Jiyeon Kim; Hongsoo Kim

doi:10.4040/jkan.2016.46.6.836

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Original Article
Effects of Home Care Services Use by Older Adults on Family Caregiver Distress: Jiyeon Kim, Hongsoo Kim; Journal of Korean Academy of Nursing 2016;46(6):836-847.
DOI: https://doi.org/10.4040/jkan.2016.46.6.836
Published online: December 30, 2016

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: February 1, 2016 • Revised: July 10, 2016 • Accepted: September 19, 2016

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.

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Abstract
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REFERENCES

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

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).

The authors declared no conflict of interest.

REFERENCES

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Figure 1

Conceptual framework of the study.

Table 1

General Characteristics of Participants (N=228)

ADL=Activities of daily living.

Table 2

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

Table 3

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

Table 4

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

ADL=Activities of Daily Living

Figure & Data

REFERENCES

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

J Korean Acad Nurs. 2016;46(6):836-847. Published online December 30, 2016

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

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

Figure 1 Conceptual framework of the study.

Figure 1

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

Table 1

General Characteristics of Participants (N=228)

ADL=Activities of daily living.

Table 2

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

Table 3

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

Table 4

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

ADL=Activities of Daily Living

Table 1 General Characteristics of Participants (N=228)

ADL=Activities of daily living.

Table 2 Characteristics of Healthcare Services for Older Adults and Caregiver Distress (N=228)

Table 3 Caregiver Distress by Utilization of Healthcare Services among Older Adults (N=228)