중환자실 입원환자 가족의 삶의 질 영향요인 = Factors Affecting Quality of Life in Family Caregivers of Patients in Intensive Care Units

다국어 초록 (Multilingual Abstract)

Purpose : This study aimed to identify factors influencing the quality of life of family caregivers of intensive care unit (ICU) patients.Methods : We conducted a study using a cross-sectional design. The study involved 109 family caregivers of ICU patients at a university-affiliated hospital in Gyeonggi-do, South Korea. Data were collected through self-report questionnaires between July 2020 and April 2021 and analyzed using descriptive statistics, independent t-tests, one-way ANOVA, Pearson’s correlation coefficients, and multiple regression analysis.Results : The study revealed significant differences in quality of life based on economic status (F=11.63, <i>p</i> ＜ .001), cohabitation with patients (t=-2.04, <i>p</i>=.044), sleep duration after patient’s admission to the ICU (t=-2.48, <i>p</i> =.025), and subjective health status (F=30.06, <i>p</i> ＜.001). There were significant negative correlations observed between quality of life and post-traumatic stress symptoms (r=-.38, <i>p</i> ＜.001) as well as caregiver burden (r=-.46, <i>p</i> ＜.001). Factors affecting quality of life were subjective health status, economic status, and caregiver burden (adj. R² =0.52, F=15.64, <i>p</i> ＜.001).Conclusion : These findings underscore the need to develop and implement intervention programs tailored to the health conditions and economic status of family caregivers, with a focus on alleviating caregiver burden. Such initiatives are essential to ultimately improve the quality of life for family caregivers of ICU patients.

참고문헌 (Reference)

1 Dragoi L, "Visitation policies in the ICU and the importance of family presence at the bedside" 48 (48): 1790-1792, 2022

2 Kokorelias KM, "Towards a universal model of family centered care : a scoping review" 19 : 1-11, 2019

3 Crestani Calegaro V, "The role of personality in posttraumatic stress disorder, trait resilience, and quality of life in people exposed to the Kiss nightclub fire" 14 (14): e0220472-, 2019

4 김민정 ; 김영란 ; 정재훈 ; 이태용, "The relevance of caregiver burden, depressive symptoms and mental related quality of life in a stroke patient’s caregiver" 18 (18): 208-218, 2017

5 황문숙 ; 이미경 ; 송종례, "The factors affecting burdens and quality of life of the family caregivers of patients with rare and incurable diseases using home ventilators" 26 (26): 191-202, 2014

6 Jeong KS, "The effect of emotional and informational support intervention on the burden and depression of primary family caregivers caring hospitalized stroke patients" 7 (7): 239-248, 2015

7 McMeekin DE, "Stress and coping of critical care nurses after unsuccessful cardiopulmonary resuscitation" 26 (26): 128-135, 2017

8 Zale EL, "Resiliency is independently associated with greater quality of life among informal caregivers to neuroscience intensive care unit patients" 52 : 27-33, 2018

9 van Beusekom I, "Reported burden on informal caregivers of ICU survivors : a literature review" 20 : 1-8, 2016

10 Zarit SH, "Relatives of the impaired elderly : correlates of feelings of burden" 20 (20): 649-655, 1980

11 Lee GH, "Relationship between the condition of brain injury patients and family caregiving burden and depression" Yonsei University 1986

12 Al-Rabayah AA, "Quality of life of family caregivers of critically ill patients with cancer before and after intensive care unit admission measured by EQ-5D 3-Level: A longitudinal prospective cohort study" 30 : 39-47, 2022

13 Alfheim HB, "Quality of life in family caregivers of patients in the intensive care unit : A longitudinal study" 32 (32): 479-485, 2019

14 The WHOQOL group, "Quality of Life Assessment: International Perspectives" Springer 1994

15 Wintermann GB, "Predictors of posttraumatic stress and quality of life in family members of chronically critically ill patients after intensive care" 6 : 1-11, 2016

16 Alfheim HB, "Post-traumatic stress symptoms in family caregivers of intensive care unit patients : A longitudinal study" 50 : 5-10, 2019

17 National Health Insurance Service, "Out-of-pocket maximum (Article 19 of the National Health Insurance Act)" National Health Insurance Service

