Korean J Adult Nurs.  2020 Apr;32(2):186-198. 10.7475/kjan.2020.32.2.186.

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

Affiliations
  • 1Graduate Student, Graduate School, College of Nursing, Jeonbuk National University, Jeonju, Korea
  • 2Professor, College of Nursing ․ Research Institute of Nursing Science, Jeonbuk National University, Jeonju, Korea
  • 3Associate Professor, College of Nursing ․ Research Institute of Nursing Science, Jeonbuk National University, Jeonju, Korea

Abstract

Purpose
The purpose of this study was to investigate caring self-efficacy and social support, and their mediating effects on the relationship between caring burden and caring behavior in family caregivers of elderly with dementia in the community-dwelling.
Methods
A sample of 210 participants was used in a cross-sectional study. Data were collected from July 15th to November 22nd, 2019 through structured questionnaires and analyzed using descriptive statistics, multiple linear regression analysis, and the bootstrapping method with SPSS/WIN 25.0 and PROCESS macro program.
Results
The mean score for caring behavior was 3.14±0.81 (range 1~5). Caring behavior was significantly associated with caring burden (r=-.54, p<.001), caring self-efficacy (r=.68, p<.001), and social support (r=.69, p<.001). Using Baron and Kenny's approach and PROCESS macro model 4, caring behavior was found to be directly affected by caring burden (β=-.55, p<.001). Caring self-efficacy (β=-.36, p<.001) and social support (β=-.34, p<.001) were directly affected by caring burden. The partial mediating effects of caring self-efficacy (β =-.18, p=.007, 95% confidence interval -0.44~-0.14) and social support (β=-.23, p<.001, 95% confidence interval -0.38~-0.13) on the impact of caring burden on caring behavior were confirmed.
Conclusion
The impact of caring burden on caring behavior was mediated by caring self-efficacy and social support in family caregivers of elderly with dementia in the community-dwelling. The results suggest that caring self-efficacy and social support need to be considered in developing nursing interventions to reduce caring burden and improve caring behavior for family caregivers of elderly with dementia.

Keyword

Dementia; Family; Burden; Caring; Behavior
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