Research in Community and Public Health Nursing

Original Articles

[Korean] Perceptions of Home-visit Care Helpers and Informal Caregivers on the Importance and Performance of Care Helper Duties: Jiyong Choi, Suyon Baek; Res Community Public Health Nurs. 2025;36(4):373-385. Published online December 31, 2025; DOI: https://doi.org/10.12799/rcphn.2025.01074

923 View
37 Download

Abstract PDF: Purpose
This study examined differences in perceptions of the importance and performance of care helper duties between home-visit care helpers and informal caregivers, providing data to improve service quality in home-based care.
Method
This study employed a cross-sectional comparative descriptive design. A total of 128 participants (64 home-visit care helpers and 64 informal caregivers) completed a structured questionnaire assessing the perceived importance and performance of care duties across six domains. Data were analyzed using SPSS version 28.0. In addition, open-ended questions were included to identify reasons for gaps between perceived importance and performance, and the responses were analyzed through descriptive content analysis.
Results
Significant differences were found between the two groups. Caregivers perceived "special care assistance" as more important (t=-5.01, p<.001), whereas care helpers reported higher performance in "physical care assistance" (t=0.85, p=.041). Among the reasons identified exclusively by care helpers was “role confusion arising at the boundary of professional care.” In contrast, reasons identified only by informal caregivers included “insufficient care due to indifference” and “limited performance capacity due to lack of training.” Reasons commonly identified by both groups were “lack of balance between caregiving and household tasks” and “burden of care, an unbearable reality”
Conclusion
Discrepancies in perceived importance and performance between care helpers and caregivers highlight the need for clearer role definitions and targeted training. A dual-track system in care helper roles and the standardization of tasks may enhance service consistency and strengthen trust between home-visit care helpers and informal caregivers.

[Korean] A Path Analysis for Health-related Quality of Life in Long-term Care Insurance In-home Service Users: Je Hyun Kim, Seung Mi Park; Res Community Public Health Nurs. 2023;34(1):1-11. Published online March 31, 2023; DOI: https://doi.org/10.12799/rcphn.2022.00283

6,575 View
178 Download
3 Citations

Purpose
The purpose of this study is to construct and verify a path model for the factors affecting on quality of life in long-term care insurance in-home service users.
Methods
Total 246 participants using long-term care insurance in-home service were recruited from long-term care agencies. Data collection was conducted using a structured questionnaire from March 1st to March 31st 2021. The collected data were analyzed using SPSS 26 and AMOS 26 programs.
Results
The hypothetical path model was suitable for explaining the health-related quality of life in long-term care insurance in-home service users and has an explanatory power of 39.8%. Long-term care grade, depression, perceived health status, social support, age and living arrangement had a significant total effect on the quality of life in long-term care insurance in-home service users.
Conclusion
Long-term care insurance in-home service policies need to be expanded, such as screening and relieving depression, strengthening social support, and fostering a positive perception of health to improve the quality of life of the elderly.

Citations

Citations to this article as recorded by

Factors associated with health literacy in older adults aged 65 and over: a secondary data analysis of the 2021 Korea Health Panel applying the Andersen behavioural model
Yeong Eun Kim, Ol Han, Chang Sun Moon
BMJ Open.2025; 15(3): e085696. CrossRef
Path Analysis of Factors Influencing Health-Related Quality of Life for Community-Dwelling Vulnerable Older Adults with Chronic Diseases in Korea
Hyun-Ju Lee
Research in Community and Public Health Nursing.2025; 36: 315. CrossRef
Prediction model of health-related quality of life in older adults according to gender using a decision tree model: a study based on the Korea National Health and Nutrition Examination Survey
Hee Sun Kim, Seok Hee Jeong
Journal of Korean Biological Nursing Science.2024; 26(1): 26. CrossRef

First
Prev
Page of 1
Next
Last

Search