• 제목/요약/키워드: Bereaved family

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아시아 문화권에서의 상실과 슬픔 (Loss and Grief in Asian Culture)

  • 홍영선;염창환;이경식
    • Journal of Hospice and Palliative Care
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    • 제1권1호
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    • pp.1-5
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    • 1998
  • Grief is the ordinarily self-limited complex of symptoms and processes that constitute the acute reaction to a significant loss. And it is the reaction of the dying as well as the bereaved. Every culture has had its own ways of grief and mourning. The definition of healthy grief and mourning, in terms of both emotional expression and the length of time it should continue, mostly depend upon the type of culture as well as the type of religion. So the manner of grief and mourning greatly differs from culture to culture. In the most of the Asian countries, influenced by Confucianism, Taoism, and Buddhism, death is traditionally considered the most significant life cycle transition. In Chinese culture, many rituals have evolved to help family members deal with their loss, over the past five thousand years. Confucianism taught the virtues of filial piety and righteousness. These rules and many customs added since the time of Cofucius, have been loyally followed and practiced by many Asian people. However, Buddhists have different ideas. They believe in karma and reincarnation and in predetermination of one's present life by good or bad deeds in the present life and past lives. Display of uncontrollable emotion is not encouraged. Continuity of family relations after death is very important. The ancient practice of the ancestor worship is still followed in many Asian households. Many Buddhist do not practice ancestor worship; family members honor the deceased by placing a memorial plate in the temple for continued chanting purposes. The mourning rituals have been dramatically curtailed in the past 50 years. For example, political, social and economic forces have shaped the current mourning practices of Chinese in different countries. There are many clinical implications in helping Asian to deal better with the emotional strains of the experience of loss. The therapiest must respect the cultural framework through which the client perceives family losses.

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Practical Considerations in Providing End-of-Life Care for Dying Patients and Their Family in the Era of COVID-19

  • Kim, Yejin;Yoo, Shin Hye;Shin, Jeong Mi;Han, Hyoung Suk;Hong, Jinui;Kim, Hyun Jee;Choi, Wonho;Kim, Min Sun;Park, Hye Yoon;Keam, Bhumsuk
    • Journal of Hospice and Palliative Care
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    • 제24권2호
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    • pp.130-134
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    • 2021
  • In the era of coronavirus disease 2019 (COVID-19), social distancing and strict visitation policies at hospitals have made it difficult for medical staff to provide high-quality end-of-life (EOL) care to dying patients and their families. There are various issues related to EOL care, including psychological problems of patients and their families, difficulties in EOL decision-making, the complicated grief of the bereaved family, moral distress, and exhaustion of medical staff. In relation to these issues, we aimed to discuss practical considerations in providing high-quality EOL care in the COVID-19 pandemic. First, medical staff should discuss advance care planning as early as possible and use the parallel planning strategy. Second, medical staff should play a role in facilitating patient-family communication. Third, medical staff should actively and proactively evaluate and alleviate dying patients' symptoms using non-verbal communication. Lastly, medical staff should provide care for family members of the dying patient, who may be particularly vulnerable to post-bereavement problems in the COVID-19 era. Establishing a system of screening high-risk individuals for complicated grief and connecting them to bereavement support services might be considered. Despite the challenging and limited environment, providing EOL care is essential for patients to die with dignity in peace and for the remaining family to return to life after the loved one's death. Efforts considering the practical issues faced by all medical staff and healthcare institutions caring for dying patients should be made.

사고로 남편을 잃은 여성의 경험 (A Study on Woman's Experience of Being Bereaved of Her Husband by an Accident)

