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KMID : 1022120220240020191
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Health and Welfare
2022 Volume.24 No. 2 p.191 ~ p.219
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The Moderated Mediating Effect of Community Resources in the Relationship between Ostomy-related Problems, Burden of Support, and Depression
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Song Yun-Sook
Kim Hae-Jung
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Abstract
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The purpose of the study was to examine the relationship between older adults’ ostomy-related problems and depression among caregivers. We also examined the moderated mediating effect of ostomy-related problems and the use of formal and informal community resources on family burden and depression among caregivers. Survey data from 125 family caregivers of older adults with ostomies were collected from a university hospital in Seoul, South Korea. The results showed that ostomy-related problems were significantly related to the burdens of support, but not on depression. The total indirect effect was significant, indicating that family burden are fully mediated in the relationship between ostomy-related problems and depression. In addition, this indirect effect decreased with the increased use of formal community resources. For individuals who receive support and information from formal community-based organizations, the severity of depression is lower even if they handle more ostomy-related problems. Our findings suggest that community-based organizations need to provide information on medical care and focus to reduce caregivers’ perceived levels of economic and psychological burdens.
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KEYWORD
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Aged, Ostomy, Caregiver burden, depression, community resource
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