정신장애인을 돌보는 어머니의 돌봄만족감에 영향을 미치는 요인 연구

국문 초록 (Abstract)

본 연구는 돌봄경험의 긍정적 측면을 조명하기 위한 목적으로 지역사회에서 정신장애인을 돌보는 어머니를 대상으로 돌봄만족감의 수준이 어느 정도이며, 어떤 요인들이 이에 영향을 미치는지에 관해 알아보았다. 연구대상자는 서울 및 경인지역의 지역정신보건센터, 사회복귀시설 및 낮병원을 이용하는 정신장애인을 돌보는 어머니이며, 총 231명이다. 돌봄만족감에 영향을 미치는 요인에는 정신장애 관련 요인으로 정신장애인의 유병기간, 입원횟수 및 사회기능이, 어머니의 개인적 요인으로 연령, 결혼상태, 가족수입, 신체적 건강이, 그리고 관계적 요인으로 정신장애인과 어머니관계의 질과 어머니가 가족, 친구 및 의미 있는 타자와의 관계를 통해 받는 사회적 지지가 포함되었다. 자료분석을 위해 t-test, Oneway-ANOVA, 상관관계분석, 그리고 위계적 다중회귀분석(hierachical multiple regression analysis) 등이 사용되었다. 연구결과 어머니의 돌봄만족감은 5점 척도에서 평균 3.06점으로 중간보다 약간 높게 나타났다. 최종 회귀분석모델에서 어머니의 돌봄만족감에 유의미한 영향을 미치는 요인은 어머니의 결혼상태, 가족수입, 정신장애인과의 관계의 질, 그리고 사회적 지지였으며, 정신장애인의 사회기능 등 정신장애 관련 요인은 돌봄만족감에 유의미한 영향을 미치지 않았다. 본 연구의 결과를 통해 돌봄경험의 긍정적 측면으로 실재하는 돌봄만족감에 대한 실천적 관심이 필요함과 더불어 이를 증진하기 위한 사회복지실천적 개입 방안이 연구의 함의로 제시되었다.

다국어 초록 (Multilingual Abstract)

The purpose of this study is to investigate the level of mother's caregiving satisfaction of a person with mental disorder and factors influencing to it as a positive aspect of caregiving experience. A survey conducted upon 231 mothers who live together with their adult-children with mental disorder through community mental health centers, social rehabilitation facilities and day hospitals. Collected data were analysed by t-test, Oneway-ANOVA, hierachical multiple regression analysis, and so on.
The results are as follows: 1) The mean of mother's caregiving satisfaction is 3.06 in 5 point scale. Among the total items of the caregiving satisfaction scale, the means of the items 'finding strength through caregiving' and 'personal growth through caregiving' are higher than any others. 2) In the final regression model, statistically significant factors influencing to the caregiving satisfaction are 'the relationship quality between mothers and the mentally disordered', 'perceived social support from family, significant others, and friends', 'marital status of mothers', and 'family income'. Better relationship quality between mothers and the adult children with mental disorder and higher social support from family, significant others, and friends explained higher caregiving satisfaction of mothers. The level of a widow or divorced mother's caregiving satisfaction is higher than married one. The less family income affected to higher caregiving satisfaction. Variables related to mental disorder of adult-children, such as social function, years of mental disorder and frequency of hospitalization were not statistically significant influencing factors to mother's caregiving satisfaction. Through this research, the implications of social work practice were suggested in many ways.

목차 (Table of Contents)

• 요약
• 1. 서론
• 2. 이론적 고찰
• 3. 연구방법
• 4. 결과분석
• 5. 결론 및 제언
• 참고문헌
• 영어 초록

참고문헌 (Reference)

1 "지역사회정신건강" 나남출판 1996

2 "정신장애인 기능평가도구 개발연구" 20 (20): 731-749, 2001

3 "정신장애인 가족에 관한 연구" 34 (34): 809-829, 1995

4 "정신분열증 자녀를 돌보는 어머니의 경험에 관한 해석적 접근" 4 (4): 87-119, 1995

5 "정신분열병 환자 가족의 객관적주관적 부담에 관한 연구" 34 (34): 193-203, 1995

6 "정신병환자 가족의 걱정에 관한 조사" 517-530, 1991

7 "정신병 환자가족의 심리적 반응과 대응전략에 관한 연구" 117-129, 1994

8 "장애인복지법령집" 보건복지부 2005

9 "장애기간과 부양자의 대처자원이 부양자의 부담 및 부양만족감에 미치는 영향" 63-83, 1993

10 "의존성 노인의 부양에 관한 연구" 5 : 167-190, 2000

11 "성인 정신분열증 환자 가족의 정신건강 : 스트레스를 일으키는 자극 자원 보호상황에 대한 인식이 미치는 영향" 5 : 277-298, 2000

