A Qualitative Study on the Experiences of Primary Caregivers of the Elderly Using Long-Term Care Insurance for the Elderly: Focused on Long-Term Care Facility

The purpose of this study was to identify the difficulties of primary caregivers among the experiences of using the long-term care insurance system for the elderly, and to identify the practical and policy implications of social welfare to improve them. This was a qualitative study in which five research participants were interviewed in depth and analyzed through Giorgi's phenomenological research method. As a result of the analysis, 35 semantic units, 15 sub-components, and 5 high-order components were derived from the experiences of the primary caregivers of the elderly, using the long-term care insurance system for the elderly. The top five components are 『Responsibilities and rewards in difficult care』, 『Helpful but insufficient system』, 『Another caring role that needs to be met』, 『Primary caregiver in ambivalent emotions』, and 『Wish for good care』. The results of this study show that it is necessary to further strengthen the care management system to support the integrated perspective of care in long-term care insurance for the elderly, and it is necessary for the elderly, primary caregivers, and facility operators to embrace the best practices of good care is in long-term care facilities. It is necessary to clearly define good care for the elderly. Additionally, it is necessary to check and improve the administrative system of the long-term care insurance system delivery system for the elderly, and it is necessary to prepare a support system for primary caregivers and families caring for the elderly, before and after entering the long-term care insurance system. Also, It is necessary to improve the professionalism of the care coordinator of the National Health Insurance Service and the case manager of the facility, who play roles as care managers.&#x0D; </jats:p

A Study on the Structural Equation Model for Posttraumatic Growth among Victims of Elder Abuse

The purpose of this research is to This study examines the relationship between factors affecting the Post-Traumatic Growth of the abused elderly through a structural equation model. The purpose of this study was to examine how the self-exposure, Deliberate rumination and social support of abused elderly affects the post-traumatic growth directly or indirectly based on the post-traumatic growth theory of Tedeschi and Calhoun(2004). This study was conducted nation-widely surveying 303 victims aged 65 years or older through National Protection Agencies for Elderly established in 17 metropolitan and provincial cities. As a data analysis method, descriptive statistical analysis, correlation analysis, confirmatory factor analysis, and structural equation model were used. For this purpose, SPSS 22.0 and AMOS 22.0 statistical programs were used. The results of this study are as follows. Five of the six hypotheses about the direct effect were accepted, one hypothesis was rejected, and all three of the three hypotheses about the indirect effect were supported. Looking at the adopted direct effect, it was found that post-traumatic growth was high when the social support and Deliberate rumination of the abused elderly were high. And when self-exposure and social support were high, Deliberate rumination was high. In addition, high self-exposure showed high social support. On the other hand, self-exposure did not have a significant direct effect on post-traumatic growth. Looking at the indirect effect, Deliberate rumination was found to mediate the effects between self-exposure and social support and post-traumatic growth. In addition, it was found that social support and Deliberate rumination mediate self-exposure and post-traumatic growth. Based on the results of this study, the need f or improvement of programs and practices, laws and systems that can improve Deliberate rumination, social support, and self-exposure to promote post-traumatic growth of the abused elderly was suggested.</jats:p