Kim J S
Department of Nursing, College of Medicine, Chosun University, Gwangju, South Korea.
J Adv Nurs. 2001 Nov;36(3):399-408. doi: 10.1046/j.1365-2648.2001.01987.x.
The aim of this study was to examine the emotional and physical health and experiences of daughter-in-law (DIL) caregivers compared with daughter caregivers who care for cognitively and/or functionally impaired older people in Korea.
In Korea, DILs are the predominant caregivers of impaired older people, but little is known about DIL caregivers. A study which explores the emotional and physical health outcomes of DIL caregivers who care for impaired parents-in-law in the sociocultural context of Korea is necessary.
A cross-sectional descriptive correlational study was conducted to examine the emotional and physical health of 93 DIL caregivers compared with 27 daughter caregivers who care for the cognitively and/or functionally impaired older people in Korea. This study hypothesized that DIL caregivers would have poorer emotional and physical health than daughter caregivers and that the type of relationship with the care-recipient is an important predictor of caregivers' health outcomes. t-tests, chi-square and hierarchical regression analyses were used for hypotheses testing.
Contrary to expectations, this study found that caregivers' health outcomes were very similar for DILs and daughters in Korean families. The type of relationship was not an important predictor of caregivers' health outcomes, and neither was the quality of intergenerational relationship. However, Korean DIL and daughter caregivers reported relatively poor emotional and physical health compared to those of Western caregivers in previous studies.
Daughter-in-laws caregivers were not at greater risk group of negative health outcomes than daughter caregivers. However, DIL and daughter caregivers in Korea were a vulnerable group regardless of their relationship with the care-recipient. The cultural norms and social expectations regarding family-centred caregiving in Korea may cause negative health outcomes for Korean caregivers. Further family caregiving studies in the Korean context are recommended.
本研究旨在比较韩国照顾认知和/或功能受损老年人的儿媳照顾者与女儿照顾者的情绪和身体健康状况及经历。
在韩国，儿媳是受损老年人的主要照顾者，但对儿媳照顾者的了解甚少。有必要进行一项研究，探讨在韩国社会文化背景下照顾受损公婆的儿媳照顾者的情绪和身体健康结果。
进行了一项横断面描述性相关研究，以检查93名儿媳照顾者与27名照顾韩国认知和/或功能受损老年人的女儿照顾者的情绪和身体健康状况。本研究假设，儿媳照顾者的情绪和身体健康状况会比女儿照顾者更差，并且与受照顾者的关系类型是照顾者健康结果的重要预测因素。使用t检验、卡方检验和分层回归分析进行假设检验。
与预期相反，本研究发现韩国家庭中儿媳和女儿的照顾者健康结果非常相似。关系类型不是照顾者健康结果的重要预测因素，代际关系质量也不是。然而，与之前研究中的西方照顾者相比，韩国的儿媳和女儿照顾者报告的情绪和身体健康状况相对较差。
儿媳照顾者并非比女儿照顾者面临更大的负面健康结果风险群体。然而，韩国的儿媳和女儿照顾者无论与受照顾者的关系如何都是弱势群体。韩国以家庭为中心的照顾文化规范和社会期望可能会给韩国照顾者带来负面健康结果。建议在韩国背景下进一步开展家庭照顾研究。
