J Korean Acad Community Health Nurs.  2016 Sep;27(3):193-201. 10.12799/jkachn.2016.27.3.193.

Factors Influencing Quality of Caregiving by Caregivers for Elders with Dementia

• Kang CM
• Kim JS
• Jeong JH

• KMID: 2354994
• DOI: http://doi.org/10.12799/jkachn.2016.27.3.193

Abstract

PURPOSE
The aim of the study is to determine factors influencing quality of caregiving by caregivers for the elderly with dementia.
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.
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.
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.

Keyword

Dementia; Caregiver; Knowledge; Pressure; Quality of health care

MeSH Terms

Aged
Busan
Caregivers*
Dementia*
Education
Humans
Outpatients
Quality of Health Care
Statistics as Topic

Reference

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.

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. DOI: 10.4040/jkan.2009.39.5.622.

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.

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. DOI: 10.12779/dnd.2012.11.1.13.

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. DOI: 10.1080/13607863.2013.805400.

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. DOI: 10.1177/1533317515577129.

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. DOI: 10.1017/S1041610212000889.

17. Zarit SH, Todd PA, Zarit JM. Subjective burden of husbands and wives as caregivers: A longitudinal study. Gerontologist. 1986; 26(3):260–266. DOI: 10.1093/geront/26.3.260.

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.

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.

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. DOI: 10.1093/geront/26.3.273.

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.

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. DOI: 10.1159/000347133.

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.

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. p. 685.

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.

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.