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Effects of Perceptions regarding Purpose in Life and Good Death on Caring Behaviors of Formal Caregivers of Community-dwelling Older Adults with Dementia

Purpose: This study was done to investigate levels of caring behaviors of formal caregivers (FCs) and to identify factors influencing FCs for older adults with dementia living at home. Methods: Research design was a descriptive survey design with convenience sampling. Participants were 139 FCs who cared for older adults with dementia receiving home visiting services in Incheon City, Gyeonggi-do, Gangwon-do and Jeolla-do. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and stepwise multiple regression. Results: The average score for the FCs’ perceived caring behaviors was 3.35±0.48. Among the FCs’ caring behavior factors, 'assurance' was scored highest, followed by ‘knowledge and skill’, ‘respectfulness’ and ‘connectedness’. The mean score for purpose in life was 4.63±0.86 and for good death, 3.22±0.38. Also the FCs’ caring behaviors were positively correlated with purpose in life and good death. Good death (β=.53, p<.001), and purpose in life (β=.27, p<.001) significantly influenced the FCs’ caring behaviors, accounting for 42.4% of the total variance. Conclusion: Findings imply that FCs’ caring behaviors are improved by their having positive perceptions related to purpose in life and good death. Therefore, inclusion of purpose in life and definition of good death in FCs' caring education and management is important.