Predictors of institutionalization in patients with dementia in Korea

Kim, Jae-Min; Shin, Il‐Seon; Jeong, Sangyun; Gormley, Niall; Yoon, Jin‐Sang

doi:10.1002/gps.494

Cited by 29 publications

(24 citation statements)

References 35 publications

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“…Thus, the caregiver burden experienced by female caregivers in Korea could be higher than that in Western countries. Consistent with previous findings [13,14,[50][51][52] poor and fair subjective assessments of socioeconomic status were found to be correlates of caregiver burden. Physical and psychological health characteristics can be negatively influenced by caring for dementia patients, which can lead to further economic burden [53,54] .…”

Section: Discussionsupporting

confidence: 81%

Caregiver Burden among Caregivers of Koreans with Dementia

Kim¹,

Hong²,

Lee³

et al. 2008

Gerontology

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Background: Most studies on caregiver burden have been conducted in Western countries, while few studies on the correlates of caregiver burden have been performed in Korea. Objective: To suggest better policies for the care of dementia patients by using a nationwide database to identify factors that affect caregiver burden in Korea. Methods: The database of the Korean National Health Insurance (KNHI) and National Medical Aid (NMA) programs, which covers all Koreans, was used. A sample of 609 dementia patients and their caregivers was selected from a total of 85,281 dementia patients in 2004 and interviewed to evaluate the total cost of care and caregiver burden. Stepwise multiple linear regression analysis was then performed to identify significant independent predictors of caregiver burden. Results: Among caregiver-related factors, caregiver burden was higher in those who were female, had a history of home care during the previous year, and had less education. Among patient-related factors, poor ADL/IADL function was significant. The most interesting result was that subjective sense of socioeconomic status (good/fair/poor) was a stronger predictor of caregiver outcome than actual economic costs. Conclusion: The results of this study suggest that interventions to assist patients with dementia should focus on female caregivers, especially those considered likely to be suffering from an economic burden. Interventions should also aim to improve the ADL and IADL capacities of patients.

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Section: Discussionsupporting

confidence: 81%

Caregiver Burden among Caregivers of Koreans with Dementia

Kim¹,

Hong²,

Lee³

et al. 2008

Gerontology

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“…Male Male Gonzales-Salvador et al 31 Nagatomo et al 35 50 Chou et al 7 Gallicchio et al 23 Grafstrom and Winblad 51 Youn et al 8 Cossette et al 43 Mui 44 Age Young Schneider et al 30 Young associated with institutionalization Kim et al 37 …”

Section: Gendermentioning

confidence: 97%

A Multinational Review of Recent Trends and Reports in Dementia Caregiver Burden

Torti¹,

Gwyther²,

Reed³

et al. 2004

Alzheimer Disease & Associated Disorders

230

163

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This systematic review of the literature focuses on the influence of ethnic, cultural, and geographic factors on the caregivers of patients with dementia. In particular, we explore the impact of cultural expectations on five important questions: 1) Do the characteristics of dementia affect caregiver burden? 2) Do characteristics of the caregiver independently predict burden? 3) Does the caregiver affect patient outcomes? 4) Does support or intervention for caregiver result in reduced caregiver burden or improved patient outcomes? 5) Finally, do patient interventions result in reduced caregiver burden or improved patient outcomes? Our findings suggest that noncognitive, behavioral disturbances of patients with dementia result in increased caregiver burden and that female caregivers bear a particularly heavy burden across cultures, particularly in Asian societies. Caregiver burden influences time to medical presentation of patients with dementia, patient condition at presentation, and patient institutionalization. Moreover, interventions designed to reduce caregiver burden have been largely, although not universally, unsuccessful. Pharmacological treatments for symptoms of dementia were found to be beneficial in reducing caregiver burden. The consistency of findings across studies, geographic regions, cultural differences, and heathcare delivery systems is striking. Yet, there are critical differences in cultural expectations and social resources. Future interventions to reduce caregiver burden must consider these differences, identify patients and caregivers at greatest risk, and develop targeted programs that combine aspects of a number of interventional strategies.

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“…Most of the research on caregiving has been conducted in western countries and currently limited empirical research exists for large samples of South Korean families (Kim, Shin, Jeong, Gormley, & Yoon, 2002). This study will identify significant factors related to caregiving burden among South Koreans who care for their disabled older family members.…”

mentioning

confidence: 99%

Factors Affecting Burden of South Koreans Providing Care to Disabled Older Family Members

Lee

Yoon

Kropf

2007

Int J Aging Hum Dev

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This study examined the determinants of caregiving burden among South Koreans who care for their disabled older family members. A sample of 1,000 primary caregivers taken from the Comprehensive Study for Elderly Welfare Policy in Seoul, South Korea was analyzed. Independent variables included the demographic characteristics of caregivers and care recipients, the severity of cognitive impairment among care recipients, care recipients' functional abilities, financial adequacy and caregivers' degree of social support. Hierarchical regression was used to predict the levels of caregivers' burden. Similar to western care providers, South Korean caregivers who were in poor health and who had little informal social support, inadequate financial resources and more weekly caregiving hours were more likely to experience intense caregiving burden. Burden was also positively related to the functional and cognitive disabilities of care recipients. The results of this study indicate that certain aspects of caregiving are unique to South Koreans. Daughters-in-law were the most common caregiver within the sample which indicates that South Korean eldercare is non-consanguineous. Identifying predictors of South Korean caregivers' burden promotes a more comprehensive understanding of cultural experiences in caring for older adults.

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Predictors of institutionalization in patients with dementia in Korea

Cited by 29 publications

References 35 publications

Caregiver Burden among Caregivers of Koreans with Dementia

Caregiver Burden among Caregivers of Koreans with Dementia

A Multinational Review of Recent Trends and Reports in Dementia Caregiver Burden

Factors Affecting Burden of South Koreans Providing Care to Disabled Older Family Members

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