J Korean Acad Community Health Nurs.  2018 Mar;29(1):54-64. 10.12799/jkachn.2018.29.1.54.

Factors Influencing Burnout in Primary Family Caregivers of Hospital-based Home Care Patients

• Yang JO
• Lee HK

• KMID: 2415303
• DOI: http://doi.org/10.12799/jkachn.2018.29.1.54

Abstract

PURPOSE
The purpose of this study is to identify factors influencing burnout in primary family caregivers of Home Health Care Patients.
METHODS
Data were collected from 121 primary family caregivers of home health care patients in three different hospitals in "˜D' metropolitan city and the study was conducted from August 10, 2016 to January 17, 2017. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's Correlation Coefficient, Stepwise Multiple Linear Regression.
RESULTS
Mean scores for the nursing needs of the participants were 3.54±0.79, the family functions were 1.24±0.58, the burnouts were 2.74±0.49. The burnouts were positively correlated with the nursing needs but inversely correlated with the family function. The factor that had the greatest influence on the burnouts of primary family caregivers of Home Health Care was family function (β=−.245, p=.001), followed by patients' daily activity (β=−.213, p=.014), age (β=.208, p=.032), monthly nursing services cost (β=−.196, p=.044) and nursing needs (β=.129, p=.014). The Explanatory Power of Models was 23%.
CONCLUSION
Individually customized home care nursing intervention programs are required to be provided in accordance with patient's family function and daily activity, monthly home care nursing service cost, nursing needs and general characteristics of primary caregivers of Home Health Care Patients such as their age, the number of family members living together, sex and the name of disease.

Keyword

Home health nursing; Caregivers; Family function; Nursing needs; Burnout

MeSH Terms

Caregivers*
Delivery of Health Care
Home Care Services
Home Care Services, Hospital-Based*
Home Health Nursing
Humans
Linear Models
Nursing
Nursing Services

Reference

References

1. Statistics Korea. Health ․ Welfare census [Internet]. Daejeon: Statistics Korea;2016. [cited 2017 June 30]. Available from:. http://kosis.kr/statisticsList/statisticsListIndex.do?menuId=M_01_01&vwcd=MT_ZTITLE&parmTabId=M_01_01.

2. Medical institution home nursing business work manual. Seoul. Ministry of Health & Welfare;2010.

3. Lee TB. Community-based home healthcare project for korean older adults. Osong Public Health and Research Perspectives. 2013; 4(5):233–239. https://doi.org/10.1016/j.phrp.2013.09.002.

4. Lee EH, Park SA. A study on operating status of community based home health care centers. Journal of Korean Academy of Nursing Administration. 2011; 17(2):180–188. https://doi.org/10.11111/jkana.2011.17.2.180.

5. Korea Homecare Nurses Association. Reference room [Internet]. Seoul: Korea Homecare Nurses Association;2016. [cited 2017 July 30]. Available from:. http://hcna.or.kr/HTML/04_go/go_03.asp.

6. Seo JY, Kim GS, Lee HK, Kim HY, Shin HS, Park JM. Correlates of social support, family function, and conditions of home care nursing in family caregivers. Journal of Korean Academic Society of Home Health Care Nursing. 2012; 19(1):63–73.

7. Park SY, Cha CY. Social support, family function and care burden of the family caregivers of the elderly hip-surgery patients. Health & Nursing. 2017; 29(1):1–11.

8. Sung MR, Kim KA, Lee DY. Factors influencing burnout in primary family caregivers of elders with dementia. Journal of Korean Gerontol Nursing. 2012; 14(3):200–208.

9. Kim CS, Kim JS. The impact of emotional labor on burnout for caregivers of stroke patients. Korean Journal of Occupational Health Nursing. 2015; 24(1):31–38. https://doi.org/10.5807/kjohn.2015.24.1.31.

10. Lee JH, Park HK, Hwang IC, Kim HM, Koh SJ, Kim YS, et al. Factor associated with care burden among family caregivers of terminally Ill cancer patients. Korean Journal Hospice and Palliative Care. 2016; 19(1):61–69. https://doi.org/10.14475/kjhpc.2016.19.1.61.

