2.50
Hdl Handle:
http://hdl.handle.net/10755/155736
Type:
Presentation
Title:
The Coping Process of Family Caregivers for Demented Elderly at Home
Abstract:
The Coping Process of Family Caregivers for Demented Elderly at Home
Conference Sponsor:Sigma Theta Tau International
Conference Year:2002
Conference Date:July, 2002
Author:Kim, Chunmi
P.I. Institution Name:Yeojoo Institute of Technology
"Objective": To answer the research question of "how do family caregivers cope while taking care of demented elderly at home?"; to understand the difficulties that family caregivers experience during the process of care; to grasp the coping strategy used for the solution of this problem; and finally to develop a substantive theory by analyzing the coping process. "Method":The methodology of collecting and analyzing the data used in this study follows the grounded theory of Strauss and Corbin(1990). "Population":The subjects of the study were 17 women, who were daughters, daughters-in-law, spouses, and sister of demented elderly. The data was collected through an in-depth interview with open-ended and descriptive questions about their coping experiences, which were audio-taped and transcribed. The data was collected between February, 2000 and February, 2001. "Findings": The result of the study is as follows. 1. Core category of this study is "Going through with the yoke of filial duty" and its attributes turn out to be 'accepting filial duty' and 'hardship. 'Casual condition inducing this phenomenon is 'problem behavior of demented elderly.' Intervening conditions promoting or suppressing caregiver's action/interaction strategy includes family member's support,' 'economic state,' 'the condition of caregiver's health, ''the relationship with dementia elderly,' 'family perception of dementia,' and 'fixed idea of traditional female role.' 2. It is confirmed that caregiver's coping behaviors are the effort to reduce the burden of role, to reduce mental anguish resulting from care, and to regulate the problem behavior of dementia elderly. And, in this study, affirmative coping behavior, which has influence upon the adjustment of dementia family members, turns out to be 'mediating caring role,' 'seeking help,' 'redefining of circumstances,' and ' treating affectionately' 3. Coping process of family caregiver while taking care of demented elderly is confirmed to have six stages: the stage of problem recognition; the stage of undertaking care; the stage of struggling; the stage of mental control; the stage of burden mediation; and the stage of acceptance. These stages make progress with reciprocal action and in cycle. Characteristic coping behaviors are used in each coping stage. 4. Caregiver's coping types are varied according to intervening conditions. Among these, family's support and economic state are strong influential factor classifying coping types. These types represent the result of different coping behavior. In this study, five types are grasped: type of active role allotment; type of meaning grant; type of devotion; type of duty defense; and type of pessimism. Among these, type of active role allotment, type of meaning grant, and type of devotion including caregiver's good health adapt themselves to care. 5. Caregivers, who are adapting themselves to care, familiarize themselves to care by learning the skill of care. Their affection toward demented elderly including pity and a feeling of impatience continues, and they come to recover serenity. They come to have pride in themselves, undergoing adversity and furthermore, they receive recognition about their labor from other family members. They feel the value of family in the process of overcoming crisis and they experience the benefit of growing family love. 6. However, there are caregivers who do not adapt themselves to care. They have characteristic mark: binary feeling of alternating fury and pity continues; psychosomatic health problem arises, due to stress; they become aggresssive. And they have grudge and regret about other family members who do not help them, and then, conflict among family members is intensified and stress deriving from care continues. "Conclusion": This study proposes coping strategy which caregiver uses in the process of caring demented elderly and coping process which is varied and circulated, according to the circumstances of care, and it classifies coping strategy, according to intervening condition. The result of this study is helpful for developing effective and individual nursing strategy which is suited for coping circumstances, coping stage, and coping type. "Implication": It is necessary to develop the assessment tool which can judge caregiver's coping stage and ability, on the basis of the result of this study. Also a quantitative research needs to be developed to test the relationships among categorized concepts suggested in the paradigm model of this study. And continuous study to practice nursing mediation and to analyze the change about nursing effect and family member's adaptation, on the basis of coping type of the well-adapted caregivers and their affirmative coping strategy is needed. Besides, persistent study to analyze inclusively interaction about whole family member's care by studying not only direct caregiver, but also other family members is necessary.

