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재가 치매 노인환자를 돌보는 가족원의 극복 경험

 Overcoming Experiences of Family Members Caring for Elderly Patients with Dementia at Home

Journal of Korean Academy of Nursing 2013년 43권 3호 p.389 ~ 398
KMID : 0806120130430030389
성미라 ( Sung Mi-Ra ) - 서울시 치매센터

이명선 ( Yi Myung-Sun ) - 서울대학교 간호대학
이동영 ( Lee Dong-Young ) - 서울대학교병원 정신건강의학과
장혜영 ( Jang Hye-Young ) - 서울대학교 간호대학원

Abstract

Purpose: The purpose of the study was to understand and describe the overcoming experiences of family members caring for elderly patients with dementia at home.

Methods: Data came from autobiographies on the overcoming experiences of caregiving from 31 participants, who had submitted the autobiographies to a public contest held by the Seoul Metropolitan Center for Dementia in 2012. Data were analyzed using qualitative content analysis.

Results: Four overcoming stages emerged from the analysis: confronting stage; challenging stage; integrating stage; and transcendental stage, representing transformation of experiences from frustration and suffering to happiness and new hope in life. The confronting stage illustrates severe negative feelings and exhaustion occurring after the diagnosis of dementia. The challenging stage signifies major driving forces in taking good care of their patients. It includes tender loving memories about the patients as well as family and social supports. The integrating stage shows genuine empathy for the patients’ situation and the happiness of ’here and now’, while the transcendental stage represents new hope in the future.

Conclusion: Health professionals need to support caregivers to find true meaning of caring and happiness in everyday life, while providing specific information on dementia care and relieving various negative feelings.
KeyWords

Caregivers, Dementia, Psychological adaptation, Qualitative research, Family
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SCI(E) MEDLINE 학술진흥재단(KCI) KoreaMed