치매노인 부양자의 부양부담에 관한 인식 및 태도 = Care-givers' cognition and attitude about the burden of the caring for senile dementia patients

다국어 초록 (Multilingual Abstract)

The main purposes of this thesis are to examine care-givers' cognition and attitude about the burden of the caring for senile dementia patients, to explore the factors affecting the care-givers' burden, and finally to address some suggestions for the care-givers in order to relieve their burden.
The subjects of this study are the care-givers living in Daegu and Kyeongsan areas. Because of the difficulty of finding the whereabouts of the patients and their care-givers, two local hospitals were chosen, and the face-to-face interviews and questionnaires were used for the data collection for this thesis.
The survey was conducted for two months, from July 1 to August 31, 2002. One hundred and thirty questionnaires were distributed and collected.
Among them, 104 questionnaires were eventually used for the statistical analysis. Descriptive and inferential statistics, such as frequencies, cross tabulations, correlation , and multiple regression analysis were introduced.
The results of this study are below:
First, the general characteristics of the care-givers' are as follows: The average age of the care-givers is 46 years old. Sixty-four percent of them are female and 31 percent of them are male. Forty-one percent of the care-givers are daughters-in-law. Forty-seven percent of the care-givers make more than ￦3,000,000 a month. Forty-two percent of the care-givers spend more than ￦1,000,000 per month for the medical expenses.
Second, general characteristics of the senile dementia patients are as follows: The senile dementia patients have been suffering from the disease for several years. The average age of the senile dementia patients is 75 years. Seventy-one percent of them are female and 29 percent of them are male. With regard to the senile dementia symptoms, among the senile dementia patients, 30.8 percent of them are low-level senile dementia, and 51.9 percent are mid-level senile dementia, while 17.3 percent are severe-level senile dementia.
Third, regarding the care-givers' cognition for the senile dementia patients, sixty-nine percent of the respondents said that they would like to send their dementia patients to special dementia facilities only if they experience domestic troubles caused by dementia senile patients. By contrast, approximately 66 percent of the respondents replied that they preferred to be sent to the special facilities for the dementia as soon as possible if they become victims of dementia. Sixty-eight percent of the respondents perceived that there was a possibility for them to become victims of dementia in the future. When they become victims of dementia, about 41 percent of the respondents(care-givers) preferred their spouses as their care-givers.
Fourth, with regard to the issues of the care-givers' burden, the financial burden is the most significant one among the four dimensions of the care giving burden, and the next are physical, social and psychological burdens in this order.
Fifth, the results of cross tabulations show that people with high educational attainment and a younger age know much more about dementia and its demands, but the other factors (sex, religion, occupation, and income) do not show any significant result.
Sixth, the results of the hypotheses testing are as follows: Factors, such as suffering from dementia itself, income, and high monthly medical expenses have significant relationships with physical burden. Women care-givers and low income respondents have significant impacts on the psychological, social and overall burden. Low monthly income also has a significant relationship with financial burden. But the length of dementia, the use of dementia specialized facilities, severity of dementia symptoms, and the hours of care do not show any significant relationships with care-givers' burdens.
Some suggestions for the care-givers in order to relieve their burden are as follows: First, efforts, such as the development of programs and education for the care-givers to understand the senile dementia, coping strategies and the reuse of resources are urgent. The good understanding of senile dementia may prevent people from anxiety, depression and desperation. Second, we should establish more facilities related to dementia and further develop the existing dementia specialized facilities. Third, it is strongly recommended that many good quality facilities for the senile dementia should be built and run by financial supports from the government, especially for the elderly who belong to the lower social class.
At the same time, home nursing for the demented elderly should be recognized by law and financed by the government. Fourth, there should be public health programs which can diagnose the early signs and symptoms of senile dementia and which also educate the public so that they bring their older parents to be diagnosed at the appropriate time.
Fifth, it is also necessary that the system be able to call forth all the religious organizations to support the dementia care-givers in social, spiritual, physical and financial areas. Finally, it could be suggested that public health insurance must include the care-givers' expenses and daily livelihood for the low income families.
In conclusion, with regard to the social welfare system for the elderly dementia population, both the central and the local governments' active concern and financial support are necessary. Furthermore, local social supports and all religion sector supports should actively move up one step in this matter and set up plans to alleviate the poor, and demented elderly and their families' burdens.

목차 (Table of Contents)

• 목차 = i
• I. 서론 = 1
• 1. 연구의 배경 = 1
• 2. 연구의 목적 = 4
• II. 이론적 배경과 선행연구의 검토 = 5
• 1. 노인성 치매의 개념 및 일반적 특성 = 5
• 2. 부양부담의 개념 = 12
• III. 연구 방법 = 17
• 1. 조사 대상 = 17
• 2. 자료수집 방법 = 17
• 3. 연구 도구 = 17
• 4. 연구 분석틀 및 가설 = 18
• 5. 분석 방법 = 19
• 6. 연구의 제한점 = 19
• IV. 연구결과 및 분석 = 20
• 1. 조사대상자의 일반적 특성 = 20
• 2. 조사대상 치매노인의 실태 = 25
• 3. 부양자의 치매에 대한 인식 및 태도 = 27
• 4. 부양자의 부양부담 실태 = 33
• 5. 부양자의 일반적 특성과 치매노인 부양인식 및 태도의 교차분석 = 38
• 6. 부양부담에 영향을 미치는 요인을 규명하기 위한 가설검증 = 42
• V. 결론 및 제언 = 55
• 1. 연구결과 요약 = 55
• 2. 제언 = 59
• 영문초록 = 62
• 부록 = 66
• 참고문헌 = 75