Korean J Health Serv Manag. 2012;6(3):75–84. Article
- 27. Health Insurance Policy Research Institute in the National Health Insurance Corporation. 2014 long term care insurance statistical yearbook. Seoul: National Health Insurance Corporation; 2015. 685 p.
- 28. Shyu YI. A conceptual framework for understanding the process of family caregiving to frail elders in Taiwan. Res Nurs Health. 2002;25(2):111–121. ArticlePubMed
- 29. Kim HH. The effect of geriatric care helper's knowledge of dementia on job stress, self-efficiency and care fulfillment [dissertation]. Daegu: Daegu Haany University; 2014. 141 p.
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Citations
Citations to this article as recorded by 
- Factors influencing the care burden among family caregivers using dementia care centers for older adults with dementia in Korea: a cross-sectional descriptive study
Ja Eun Kim, Soo Jin Lee
Journal of Korean Biological Nursing Science.2024; 26(4): 382. CrossRef - Depression, Anxiety and Associated Factors in Family Caregivers of People With Dementia
Su-Jeong Hong, Eyohan Ko, Malrye Choi, Nam-Ju Sung, Myeong-Il Han
Journal of Korean Neuropsychiatric Association.2022; 61(3): 162. CrossRef - Informal Caregiving and Alzheimer’s Disease: The Psychological Effect
Emily Hellis, Elizabeta B. Mukaetova-Ladinska
Medicina.2022; 59(1): 48. CrossRef - Influence of Self-care on Burnout in Primary Family Caregiver of Person with Dementia
Jeong Hwa Kwon, Gwi-Ryung Son Hong
Journal of Korean Academy of Nursing.2021; 51(2): 217. CrossRef - Relationship between Caring Burden and Caring Behavior among Family Caregivers of Elderly with Dementia in Community-Dwelling: Mediating Effects of Caring Self-Efficacy and Social Support
Young Ju Oh, Myung Ha Lee, Hee Sun Kim
Korean Journal of Adult Nursing.2020; 32(2): 186. CrossRef - Factors Affecting the Care Burden of Nurses Caring Elderly Patients with Dementia
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Journal of Korean Academy of Community Health Nursing.2019; 30(3): 368. CrossRef
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XML DownloadFactors Influencing Quality of Caregiving by Caregivers for Elders with Dementia
Factors Influencing Quality of Caregiving by Caregivers for Elders with Dementia
| Variables | Categories | n (%) | M±SD | Range | Quality of caregiving | ||
|---|---|---|---|---|---|---|---|
| M±SD | t or F | p | |||||
| Elderly of dementia | |||||||
| Age (year) | <70 | 17 (19.5) | 75.8±6.70 | 65~92 | 25.47±5.27 | 0.25 | .860 |
| 70~79 | 45 (51.8) | 25.96±4.95 | |||||
| 80~89 | 22 (25.3) | 24.82±5.32 | |||||
| ≥90 | 3 (3.4) | 26.00±5.59 | |||||
| Gender | Male | 35 (40.2) | 25.46±4.88 | -0.17 | .860 | ||
| Female | 52 (59.8) | 25.65±5.21 | |||||
| Duration of dementia (year) | <1 | 13 (14.9) | 2.99±2.31 | 0.3~12.5 | 24.08±4.72 | 0.96 | .415 |
| 1~3 | 43 (49.5) | 25.51±5.58 | |||||
| 4~5 | 19 (21.8) | 27.05±4.62 | |||||
| >5 | 12 (13.8) | 25.08±3.87 | |||||
| Severity of dementia | MBP | 46.16±9.80 | 29~74 | ||||
| ADL | 10.92±4.34 | 7~21 | |||||
| Caregiver | |||||||
| Age (year) | <60 | 41 (47.1) | 61.2±1.41 | 33~91 | 26.32±4.95 | -1.19 | .236 |
