Kwon Jeong Hwa, Hong Gwi Ryung Son
School of Nursing, Hanyang University, Seoul, Korea.
J Korean Acad Nurs. 2021 Apr;51(2):217-231. doi: 10.4040/jkan.20274.
The purpose of this study was to identify the influence of self-care on burnout experienced by primary family caregivers of persons with dementia.
The subjects of the study were 156 primary family caregivers of persons with dementia at home in Korea. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient, and hierarchical multiple regression using IBM SPSS Statistics ver. 24.0 for Windows.
The mean scores for self-care and burnout were 42.35 and 61.60, respectively. Self-care, subjective health status, living with a person with dementia, and behavioral and psychological symptoms of dementia were significant factors affecting burnout in family caregivers. Self-care was identified as the strongest factor affecting burnout, explaining 13.9% of burnout with controlling factors in caregivers and care receivers.
To prevent burnout in primary family caregivers of persons with dementia, self-care of family caregivers should be emphasized. In nursing education, family caregivers should be recognized and approached as nursing clients who are responsible for taking care of their health. In nursing practice and research, digital self-care or self-care improvement intervention programs should be designed to help family caregivers, and further studies on self-care centered on health of family caregivers should be conducted.
本研究旨在确定自我护理对痴呆症患者家庭主要照料者职业倦怠的影响。
本研究的对象是韩国156名在家照料痴呆症患者的家庭主要照料者。使用IBM SPSS Statistics 24.0 for Windows软件对数据进行描述性统计、独立样本t检验、单因素方差分析、Pearson相关系数分析和分层多元回归分析。
自我护理和职业倦怠的平均得分分别为42.35和61.60。自我护理、主观健康状况、与痴呆症患者同住以及痴呆症的行为和心理症状是影响家庭照料者职业倦怠的重要因素。自我护理被确定为影响职业倦怠的最主要因素,在控制照料者和受照料者因素的情况下,可解释13.9%的职业倦怠情况。
为预防痴呆症患者家庭主要照料者出现职业倦怠,应强调家庭照料者的自我护理。在护理教育中,应将家庭照料者视为对自身健康负责的护理对象并加以关注。在护理实践和研究中,应设计数字自我护理或自我护理改善干预项目以帮助家庭照料者,并且应开展以家庭照料者健康为中心的自我护理方面的进一步研究。