11. Hong MJ, Tae YS, Noh MY. Relationships between stress, ways of coping and burnout of family caregivers of cancer patients. Asian Oncology Nursing. 2012; 12(1):92–99. https://doi.org/10.5388/aon.2012.12.1.92.

12. Jung BH. Nursing needs and burden of home care patient primary caregiver[master's thesis]. [Suwon]: Ajou University;2015. p. 51.

13. Hong MJ, Tae YS. Structural relationship of burnout and related variables among family caregivers of cancer patients. The Journal of Korean Academic Nursing. 2013; 43(6):812–820. https://doi.org/10.4040/jkan.2013.43.6.812.

14. Kim Y, Choi EY. An analysis of family function and burden of family caregivers of the patient with brain injury. The Korean Journal Stress Research. 2012; 20(1):61–68.

15. Maslach C, Jackson SE. The measurement of experienced burnout. Journal of Organizational Behavior. 1981; 2(2):99–113.

16. Lee AL. A study on job related variables and job satisfaction affecting burnout of caregiver. The Journal of Eurasian Studies,. 2017; 14(2):103–132.

17. Opara J, Jaracz K, Brola W. Burden and quality of life in care-givers of persons with multiple sclerosis. Journal of the Neurological Sciences. 2012; 46(5):472–479. https://doi.org/10.5114/ninp.2012.31358.

18. Park IH, Koh JE, Choi HJ, Ahn OH, Kim HG, Yahg SJ, et al. Community health nursing II. Seoul: Hyunmoonsa;2016. p. 498.

19. Oh SE, Kim SL. Relation to the burden and function of family care-givers caring for home care clients. Journal of Korean Academic Society of Home Health Care Nursing. 2007; 14(2):91–97.

20. Oh EG, Sung JH, Park YS, Lee HJ, Kim YK. Physiological functional status and the levels of unmet care needs after discharge in patients with chronic pulmonary disease, colon rectal cancer, and strokes. Journal of Korean Clinical Nursing Research,. 2016; 22(2):194–204. https://doi.org/10.22650/JKCNR.2016.22.2.194.

21. Kim NH, Tae YS, Choi YS, Bae JH. Influencing factors on stress in caregivers of stroke patients being admitted in rehabilitation centers. Journal of the Korea Academia-Industrial cooperation Society. 2016; 17(2):188–201. https://doi.org/10.5762/KAIS.2016.17.2.188.

22. Seo JY, Lee HJ, You MA. Factors influencing burnout among mothers of children with cerebral palsy. Journal Korean Academy of Nursing. 2017; 47(2):233–241. https://doi.org/10.4040/jkan.2017.47.2.233.

23. Smilkstein G, Ashworth C, Montano D. Validity and reliability of the family APGAR as a test of family function. Journal of Family Practice. 1982; 15(2):303–311.

24. Shim MK. Influence of resiliency factors on adaptation in families of children with cancer. Journal of Korean Academic Child Health Nursing. 2004; 10(4):383–394.

25. Kim MH. A study on the care needs of family caregivers to the patients with stroke. Journal of Korean Academic Fundamentals Nursing. 1997; 4(2):175–192.

26. Kokurcan A, Özplat AG, Göğüş AK. Burnout in caregiver of patients with schizophrenia. Turkish Journal of Medical Sciences. 2015; 45(3):678–685. https://doi.org/10.3906/sag-1403-98.

27. Kim KJ, Yong JS. Spirituality, death anxiety and burnout levels among nurses working in a cancer hospital. Korean Journal Hospice and Palliative Care. 2013; 16(4):264–273. https://doi.org/10.14475/kjhpc.2013.16.4.264.

28. Han SJ. Factors influencing quality of life of home care pa-tient's primary caregiver. Journal of Korean Academic Society of Home Health Care Nursing. 2010; 17(2):144–155.

29. Kang MR. A Structural equation model on burnout in primary family caregivers of psychiatric patients in home [dissertation]. [Seoul]: Kosin University;2015. p. 93.