The Double Mediating Effect of Caregiving Mastery and Self-Esteem on the Effect of Family Caregiver's Elderly Caregiving Burden on Family Conflict

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Yun-Jeong Kim, Ki-Nam Lee


Background:The long-term care insurance system for the elderly is being implemented as a social support for the elderly in need of care. As of 2022, as the use of adult day care centre among home benefits is on the rise, it is necessary to devise measures to reduce the caregiving burden and family conflicts targeting the caregivers of the elderly who use adult day care centre.

Objectives: The purpose of this study is to examine the dual mediating effect of caregiving mastery and self-esteem on the relationship between caregiving burden and family conflict.

Methods:In this study, 304 caregivers of the elderly who received a long-term care grad and were using anadult day care centre were targeted. The data were analysed using SPSS PC+ Win. 24.0 and SPSS PROCESS macro 4.1. Applied statistical techniques were descriptive statistics, reliability analysis, correlation analysis, and double mediating effect analysis.

Results:First, the age and length of support for caregivers increased the caregiving burden, but the health and economic status of caregivers lowered the caregiving burden and family conflict, and improved caregiving mastery and self-esteem. Second, the caregiving burden of the family caregiver was 2.51 points (out of 5 points) and family conflict was low at 1.85 points (out of 5 points). The parameter, caregiving mastery, was at 3.40 points (out of 5 points) and self-esteem was at 3.40 points (out of 4 points), which is a fairly high level. Third, the higher the caregiving burden, the higher the family conflict was, but the effect of the caregiving burden on family conflict through caregiving mastery and self-esteem was lowered.

Conclusions: In order to reduce the impact of the burden of care on family conflict, it is necessary to improve the ability to solve problems in a positive way, such as mastery of caring and self-esteem. This suggests that adult day care centre need to provide caring education for family caregivers to increase their caring skills and provide counselling to improve their self-esteem.

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