  • 박성학;최미혜;정연강
    • 지역사회간호학회지
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    • 제7권2호
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    • pp.294-312
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    • 1996
  • Relatively young widows, who are left with young children by a sudden death of their husbands, will be faced with not only psychological troubles such as individual anxiety and frustration but also the dual burden of playing both father and mother roles in a family, Also, family members have difficulty in adapting themselves to new circumstances of the family system, the training and raising of family members, and management of the family economy. In this study, the realistic resources on the experience of middle-aged women who are bereaved of their husbands by accidents were explored. The purpose of this study is to help widows adapt to life in society and live a more positive life by setting a new goals and recovering from a lost and twisted life. 11 women, who have experienced the loss their husbands and live in the Seoul metropolitan area were studied. The research took 116 days from December 15, 1995 to April 8, 1996. The method of research was direct interviews. While having interviews with them, the contents were recorded with their consent. The ground theory was that used by Strauss & Corbin(1990) in the analysis of the data. 81 concepts were analyzed and they were subdirided into 22 subordinate categories through the course of the analysis. These were then classified into 9 general categories. In the course of being categorized, 'absurdity' was showed as a core category. The subordinate categories 'surprise', 'gloom', 'grudge', 'helplessness', 'emptiness', and 'loss' were united in the core category 'absurdity'. Ominous presentiment, belated notice, death, surprise, gloom, grudge, helplessness, emptiness, loss, the situation of the children, lack of support from neighbors, support from neighbors, mulling over ways to live, choosing a job, strengthening, reinforcement, burden, sadness, smoldering, yearning, overcoming these 22 subordinate categories were re-composed into 9 general ones the husband's death, absurdity, presence of children, existence of support, self-support ability, preparation of countermeasures, self-reinforcement, toilsomeness, and overcoming. 'Absurdity' widows experience was shown in the results of 'toilsomeness' and 'overcoming' through reaction, confrontation, and adaptation. According to the analysis the central phenomenon was absurdity, the causal condition of the death of a husband, the presence of children and the existence of support, and the meditated situation of self-support. To solve absurdity, the preparation of countermeasures and self-reinforcements were shown resulting in toilsomeness and overcoming. Through the contrast in the data, the following statements were deduced: (1) If the death of the husband is expected, the more a widow will feel absurdity. (2) The more children she has and the younger she is, the more a widow will feel absurdity. (3) The lower support she is given, the more a widow will feel absurdity. (4) The larger self-ability she has, the more actively she will prepare countermeasures. (5) The smaller self-ability she has, the more passively she will prepare countermeasures. (6) The larger self-ability she has, the weaker self-reinforcement she will preform. (7) The smaller self-ability she has, the stronger self-reinforcement she will perform. (8) The more actively she prepares countermeasures for absurdity, the better she will overcome. (9) The more passively she prepares counter measure for absurdity, the worse she will overcome. (10) The stronger self-reinforcement for absurdity she performs, the better she will overcome. (11) The weaker self-reinforcement for absurdity she performs, the worse she will overcome. Through the results in this study, the following suggested: 1) A study whose object is all family members, and a comparative study on the case of a husband who has lost his wife should be done. These studies can be expected to develop a more refined theory. 2) Because of the collapse of the extended family system and the changes of family culture in Korea, a widow's status and position are apt to be ambiguous between her husband's home and her parent's. Therefore a new study on family culture should be made. 3) A continuous study on growing social Self Help Groups should be requested for the widows of this study to re-establish and recover from their twisted and scattered lives.

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노인의 주관적 건강상태 관련 요인에 대한 메타분석 -사회경제적 지위, 심리사회적 요인 중심으로- (Meta-analysis of the Factors Related to Self-rated Health among Elderly -Focused on Psychological Dispositions, Social-Economic Status-)

  • 이옥진
    • 한국콘텐츠학회논문지
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    • 제17권4호
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    • pp.424-433
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    • 2017
  • 본 연구의 목적은 노인 주관적 건강상태 관련 사회경제적 지위, 심리사회적 요인의 효과크기를 메타분석 방법으로 비교하고, 이러한 효과크기들이 조절변수인 성별에 따라 달라지는지 메타 회귀분석으로 살펴보는 것이다. 분석대상은 2014년까지 국내 학술지 논문 80편에서 추출된 총 487개의 효과크기이다. 분석결과 첫째, 노인의 주관적 건강상태에 배우자지지의 효과크기가 가장 크고, 다음으로 소득, 교육수준, 직업, 자녀지지, 자산, 가족외 지지, 가족지지, 사회활동 순이었다. 둘째, 여성노인일수록 소득이 주관적 건강상태에 긍정적으로 미치던 영향력이 감소하고, 가족외지지의 영향력은 증가하는 것으로 나타났다. 이러한 결과에 따른 제언은 노년기 건강에 있어서 배우자지지의 중요성을 인식하고 배우자 사별을 경험한 노인의 건강지원을 우선시해야 한다는 점과, 여성노인을 위한 소득보장정책과 가족외지지가 강화되어야 한다는 점이다.