18 Lebel V, "Nursing interventions to reduce stress in families of critical care patients : an integrative review" 41 (41): 32-44, 2021

19 Alfheim HB, "Multiple symptoms in family caregivers of intensive care unit patients" 5 (5): 387-394, 2018

20 Fumis RRL, "Mental health and quality of life outcomes in family members of patients with chronic critical illness admitted to the intensive care units of two Brazilian hospitals serving the extremes of the socioeconomic spectrum" 14 (14): e0221218-, 2019

21 Min SK, "Korean version of WHOQOL" Hana Medical Publishers 2002

22 Abdelbaky AM, "Intensive care unit(ICU)-related post-traumatic stress disorder : a literature review" 16 (16): e57049-, 2024

23 Wintermann GB, "Impact of post-traumatic stress symptoms on the health-related quality of life in a cohort study with chronically critically ill patients and their partners : age matters" 23 : 1-10, 2019

24 Horowitz M, "Impact of event scale : a measure of subjective stress" 41 (41): 209-218, 1979

25 van Sleeuwen D, "Health problems among family caregivers of former intensive care unit(ICU)patients : an interview study" 4 (4): bjgpopen20X101061-, 2020

26 Ågård AS, "From spouse to caregiver and back : a grounded theory study of post-intensive care unit spousal caregiving" 71 (71): 1892-1903, 2015

27 Babaei S, "Family’s supportive behaviors in the care of the patient admitted to the cardiac care unit : a qualitative study" 9 (9): 80-86, 2020

28 Hazzan AA, "Family caregiver quality of life and the care provided to older people living with dementia : qualitative analyses of caregiver interviews" 22 : 1-11, 2022

29 Mantziou V, "Family burden of ICU survivors and correlations with patient quality of life and psychometric scores-A pilot study" 8 (8): 242-248, 2022

30 Kim KA, "Factors affecting the quality of life of family caregivers of patients with heart failure : A cross-sectional study" 101 (101): e30042-, 2022

31 김규리 ; 김민주, "Factors affecting the quality of life of family caregivers of patients with Parkinson disease" 26 (26): 102-110, 2019

32 단소영 ; 박숙현 ; 이슬 ; 박혜연 ; 이영희, "Experience of patients and families about flexible visiting" 10 (10): 51-62, 2017

33 조현미 ; 최은정, "Effects of family burden, resilience and spiritual well-being on the quality of life of primary caregivers of people with mental illness" 26 (26): 226-237, 2017

34 Hoffmann M, "Effects of an online information tool on post-traumatic stress disorder in relatives of intensive care unit patients : a multicenter double-blind, randomized, placebo-controlled trial(ICU-Families-Study)" 49 (49): 1317-1326, 2023

35 Ministry of Health and Welfare, "Criteria for accreditation of acute care hospitals" Ministry of Health and Welfare

36 Montgomery RJV, "Caregiving and the experience of subjective and objective burden" 34 (34): 19-26, 1985

37 Arlotto S, "Caregiver burden is reduced by social support services for non-dependent elderly persons : pre-post study of 569 caregivers" 19 (19): 13610-, 2022

38 Cengiz Z, "Care burden and quality of life in family caregivers of palliative care patients" 17 (17): 50-63, 2021

39 양은영 ; 김영아, "Burden and quality of life in terminal cancer patient’s family caregivers in the area of Jeollanam-do" 16 (16): 3954-3962, 2015

40 전점이 ; 송갑선, "Burden and quality of life in family caregivers of diabetic inpatients" 8 (8): 2205-2219, 2006

41 Weiss D, "Assessing Psychological Trauma and PTSD" The Guildford Press 1997

42 Lee KO, "A study on the relationship between social support, burden and quality of life in intensive care unit patient’s family" 31 : 34-50, 2006

43 Lee YS, "A study on the family burden of chronically ill patient at hospital" 8 (8): 17-32, 1994

44 은헌정 ; 권태완 ; 이선미 ; 김태형 ; 최말례 ; 조수진, "A study on reliability and validity of the Korean version of impact of event scale-revised" 44 (44): 303-310, 2005