12 "사회적 지지척도 개발을 위한 일연구 연세대학교 간호학과 박사학위논문" 1985

13 "뇌졸증 환자 부양자의 긍정적 경험 : 부양만족과 관련 요인을 중심으로" 22 (22): 590-597, 2004

14 "구조방정식모델 이해와 활용" 도서출판 대경 2002

15 "구조방정식 모형의 적합도 지수 선정기준과 그 근거" 19 (19): 161-177, 2000

16 "support resources and changes in burden and placement desire American Journal on Mental Retardation 98" 417-426, 1993

17 "Two-factor model of caregiving appraisal and psychological well-being Journal of Gerontology 46" 1991181-189

18 "Theorectical perspectives concerning positive aspects of caring for elderly persons with dementia : stress adaptation existentialism" 37 (37): 250-256, 1997

19 "The other side of caring" 40 (40): 414-423, 1995

20 "The influence of family resources and family demends on the strains and well-being of caregiving families" 44 (44): 139-145, 1995

21 "The impact of family relations on caregiver's positive and negative appraisal of their caretaking activities" 52 (52): 137-142, 2003

22 "The health related functions of social support Journal of Behavioral Medicine 4" 381-406, 1982

23 "The experience of caregiving among mothers of adults suffering from psychotic disorders : factors associated with their psychological distress" 25 (25): 73-94, 1997

24 "The effects of religious coping on caregiving appraisals of mothers of adults with developmental disabilities" 42 (42): 82-91, 2002

25 "The burden of families coping with the mentally ill" 379-388, 1982

26 "The benefits and costs of caregiving and care receiving for dauters and mothers Journal of Gerontology" -139, 1992

27 "The Multidementional Scale of Perceived Social Support Journal of Personality Assessment 52" 30-41, 1988

28 "Rewards, costs, and coping of African American caregivers" 44 (44): 147-152, 1995

29 "Predictors of Depressive symptomatology among lower social class caregivers of persons with chronic mental illness" 33 (33): 269-286, 1997

30 "Positive psychology positive prevention and positive therapy" Oxford unversity press 3-9, 2002

31 "Parents of mentally ill adult children living at home : rewards of Caregiving" 27 (27): 145-154, 2002

32 "Parents of children with chronic disabilities : the gratification of caregiving" 84 (84): 576-584, 2003

33 "Measuring the impact of informal caring Journal of Community & Applied Social Psychology 3" 149-163, 1993

34 "Meaning in caregiving and its contribution to caregiver well-being" 37 (37): 785-794, 1997

35 "Living with mental illness Effect of professional support and personal control on caregiver burden Research in Nursing and Health" 79-88, 1994

36 "Life-course and severe mental illness : implications for caregiving within the family of Later Life" 46 : 427-436, 1997

37 "Intimacy and intergenerational aid and contact among mothers and daughters Journal of Marriage and the Family 45" 841-849, 1983

38 "Factors Influencing to the Caregiving Satisfaction of Mothers of a Person with Mental DisorderKim The purpose of this study is to investigate the level of mother's caregiving satisfaction of a person with mental disorder and factors influencing to it as a positive aspect of caregiving experience A survey conducted upon 231 mothers who live together with their adult-children with mental disorder through community mental health centers Collected data were analysed by t-test and so on The results are as follows The mean of mother's caregiving satisfaction is 3 06 in 5 point scale Among the total items of the caregiving satisfaction scale the means of the items 'finding strength through caregiving' and 'personal growth through caregiving' are higher than any others statistically significant factors influencing to the caregiving satisfaction are 'the relationship quality between mothers and the mentally disordered' 'perceived social support from family 'marital status of mothers'" Ewha Womans University and 'family income' oneway-a (oneway-a):

39 "Depression in the caregiving Mothers of Adult Schizophrenics : A test of the Resource Deterioration Model" 33 (33): 387-399, 1997

40 "Contributions of patients with serious mental illness to their families" 475-480, 1994

41 "Caring for relatives with serious mental illness : the development of the Experience of Caregiving Inventory" 31 : 137-148, 1996

42 "Caregiving outcomes for older mothers of adults with mental retardation : A test of the two-factor model of psychological well-being" 11 (11): 353-361, 1996

43 "Burdens and gratifications of caregiving Appraisal of parental care of adults with schizophrenia American Journal of Orthopsychiatry 63" 255-265, 1993

44 "Aging parents of adults with disabilities the gratifications and frustrations of later-life caregiving" 542-550, 1993

45 "African American and white mothers of adults with chronic disabilities : caregiving burden and satisfaction" 46 : 335-346, 1997

46 "A study of the relationship of caregiving appraisal to depressive symptomatology and home care utilization" 16 (16): 95-108, 1999

47 "A positive aspect of caregiving : The influence of social support on caregiving gains for family members of relatives with Schizophrenia" 40 (40): 423-435, 2004

48 "A measure assessing function and disability in schizophrenia" 325-337, 1989