DOI QR코드

DOI QR Code

The Effect of Family Resilience, Social Support and Death Recognition on Quality of Death on the Adaptation of Bereavement Family

사별가족의 가족 탄력성, 사회적지지, 죽음인식, 죽음의 질이 사별 적응에 미치는 영향

  • Received : 2019.09.30
  • Accepted : 2019.12.20
  • Published : 2019.12.28

Abstract

The purpose of this study was to examine how resilience, social support, perception of death and quality of death affect the bereavement adaptation. Data collection was collected from 2 April to 30 May 2018 by distributing self-reporting questionnaires to 236 people using the eyeball presentation method to those who experienced family history in B city and K area Data were analyzed with descriptive statistics and, t-test, ANOVA, and Pearson's correlations that used SPSS WIN 22.0 program and the analysis of control effect was made by using Hierarchical Multiple Regression Analysis. The result of degree of adaptation of the subject was 3.5, family resilience was 3.8 and 3.9 in the lower part. Social support was not significant. But family resilience, belief system, death perception and quality of death influenced bereavement. Based on the results of this study, it is necessary to bulid a social support network for bereavement families, to prepare for death, and to develop and program a systematic program for well-being to become a beautiful and dignified death.

본 연구는 사별가족의 탄력성과 사회적지지, 죽음에 대한 인식, 죽음의 질이 사별 적응에 어떤 영향을 미치는지 살펴보고자 실시하였다. 자료수집은 2018년 4월 21일부터 5월 30일까지 B시와 K지역에서 가족사별을 경험한 대상자들에게 눈덩이 표추럽을 이용하여 236명에게 자가보고 서문지를 배포하였다. 자료분석 방법은 SPSS Win 22.0 프로그램을 이용하여 기술통계, t-test, ANOVA. 상관관계, 위계적 다중 회귀분석으로 분석하였다. 연구결과 사별적응 정도는 3.5점, 가족탄력성은 3.8점으로 하부영역으로는 신념체계가 3.9점으로 가장 높았다. 사회적 지지가 높을수록 사별적응을 잘 할 것이다는 기각되었으나 가족 탄력성에서 신념체계, 죽음인식, 죽음의 질이 사별적응에 영향을 미치는 것으로 나타났다. 본 연구 결과를 토대로 사별가족을 위한 사회적 지지망을 구축하고 죽음준비교육과 웰다잉을 위한 교육 등 죽음이 보다 아름답고 존엄한 죽음이 되기 위한 프로그램 마련 및 교육에 필요한 기초자료로 활용하고자 한다.

