College of Nursing, Yonsei University, Korea.
Int Nurs Rev. 2010 Mar;57(1):107-12. doi: 10.1111/j.1466-7657.2009.00751.x.
The purpose of this study was to investigate factors related to caregiving appraisal for family caregivers of older stroke patients in Korea.
A descriptive, cross-sectional survey of a sample of 242 family caregivers (95.7% response rate) was conducted in Korea from 1 January 2005 to 4 January 2007. Data were collected from outpatient stroke centres at three hospitals and two home health agencies located in Seoul, the capital city of Korea, its suburban area of Kyunggi-do, and the rural areas Gyeongsangbuk-do and Chungcheongbuk-do. The questionnaire was self-administered. spss 13.0 (SPSS, Inc., Chicago, IL, USA) was used to perform frequency, percentage, mean standard deviation, t-test or analysis of variance, and Pearson's correlation calculations.
Caregiving appraisal was statistically different based on the caregiver's location of residency and the relationship between the caregiver and the recipient. The caregivers who resided in urban areas reported higher scores of caregiving appraisal compared with those who resided in rural areas. With regard to the caregiver-recipient relationship, spouses reported the highest caregiving distress status, followed by daughters-in-law, sons and, finally, daughters. In addition, caregiving distress significantly correlated with age (r = 0.151, P = 0.022), the number of caregiving hours per week (r = 0.198, P = 0.003) and filial obligations (r = 0.336, P = 0.000).
The study results helped to better understand the caregiving process of Korean family caregivers. The data emphasized the importance of examining the expression of cultural roles and individual values on the caregivers' quality of life in diverse cultures. The knowledge gained from this study will be utilized to develop culture-specific interventions and social policies to directly support Korean family caregivers and to indirectly support stroke patients.
本研究旨在探讨韩国老年脑卒中患者家庭照顾者照顾评估相关因素。
2005 年 1 月 1 日至 2007 年 1 月 4 日，对韩国 3 家医院的门诊脑卒中中心和 2 家位于首尔及其京畿道郊区、江原道和忠清北道农村地区的家庭健康机构的 242 名家庭照顾者（95.7%的回应率）进行了描述性、横断面调查。问卷采用自填式。采用 spss 13.0（SPSS，Inc.，芝加哥，IL，美国）进行频数、百分比、均数标准差、t 检验或方差分析及 Pearson 相关计算。
照顾评估在照顾者居住地和照顾者与受照顾者的关系上存在统计学差异。居住在城市地区的照顾者报告的照顾评估得分高于居住在农村地区的照顾者。在照顾者-受照顾者关系方面，配偶报告的照顾困扰程度最高，其次是儿媳、儿子，最后是女儿。此外，照顾困扰与年龄（r = 0.151，P = 0.022）、每周照顾时间（r = 0.198，P = 0.003）和孝顺义务（r = 0.336，P = 0.000）显著相关。
研究结果有助于更好地理解韩国家庭照顾者的照顾过程。这些数据强调了在不同文化中，检查文化角色表达和个体价值观对照顾者生活质量的重要性。本研究获得的知识将用于制定特定文化的干预措施和社会政策，直接支持韩国家庭照顾者，并间接地支持脑卒中患者。
