J Korean Neurol Assoc > Volume 23(6); 2005 > Article
Journal of the Korean Neurological Association 2005;23(6): 776-783.
치매 환자 가족 부양자의 우울과 생활 만족도에 영향을 미치는 요인
박경원, 김수영a 김응규b 김재우 김태유c 성상민d 손태홍e 유봉구f 윤수진g 윤성민h 이상찬i 정해관j 최문성k 홍태용c
동아대학교 의과대학 신경과학교실, 경성대학교 사회복지학과a, 인제대학교 부산백병원b, 김해한솔요양병원c, 부산의료원d, 동아대학교 동아시아 연구원e, 고신대학교 복음병원f, 성균관대학교 마산삼성병원g, 삼일태봉병원h, 동의의료원i, 성균관대학교 의과대학 사회의
Factors Affecting Depression and Life Satisfaction in Family Caregivers of Patients with Dementia
Kyung Won Park
Department of Neurology, Dong-A University College of Medicine, Busan; Department of Social Welfare, Kyungsung Universitya, Busan; Department of Neurology, Inje University College of Medicineb, Busan; Department of Neurology, Gimhae Hansol Hospitalc, Gimhae; Department of Neurology, Busan Medical Centerd, Busan; The Institute for East Asian Studies in Don-A Universitye, Busan; Department of Neurology, Kosin University College of Medicinef, Busan; Department of Neurology, Sungkyunkwan University of Medicine Masan Samsung Hospitalg, Masan; Department of Neurology, Samil Taebong Hansol Hospitalh, Masan; Department of Neurology, Dong-eui Medical Centeri, Busan; Department of Social and Preventive Medicine, School of Medicine, Sungkwan Universityj, Suwon; Department of Neurology, Maryknoll Hospitalk, Busan; Korea
Abstract
Background: The purposes of this study were to examine the state of depression and life satisfaction of family caregivers and to find out which factors would be significant in determining depression and life satisfaction of caregivers for the elderly with dementia.
Methods: Caregivers of patients with dementia who were registered at nine medical centers in Busan Metropolitan City and Gyeongnam Province were the major subjects of this study. Data was collected by face-to-face interviews. The final sample consisted of 144 cases after eliminating several incomplete questionnaires. Based on the collected data, the authors evaluated demographic findings, general characteristics, and factors influencing depression and life satisfaction of the caregivers using statistical analyses.
Results: The severity of depression and the degree of life satisfaction in family caregivers were low. We found that caregiver's anxiety, monthly income, caregiver burden, non-relative network, self-confidence of caregiving, and the degree of the Barthel index of activity of daily living (B-ADL) were significant factors in determining depression of the caregivers (p<0.05). The following two variables were significant factors in determining the caregiver's level of life satisfaction: burden of caregiving costs and patient's Korean mini-mental state examination (K-MMSE) score (p<0.05).
Conclusions: Our results showed that the level of anxiety, caregiver burden and social support, rather than the conditions of dementia patients, influenced depression and life satisfaction for the caregivers of patients with dementia. Therefore, in order to improve the quality of life for caregivers, we should consider psychosocial factors as well as patient's medical factors in influencing depression and life satisfaction.KeyWords:Dementia, Caregivers, Depression, Life satisfaction


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