| ≥60 | 46 (52.9) | 25.02±5.11 | |||||
| Gender | Male | 25 (28.7) | 24.24±5.40 | -1.57 | .118 | ||
| Female | 62 (71.3) | 26.11±4.85 | |||||
| Education | <High school graduate | 32 (36.8) | 22.45±5.40 | -3.33 | .001 | ||
| ≥High school graduate | 56 (63.2) | 26.25±4.59 | |||||
| Relationship with elderly of dementia | Spouse | 41 (47.3) | 24.90±5.09 | 1.06 | .381 | ||
| Son | 11 (12.6) | 24.45±5.26 | |||||
| Daughter | 27 (31.0) | 26.67±4.28 | |||||
| Daughter in law | 7 (8.0) | 26.14±7.08 | |||||
| Other | 1 (1.1) | 32.00±0.00 | |||||
| Experience of dementia education | Yes | 17 (18.9) | 25.07±5.04 | -1.91 | .059 | ||
| No | 73 (81.1) | 27.65±4.72 | |||||
| Perceived health status | Exellent | 1 (1.1) | 36.00±0.00 | 1.88 | .121 | ||
| Good | 20 (23.0) | 26.05±4.92 | |||||
| Fair | 34 (39.2) | 26.21±4.92 | |||||
| Poor | 25 (28.7) | 24.08±5.03 | |||||
| Very poor | 7 (8.0) | 25.00±4.90 | |||||
| Length of caregiving (year) | <1 | 9 (10.3) | 4.25±3.65 | 0.3~12.5 | 25.00±3.64 | 0.68 | .561 |
| 1~3 | 48 (55.3) | 25.19±5.63 | |||||
| 4~5 | 19 (21.8) | 27.05±4.61 | |||||
| >5 | 11 (12.6) | 25.18±4.05 | |||||
| Hours of care per day (hour) | 11.18±7.13 | 2~24 | |||||
| Knowledge of dementia | 20.23±3.16 | 7~26 | |||||
| Burden | 51.93±7.28 | 33~68 | |||||
| Quality of caregiving | 25.57±5.06 | 16~36 | |||||
| Variables | MBP | ADL | Hours of care per day | Knowledge of dementia | Burden | Quality of caregiving | |
|---|---|---|---|---|---|---|---|
| r (p) | r (p) | r (p) | r (p) | r (p) | r (p) | ||
| Severity of dementia | MBP† | 1 | |||||
| ADL‡ | .29 (.006) | 1 | |||||
| Hours of care per day | -.02 (.823) | .11 (.273) | 1 | ||||
| Knowledge of dementia | .01 (.897) | -.11 (.303) | -.09 (.383) | 1 | |||
| Burden | .27 (.010) | .15 (.157) | .03 (.749) | .08 (.210) | 1 | ||
| Quality of Caregiving | -.25 (.019) | .07 (.467) | .09 (.391) | .18 (.046) | -.50 (<.001) | 1 | |
| Variables | B | SE | β | R2 | Adj. R2 | t | p |
|---|---|---|---|---|---|---|---|
| (Constant) | 34.07 | 4.41 | 7.71 | <.001 | |||
| Burden | -0.33 | 0.06 | -.47 | .25 | .25 | -5.11 | <.001 |
| Knowledge of dementia | 0.33 | 0.14 | .20 | .31 | .29 | 2.33 | .022 |
| Level of education† | 2.34 | 1.10 | .19 | .34 | .32 | 2.12 | .037 |
| R2=.34, Adjust R2=.32, F=14.67, p<.001 | |||||||
Table 1
Characteristics and Difference in Quality of Caregiving by Characteristics of Elderly with Dementia and Caregivers (N=87)
MBP=memory and behavior problem; ADL=activities of daily living.
Table 2
Correlation among Characteristics of Elderly with Dementia and Caregivers and Quality of Caregiving (N=87)
MBP=memory and behavior problem; ADL=activities of daily living.
Table 3
Impact on Quality of Caregiving in Caregivers
†Dummy variable (1: high school graduate or higher, 0: less than high school).
Table 1
Table 2
Table 3
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© Korean Academy of Community Health Nursing.
College of Nursing, Yonsei University, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea
E-mail: office@rcphn.org
© Korean Academy of Community Health Nursing.