Kim Jungmin, De Bellis Anita Marie, Xiao Lily Dongxia
College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.
College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.
Asian Nurs Res (Korean Soc Nurs Sci). 2018 Mar;12(1):34-41. doi: 10.1016/j.anr.2018.01.002. Epub 2018 Feb 5.
The South Korean government introduced the universal long-term care insurance program in 2008 that created a new employment category of "paid family-care worker" to assist the elderly with chronic illnesses including dementia. The aim of this study was to understand the lived experience of paid family-care workers of people with dementia in South Korea.
The study was a qualitative research design underpinned by interpretive description principles involving eight paid family-care workers. The participants were recruited by attaching the advertisement flyer in a notice board of an educational facility for paid family-care workers.
Paid family-care workers struggled to manage the behavioral and psychological symptoms of their care recipients. Their workloads created physical, emotional, social, and financial burdens. However, the care-giving activities were encouraged through their sense of responsibility, filial piety, and personal religious beliefs. Financial subsidies from the government and help received from others were also identified as encouragements. The education course provided to them assisted them to improve their dementia-care capabilities.
Understanding paid family-care workers' lived experience in dementia care in South Korea assists with the identification of their educational needs and level of support they require to improve dementia care in the home care environment. A number of suggestions are made to increase paid family-care workers' knowledge, clinical skills, and job satisfaction to reduce their burdens and work-related incidents, such as challenging behaviors from those being cared for.
韩国政府于2008年推出了全民长期护理保险计划，设立了“带薪家庭护理员”这一新的就业类别，以帮助患有包括痴呆症在内的慢性病的老年人。本研究的目的是了解韩国痴呆症患者的带薪家庭护理员的生活经历。
本研究采用质性研究设计，以解释性描述原则为基础，涉及8名带薪家庭护理员。通过在带薪家庭护理员教育机构的布告栏张贴广告传单招募参与者。
带薪家庭护理员难以应对护理对象的行为和心理症状。他们的工作量带来了身体、情感、社会和经济负担。然而，责任感、孝道和个人宗教信仰促使他们积极开展护理活动。政府的财政补贴和他人的帮助也被视为鼓励因素。为他们提供的教育课程有助于提高他们照顾痴呆症患者的能力。
了解韩国带薪家庭护理员在痴呆症护理中的生活经历，有助于确定他们的教育需求以及在家庭护理环境中改善痴呆症护理所需的支持水平。为增加带薪家庭护理员的知识、临床技能和工作满意度，减少他们的负担以及与工作相关的事件，如被护理者的攻击性行为，提出了一些建议。
