탁영란
2019-07-11T07:30:08Z
2019-07-11T07:30:08Z
2019-02
ASIAN NURSING RESEARCH, v. 13, NO 1, Page. 11-19
1976-1317
2093-7482
https://www.sciencedirect.com/science/article/pii/S197613171830478X?via%3Dihub
https://repository.hanyang.ac.kr/handle/20.500.11754/107320
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: Authors used a realist review approach to explore the evidence for how different interventions reduce the burden of dementia caregivers. We completed the literature review about the burden of dementia caregivers and extracted the theoretical concepts to explain context-mechanism-outcome configuration why an intervention may be effective in some situations and not others. Six databases were searched for experimental or quasi-experimental studies conducted from 2008 to 2017. Of 1,225 screened studies, 10 studies were eligible for inclusion.
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. (C) 2019 Korean Society of Nursing Science, Published by Elsevier Korea LLC.
This research was supported by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT & Future Planning (Grant No. 201500000002876).
en
ELSEVIER SCIENCE INC
Caregivers
Dementia
Family
Review
Realist Review: Understanding Effectiveness of Intervention Programs for Dementia Caregivers
Article
1
13
10.1016/j.anr.2019.01.002
11-19
ASIAN NURSING RESEARCH
Tak, Youngran
Song, Junghee
Woo, Haeyoung
An, Jiyeon
2019004518
S
SCHOOL OF NURSING[S]
SCHOOL OF NURSING
yrtak