치매노인의 공격행동이 간호제공자의 소진감과 이직의사에 미치는 영향

Abstract

ABSTRACT

Impacts of Aggressive Behaviors of Demented Elderly on Burnout and Turnover Intention among Caregivers

Chae, Hyun Mi Advisor : Prof. Kim, Jin-Sun, RN, Ph. D. Department of Nursing Graduate School of Chosun University

Aggressive behaviors in dementia elderly is a frequent and complex problem. It often occurs towards caregivers who provide direct care to the demented elderly. The purpose of this descriptive correlational study was to identify the impacts of aggressive behaviors of demented elderly on burnout and turnover intention among caregivers. Participants were 120 caregivers in 7 institutions. Self administered questionnaire was used for data collection. Data were analyzed using descriptive statistics, t-test or ANOVA, Pearson's correlation, stepwise multiple regression analysis, and logistic regression analysis. homeswho provide care for demented elderly factors -ⅳ-The most frequently experienced aggressive behaviors were verbal aggressive behaviors followed by physical and sexual aggressive behaviors. The most frequently used coping strategies were positive coping strategies followed by passive, negative coping strategies. Younger caregivers and caregivers who have no previous experience of demented elderly were lower self-efficacy to manage aggressive behaviors than their counterparts. Caregivers in this study experienced burnout while taking care of demented elderly and 43.2% reported turnover intention. The predictors of caregivers' burnout were self-efficacy, negative coping strategies, age and these variables accounted 34% of variance for caregivers' burnout. The caregivers who reported the higher level of burnout experienced the higher level of turnover intention. Caregivers should be informed about desirable coping strategies to manage aggressive behaviors of demented elderly. Strategies to identify and to remove trigger factors of aggressive behaviors of demented elderly are need to be developed. Educational program should be developed and evaluated to prevent or eliminate burnout of caregivers who care for demented elderly.