Keywords

References

  1. http://www.mohw.go.kr/react/search/search.jsp#fileShowBtn2
  2. M. S. Stroebe & R. O. Hansson. (2002). Hand book of Bereavement Research: Consequences, Coping, and Care. Washington. DC: American Psychological Association.
  3. S. Bhatnagar & S. Joshi. (2013). A Good Death-Sequence(Not Stigma), to an Enigma Called Life: Case Report on End-of-Life Decision Making and Care. American Journal of Hospice & Palliative Medicine, 30, 625-627.
  4. H. S. Jang. (2011). Elderly women's adaptation process on separation by death in rural areas. Journal of the Korean Gerontological Society, 31(4), 939-967.
  5. D. Saleebey. (2006). The Strengths perspective in Social Work Practice: Extensions & Cautions. Social Work, 41(3), 296-305.
  6. S. Siberberg. (2001). Searching for family resilience. Family Matters, (58), 52.
  7. Y. S. Eo. (2010). Effects of self-efficacy and social support on family resilience caregivers with disabled children. Journal of Emotional & Behavioral disorders, 35(2), 209-226. I410-ECN-0102-2012-370-000963059
  8. S. Y. Kim, Y. E. Jang & H. J. Seo. (2011). The influence of marital satisfaction on the suicidal ideation of the elderly, Journal of the Korean Gerontological society, 31(2), 305-319.
  9. J. H. Kang & S. J. Han. (2013). A study of intensive care unit nurses' understanding of the meaning of death, death anxiety, death concern and respect for life, Korean journal of Hospise and Palliative care, 16(2), 80-89. DOI: http://dx.doi.org.eproxy.pusan.ac.kr/10.14475/kjhpc.2013.16.2.080
  10. H. H. Kim. (2016). The adaptation process of family with sudden bereavement. Unpublished doctor's thesis, Graduate School of In-je University, Pusan.
  11. E. M. Hong, M. D. Jeon & E. S. Park. (2013). Death perceptions, death anxiety, and attitudes to death in oncology nurses, Asian oncology nursing, 13(4), 265-272. DOI : http://dx.doi.org.eproxy.pusan.ac.kr/10.5388/aon.2013.13.4.265
  12. M. H. Lee. (2013). Exploratory study on social welfare perspective to well-being and well-dying. Puplic policy research, 30(1), 121-143.
  13. B. J. Byun. (2016). The impact of understanding death of workers at elderly care facilities and well-dying on work performance during terminal care. Unpublished doctorr's thesis, Graduate School of Daegu Haany University, Daegu.
  14. D. Carr. (2004). Gender, Preloss Marital Dependence, and Old Adults' Adjustmen.
  15. C. M. Sanders. (1989). The mourning after dealing with adult bereavement. New York :Wiley-Interscience Publication.
  16. E. Wethington & R. C. Kessler. (1992). Situations and processes of coping In J. Eckenrode(Ed), The social context of coping. New York: Plenum press.
  17. E. S. Sohn. (2007). A study on adjustment to windowhood among older adults-on the focus of gender difference, Korean journal of Family social work, 21, 289-322. https://doi.org/10.16975/kjfsw.2007..21.010
  18. S. J. Chang. (1019). Sposal bereavement-related stress and psychosocial bereavement adjustmenr in late adulthood: moderating effects of dual process coping and social support, Korean joural of Social welfare, research, 60, 165-191. DOI : https://doi.org/10.17997/SWRY.60.1.7.
  19. F. Walsh. (2002). A family resilience fram work : Innovative practice applications, Family Relations, 51, 130-137. https://doi.org/10.1111/j.1741-3729.2002.00130.x
  20. J. Y. Park & K. S. Kim. (2012). The impact of family resilience and social support affecting the psychological welfare of single parents. Journal of Family relations, 17(1), 23-46.
  21. G. D. Zimet, N. W. Dahlem, S. G. Zimet & G. K. Farley. (1998). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30-41. DOI : 10.1207/s15327752jpa5201_2
  22. M. Miyashita. et al. (2007). Good death in cancer care: a nationwide quantitative study. Ann Oncol, 18(6), 1090-1097. https://doi.org/10.1093/annonc/mdm068
  23. S. M. Kim & S. H. Kwon. (2018). Influential factors of complicated grief of bereaved spouses from cancer patient, Journal of Korean Academy of nursing, 48(1), 59-69. DOI: 10.4040/jkan.2018.48.1.59
  24. S. J. Jang. (2016). The factors influencing post-bereavement growth among windows/widowers in later life: analysis according to gender, Korean journal of Social welfare, 51, 163-196. DOI : 10.17997/SWRY.51.1.7
  25. E. M. Hyun. (2008). A study on the effect of stress and family resilines on the family adjustment of single-mother families, Korean journal of Family welfare, 13(4), 59-84.
  26. Patterson. (2002). Quadagno, Jil Aging and the Life Course:An Introduction to Social Gerontology. New York: The Mc Graw-Hill Comanies. 375.
  27. L. Ward, J. L. Mathias & S. E. Hitchings. (2007). Relationships between bereavement and cognitive functioning in older adults. Gerontology, 53, 362-372. https://doi.org/10.1159/000104787
  28. J. H. Yang & S. R. Shin. (2016). A studt of relationship between death perception, spiritual well being and terminal care stress of geriatric hospital nurses. The korea Academia-industrial cooperation society, 17(2), 510-520. DOI : 10.5762/KAIS.2016.17.6.510