Annals of Rehabilitation Medicine

Korean Academy of Rehabilitation Medicine (대한재활의학회)
권호 표지

The Change in Family Structure and Income for Community-dwelling Patients with Brain Disorders

국내 재가 뇌질환 환자의 가족 구조 및 소득의 변화

Leigh, Ja-Ho;Kim, Kee-Won;Jung, Sung-Jin;Jung, Se-Hee;Lee, Kyoung-Moo;Park, Si-Won;Chun, Min-Ho;Jung, Han-Young;Kim, Il-Soo;Kim, See-Hyun;Han, Tai-Ryoon
이자호;김기원;정성진;정세희;이경무;박시운;전민호;정한영;김일수;김세현;한태륜

  • Published : 20100400
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Abstract

Objective: To find out the changes of the family structure and familial total income of Korean patients with the brain disorders and associated factors. Method: A total of 1,903 patients with brain disorders in Korea were enrolled and drew up the questionnaires about their socioeconomic state and family supports, including preand post-disorder family structure, compositions of their family income, and employment of caregivers. Results: A 38.2% of subjects experienced the change in numbers of cohabiting family, decrement in 30.3% and increment in 7.9%. Prior to brain disorders, 48.6% of patients earned their living by themselves, but only 2.8% did after brain disorders. Separation and divorce increased, especially three times more in male patients than in females. A 16.6% of patients employed caregivers, and used them 6.2 days per week, 18 hours a day on average. Conclusion: This study reemphasized the worsening socioeconomic state of patients with brain disorders and their families. Increasing tendency of social isolation was also noted.

Keywords

References

  1. Stineman M, Maislin G, Fiedler R, Granger C. A prediction model for functional recovery in stroke. Stroke 1997; 28: 550-556 https://doi.org/10.1161/01.STR.28.3.550
  2. Anderson CS, Linto J, Stewart-Wynne EG. A populationbased assessment of the impact and burden of caregiving for long-term stroke survivors. Stroke 1995; 26: 843-849 https://doi.org/10.1161/01.STR.26.5.843
  3. Han B, Haley WE. Family caregiving for patients with stroke. Review and analysis. Stroke 1999; 30: 1478-1485 https://doi.org/10.1161/01.STR.30.7.1478
  4. Parag V, Hackett ML, Yapa CM, Kerse N, McNaughton H, Feigin VL, Anderson CS. The impact of stroke on unpaid caregivers: results from The Auckland Regional Community Stroke study, 2002-2003. Cerebrovasc Dis 2008; 25: 548-554 https://doi.org/10.1159/000131673
  5. Scholte op Reimer WJ, de Haan RJ, Rijnders PT, Limburg M, van den Bos GA. The burden of caregiving in partners of long-term stroke survivors. Stroke 1998; 29: 1605-1611 https://doi.org/10.1161/01.STR.29.8.1605
  6. Duncan P, Zorowitz R, Bates B, Choi J, Glasberg J, Graham G, Katz R, Lamberty K, Reker D. Management of adult stroke rehabilitation care: a clinical practice guideline. Stroke 2005; 36: e100-143 https://doi.org/10.1161/01.STR.0000180861.54180.FF
  7. Anderson C, Rubenach S, Mhurchu C, Clark M, Spencer C, Winsor A. Home or hospital for stroke rehabilitation? Results of a randomized controlled trial I: health outcomes at 6 months. Stroke 2000; 31: 1024-1031 https://doi.org/10.1161/01.STR.31.5.1024
  8. Gresham GE, Alexander D, Bishop DS, Giuliani C, Goldberg G, Holland A, Kelly-Hayes M, Linn RT, Roth EJ, Stason WB, et al. American heart association prevention conference. IV. Prevention and rehabilitation of stroke. Rehabilitation. Stroke 1997; 28: 1522-1526 https://doi.org/10.1161/01.STR.28.7.1522
  9. Johansson L, Thorslund M. Care needs and sources of support in a nationwide sample of elderly in Sweden. Z Gerontol 1992; 25: 57-62
  10. Chun M, Knight BG, Youn G. Differences in stress and coping models of emotional distress among Korean, Korean-American and White-American caregivers. Aging Ment Health 2007; 11: 20-29 https://doi.org/10.1080/13607860600736232
  11. Kong EH. The influence of culture on the experiences of Korean, Korean American, and Caucasian-American family caregivers of frail older adults: a literature review. Taehan Kanho Hakhoe Chi 2007; 37: 213-220
  12. Lee EE, Farran CJ. Depression among Korean, Korean American, and Caucasian American family caregivers. J Transcult Nurs 2004; 15: 18-25 https://doi.org/10.1177/1043659603260010
  13. Jullamate P, de Azeredo Z, Paul C, Subgranon R. Thai stroke patient caregivers: who they are and what they need. Cerebrovasc Dis 2006; 21: 128-133 https://doi.org/10.1159/000090211
  14. Tan K, Wong K, Venketasubramanian N. Setting priorities in Asian stroke research. Neurology Asia 2006; 11: 5-11
  15. Chuang K, Wu S, Dai Y, Ma A. Post-hospital care of stroke patients in Taipei: use of services and policy implications. Health Policy 2007; 82: 28-36 https://doi.org/10.1016/j.healthpol.2006.07.008