한국간호과학회

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  • ANR (Asian Nursing Research)

ANR (Asian Nursing Research)

년도별 ‘권’과 ‘호’를 선택해 주세요 (ISSN 1598-2874(38권 4호까지), ISSN 2005-3673(38권 5호부터)

본문
제목 Realist Review: Understanding Effectiveness of Intervention Programs for Dementia Caregivers
저자 : Youngran Tak, Junghee Song, Haeyoung Woo, Jiyeon An 게시일 : 2019년 02월 페이지 : p11~p19
저자 Youngran Tak, Junghee Song, Haeyoung Woo, Jiyeon An 게시일 2019년 02월 페이지 p11~p19 인쇄
파일 mm__201902271101320.pdf
키워드 Caregivers; Dementia; Family; Review
Purpose
Caring for patients with dementia is a challenging issue entailing heavy responsibility. Many interventions for caregivers have been developed, but their effectiveness is not clear. This study aimed to examine how, why, and under what circumstances interventions for dementia caregivers affected their burden of caring.

Methods
Primary research studies of interventions for caregivers of patients with dementia conducted from 2008 to 2017 with an experimental or quasi-experimental design were retrieved from relevant databases. The context and mechanism for review of the study were derived from the previous literatures and initial theory. Next, 10 studies were analyzed into six contexts and seven mechanisms.

Results
None of the studies included all the derived contexts while explaining in detail the mechanism of the intervention effectiveness. Among contexts, the variable of other family members requiring care was not included in all studies. Among the analyzed studies, no studies have applied repeated intervention. Most studies included only some variables of context and mechanism, and these variables did not directly explain the effectiveness of intervention. The effect of outcome variables was significant for each study, and the effects of research intervention and national services could not be separately described.

Conclusion
Authors conclude that Korean culture's emphasis on relationships with others increases the burden of care. In context, Confucian norms and traditional femininity of Korea were reflected in the core. It is necessary to check the homogeneity of participants and the design of intervention to verify the effectiveness of the outcome variable of psychological burden.