가족 돌봄 제공자의 치매노인 공감: Q 방법론적 연구
Empathy in Family Caregivers for Persons with Dementia: A Q Methodology Study
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Purpose: This study was done to explore the subjective perception structure and types of empathy in family caregivers for persons with dementia (PWD). Q methodology was used. Methods: Based on interviews with family caregivers and a literature review, 38 Q samples were selected. The Q sorting was conducted with 30 family caregivers. Types of empathy for these family caregivers were analyzed using PC-QUANL. Results: Five types of empathy were identified: (1) Cognitive understanding of change in the state of the disease, (2) Perceiving need for assistance in the PWD, (3) Unconditionally accepting the PWD as a family member, (4) Humanly understanding the sense of loss felt by the PWD, and (5) Having compassion by generalizing the character of the disease. Conclusion: Feeling empathy can be expressed in various aspects as family caregivers’ attitudes, opinions or ideas are formed through their lives in different ways. Therefore, it is not a matter of which type makes empathy better. However, because the type of family caregiver empathy is closely connected with the quality care giving in general, it is necessary to develop strategies to increase levels of empathy by taking into account the family caregivers’ type of empathy.
Abstract
Purpose: This study was done to explore the subjective perception structure and types of empathy in family caregivers for persons with dementia (PWD). Q methodology was used. Methods: Based on interviews with family caregivers and a literature review, 38 Q samples were selected. The Q sorting was conducted with 30 family caregivers. Types of empathy for these family caregivers were analyzed using PC-QUANL. Results: Five types of empathy were identified: (1) Cognitive understanding of change in the state of the disease, (2) Perceiving need for assistance in the PWD, (3) Unconditionally accepting the PWD as a family member, (4) Humanly understanding the sense of loss felt by the PWD, and (5) Having compassion by generalizing the character of the disease. Conclusion: Feeling empathy can be expressed in various aspects as family caregivers’ attitudes, opinions or ideas are formed through their lives in different ways. Therefore, it is not a matter of which type makes empathy better. However, because the type of family caregiver empathy is closely connected with the quality care giving in general, it is necessary to develop strategies to increase levels of empathy by taking into account the family caregivers’ type of empathy.
참고문헌 (30)
- "2015 statistics for elderly people" (2015)[URL]
- "2015 National Association for the Management of Dementia" (2015)[URL]
- Hennings J, "Approaching the end of life and dying with dementia in care homes: the accounts of family carers", Reviews in Clinical Gerontology, 20(2), pp.114~127 (2010)
- 오진주, "치매환자 및 가족지지 프로그램 효과연구: 개별 및 집단프로그램 비교", 지역사회간호학회지, 19(2), pp.205~215 (2008), 한국지역사회간호학회
- Kim CM, "The coping process of family caregivers for demented elderly", Journal of Korean Academy of Community Health Nursing, 16(3), pp.249~259 (2005)
- 박건우, "치매환자 보호자들의 치매에 대한 태도 연구", 주관성 연구, (25), pp.121~136 (2012), 한국주관성연구학회
- 윤순원, "노인요양시설 요양보호사의 치매지식, 치매행동심리증상 부담감 및 공감이 치매노인 돌봄행위에 미치는 영향", 노인간호학회지, 17(3), pp.131~141 (2015), 노인간호학회[DOI]
- Howe D, "Empathy: what it is and why it matters", pp.248~ (2012), Palgrave Macmillan
- Joan K. Monin, "Interpersonal effects of suffering in older adult caregiving relationships.", Psychology and Aging, 24(3), pp.681~695 (2009), American Psychological Association (APA)[DOI]
- Feil N, "The validation breakthrough: simple techniques for communicating with people with Alzheimer's and other dementias", pp.392~ (2002), Health Professions Press
- Tom Kitwood, "Towards a Theory of Dementia Care: Personhood and Well-being", Ageing and Society, 12(03), pp.269~287 (1992), Cambridge University Press (CUP)[DOI]
- Kim SH, "Awareness of dementia care knowledge and personcentered approach in general hospital nurses", pp.2015
- Ivan Panyavin, "Examining the Influence of Family Dynamics on Quality of Care by Informal Caregivers of Patients With Alzheimer’s Dementia in Argentina", American Journal of Alzheimer's Disease & Other Dementiasr, 30(6), pp.613~621 (2015), SAGE Publications[DOI]
- Sture Åström, "Staff burnout in dementia care—relations to empathy and attitudes", International Journal of Nursing Studies, 28(1), pp.65~75 (1991), Elsevier BV[DOI]
- 이미현, "요양병원 간호사의 공감능력과 치매 환자 통증에 대한 태도 및 통증관리 수행도", 성인간호학회지, 28(4), pp.388~398 (2016), 한국성인간호학회[DOI]
- Virginia B, "The best friend approach to dementia care", pp.232~ (2015), Health Professions Press
- "A Book for Family Caregivers of The Persons of Dementia" (2015)[URL]
- Kim HG, "Q methodolgy", pp.510~ (2008), Communication Books
- 장혜영, "재가 치매노인 배우자의 돌봄 체험에 관한 해석학적 현상학 연구", Journal of Korean Academy of Nursing, 47(3), pp.367~379 (2017), 한국간호과학회
- Erich von Dietze, "Compassionate care: a moral dimension of nursing *", Nursing Inquiry, 7(3), pp.166~174 (2000), Wiley-Blackwell[DOI]
- Jane E. Dutton, "Explaining Compassion Organizing Competence", SSRN Electronic Journal, 51(1), pp.59~96 (2005), Elsevier BV[DOI]
- Kong BH, "Art of caring in nursing", Philosophy of Medicine, 3(1), pp.97~116 (2007)
- Lee YH, "The study on relationship between perception for dementia and health promotion behavior among middle and oldaged people", master, pp.2011
- 김유진, "치매노인 가족의 간병 경험에 관한 선험적 현상학 연구", 한국노년학, 27(4), pp.963~986 (2007), 한국노년학회
- Cho NO, "Study of the dementia patient's family experience and their nursing needs", pp.1996
- Jacoba M. Lilius, "The contours and consequences of compassion at work", Journal of Organizational Behavior, 29(2), pp.193~218 (2008), Wiley-Blackwell[DOI]
- Jo YY, "A study of the caregiver appraisal in family caregivers of patients with dementia", master, pp.2008
- Signe Andren, "Family caregivers' subjective experiences of satisfaction in dementia care: aspects of burden, subjective health and sense of coherence", Scandinavian Journal of Caring Sciences, 19(2), pp.157~168 (2005), Wiley-Blackwell[DOI]
- Nancy W. Sheehan, "Efforts to create meaning in the relationship between aging mothers and their caregiving daughters: A qualitative study of caregiving", Journal of Aging Studies, 13(2), pp.161~176 (1999), Elsevier BV[DOI]
- 김근면, "치매노인 가족의 극복력", 정신간호학회지, 21(3), pp.197~209 (2012), 정신간호학회