Repository Posting Date:
26-Oct-2011
Date of Publication:
Jul-2002
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Coping Process of Family Caregivers for Demented Elderly at Homeen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155736-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Coping Process of Family Caregivers for Demented Elderly at Home</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2002</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July, 2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Kim, Chunmi</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Yeojoo Institute of Technology</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">cmchoi@chollian.net</td></tr><tr><td colspan="2" class="item-abstract">&quot;Objective&quot;: To answer the research question of &quot;how do family caregivers cope while taking care of demented elderly at home?&quot;; to understand the difficulties that family caregivers experience during the process of care; to grasp the coping strategy used for the solution of this problem; and finally to develop a substantive theory by analyzing the coping process. &quot;Method&quot;:The methodology of collecting and analyzing the data used in this study follows the grounded theory of Strauss and Corbin(1990). &quot;Population&quot;:The subjects of the study were 17 women, who were daughters, daughters-in-law, spouses, and sister of demented elderly. The data was collected through an in-depth interview with open-ended and descriptive questions about their coping experiences, which were audio-taped and transcribed. The data was collected between February, 2000 and February, 2001. &quot;Findings&quot;: The result of the study is as follows. 1. Core category of this study is &quot;Going through with the yoke of filial duty&quot; and its attributes turn out to be 'accepting filial duty' and 'hardship. 'Casual condition inducing this phenomenon is 'problem behavior of demented elderly.' Intervening conditions promoting or suppressing caregiver's action/interaction strategy includes family member's support,' 'economic state,' 'the condition of caregiver's health, ''the relationship with dementia elderly,' 'family perception of dementia,' and 'fixed idea of traditional female role.' 2. It is confirmed that caregiver's coping behaviors are the effort to reduce the burden of role, to reduce mental anguish resulting from care, and to regulate the problem behavior of dementia elderly. And, in this study, affirmative coping behavior, which has influence upon the adjustment of dementia family members, turns out to be 'mediating caring role,' 'seeking help,' 'redefining of circumstances,' and ' treating affectionately' 3. Coping process of family caregiver while taking care of demented elderly is confirmed to have six stages: the stage of problem recognition; the stage of undertaking care; the stage of struggling; the stage of mental control; the stage of burden mediation; and the stage of acceptance. These stages make progress with reciprocal action and in cycle. Characteristic coping behaviors are used in each coping stage. 4. Caregiver's coping types are varied according to intervening conditions. Among these, family's support and economic state are strong influential factor classifying coping types. These types represent the result of different coping behavior. In this study, five types are grasped: type of active role allotment; type of meaning grant; type of devotion; type of duty defense; and type of pessimism. Among these, type of active role allotment, type of meaning grant, and type of devotion including caregiver's good health adapt themselves to care. 5. Caregivers, who are adapting themselves to care, familiarize themselves to care by learning the skill of care. Their affection toward demented elderly including pity and a feeling of impatience continues, and they come to recover serenity. They come to have pride in themselves, undergoing adversity and furthermore, they receive recognition about their labor from other family members. They feel the value of family in the process of overcoming crisis and they experience the benefit of growing family love. 6. However, there are caregivers who do not adapt themselves to care. They have characteristic mark: binary feeling of alternating fury and pity continues; psychosomatic health problem arises, due to stress; they become aggresssive. And they have grudge and regret about other family members who do not help them, and then, conflict among family members is intensified and stress deriving from care continues. &quot;Conclusion&quot;: This study proposes coping strategy which caregiver uses in the process of caring demented elderly and coping process which is varied and circulated, according to the circumstances of care, and it classifies coping strategy, according to intervening condition. The result of this study is helpful for developing effective and individual nursing strategy which is suited for coping circumstances, coping stage, and coping type. &quot;Implication&quot;: It is necessary to develop the assessment tool which can judge caregiver's coping stage and ability, on the basis of the result of this study. Also a quantitative research needs to be developed to test the relationships among categorized concepts suggested in the paradigm model of this study. And continuous study to practice nursing mediation and to analyze the change about nursing effect and family member's adaptation, on the basis of coping type of the well-adapted caregivers and their affirmative coping strategy is needed. Besides, persistent study to analyze inclusively interaction about whole family member's care by studying not only direct caregiver, but also other family members is necessary.<br/><br/></td></tr></table>en_GB
dc.date.available2011-10-26T14:07:35Z-
dc.date.issued2002-07en_GB
dc.date.accessioned2011-10-26T14:07:35Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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