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KMID : 0379720000140010131
Journal of Korean Community Health Nursing Academic Society
2000 Volume.14 No. 1 p.131 ~ p.146
Relationship between the Patients¢¥ Activities Daily Living and Family Burden , Social Support under Home Helath Nursing Care


Abstract
The purpose of this study is to clarify the correlation between the degree of patients daily activities and that of a sense and social support of families.
This study covers families of 252 patients under home health nursing care at 6 University Hospitals during the period of March to May, 1999.
The data were collected by using three different questionnaires.
Data were analysed by utilizing SAS program such as frequency. average, percentage, t-test, ANOVA, Scheffe¢¥ test and Pearson Correlation Coefficient.
The results were as follows:
l. The average score of patients¢¥ daily living activity was 2.36¡¾0.67.
97.2% patients turned out to be, in part, dependent on their family¢¥s care.
66.5% of the patients were still dependent on their families in walking; 66.3% in bathing; and 61.0% in using toilet.
2. The average score burdened family caregivers had felt was 2.25 in 4 full point which can be interpreted as average. Among the six burden dimensions, time was said to be the No. 1 burden-yielding factor. When it comes to the characteristics of patients, there were tendencies for patients with lower incomes residing in communal housing, with cerebrovasculal diseases and with higher score of daily living activity to show a higher burden scores.
3. The average score of social support was 2.49 in 5 point, which represents a average score. Among other items, the opportunity of social integration was 2.66, topping the list whereas a chance of upbringing was starkly low at 2.42. The higher scores of social support were shown in cases where the caregiver was male spouse, total care giving duration exceeded 25 months and malignant patients daily living activity scores were low.
4. The score of patients daily activity was positively correlated to the degree of the family burden (r=0.1942).
Data indicates there was direct correlation between daily living activity and burden of time consuming, self-improving and physical impairment.
5. The score of the patients daily living was negatively correlated to the social support (r=0.3414), As a whole, there was negative correlation between social support and the formation of intimacy and self-confidence.
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