기정 호스피스 팀 기록지 개발 (Development of Records for Home Hospice Care Team)

  • 이종은;한성숙;박재순;유양숙;최상옥;이미송;김성은;이선미
    • Journal of Hospice and Palliative Care
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    • 제11권1호
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    • pp.12-29
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    • 2008
  • 목적: 본 연구는 의사, 간호사, 사회복지사, 사목자, 자원봉사자로 구성된 호스피스팀원들이 각자의 전문영역에서 중복되지 않으면서 필요한 정보를 효과적으로 공유할 수 있는 표준화된 기록지를 개발하여 호스피스 대상자들에게 적절한 돌봄을 제공하는데 도움을 주고자 수행되었다. 방법: 초기 개발된 기록지를 근거로 문헌 고찰과 전문가 집단의 자문을 통해 수정 보완하는 델파이 기법을 이용한 방법론적 연구이다. 결과: 각 전문가별로 총 27명의 자문가의 의견을 수렴하여 최종 11가지 가정 호스피스 팀 기록지가 개발되었다: 등록기록지, 초기 평가기록지 (의사용), 경과기록지(의사용), 방문 기록지 (간호사용, 봉사자용), 영적돌봄 초기 면담지, 방문 기록지 (사목자용),사회적 돌봄 면담지 (사회복지사용), 사별가족 초기 면담지, 사별가족 돌봄 기록지, 종결 기록지. 결론: 본 연구를 통해 개발된 11종의 호스피스 팀 기록지는 가정호스피스 팀원간의 의사소통을 원활히 하고 질 높은 서비스를 제공하는데 기여할 수 있으리라고 기대된다.

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개인의 사후 디지털 기록관리를 위한 정책과 방안 (Policies and Measures for Managing Personal Digital Legacy)

  • 김진홍;이해영
    • 기록학연구
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    • 제72호
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    • pp.165-203
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    • 2022
  • 많은 사람들이 디지털 공간에서 기록물을 생산하며, 개인이 사망한 뒤 남는 디지털 기록물의 양도 늘어났다. 그런데 고인이 남긴 디지털 기록은 물리적 실체를 가진 기록유산과 다르다. 고인의 기록이 고인만의 것이 아닌 경우도 많고, 고인이 생전에 온라인 계정과 디지털 기록 처리 방식을 밝히지 않는 경우도 많아, 이런 문제는 유족 등에 대한 상속의 문제로 이어지게 될 수도 있다. 또한 소프트웨어 문제, 특정 플랫폼의 이용약관, 유족에 의한 계정 삭제 등의 사유로 개인 사후 디지털 기록이 방치 또는 삭제될 수 있다. 이는 당시 사회상을 알 수 있는 중요한 단서가 되는 일상 기록이 쉽게 소실되는 문제로도 이어진다. 개인들이 본인의 디지털 기록 보존에 관심이 있지만 마땅한 방법을 몰라 소극적인 방임(benign neglect)을 하고 있음이 몇몇 연구를 통해 드러났다. 이 때문에 개인 디지털 기록과 개인 사후 디지털 기록에 관심을 기울이고, 관련 정책과 계획을 마련할 필요가 있다. 이에, 본 연구는 개인 사후 디지털 기록의 관리와 관련하여 법과 제도, 플랫폼과 산업의 현황 및 정책, 개인 기록관리 현황 등과 관련하여 문제점을 분석하고, 법의 제정 및 플랫폼 약관의 명시 필요성, 기록관리기관의 디지털 개인 기록 관리 방안, 개인의 사후 기록에 대한 선제적 관리방안 및 디지털 계정 정보 관련 유언장 작성 방법 등 다양한 해결방안을 제안하였다.

편마비 환자가 지각한 가족지지와 불안과의 관계 연구 (A Study on Perceived Family Support and Anxiety in Hemiplegic Patients)

  • 이명해;강현숙
    • 대한간호학회지
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    • 제21권1호
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    • pp.50-62
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    • 1991
  • The purposes of this study were to identify causal factors of Anxiety and to analyze correlation between perceived family support and anxiety in hemiplegic patients. The subjects of this study were 88 hospitalized hemiplegic patients at Kyung - Hee Oriental medicine Hospital. Data were collected by using interview with questionaire from Jan. 15 to Mar, 31, 1990. The measurement tools used by this researcher were Kang's family support scale, Spielberger's trait anxiety scale and the other anxiety scale which was developed by this researcher, approved it's reliability and validity. For the purposes of the study, the collected data were analyzed by frequency, t-test, ANOVA and the hypothesis was tested by pearson correlation, partial correlation. The results of the study were as follow. 1) The analysis of causal factor of anxiety higher anxiety these three cases ; \circled1 1st causal factor was the delayed recovery of paralyzed upper limbs(2.42$\pm$1.27). \circled2 End causal factor was the dysfunction of physical ability(2.30$\pm$1.29). \circled3 3rd causal factor was difficulty for walking(2.30$\pm$0.83) and the anxiety level(2.02$\pm$0.83) of physical factor was the highest level than any other factors. 2) The hypothesis that the more perceived family support level is the less anxiety level of patient was supported(r=-.29, p=.003). 3) The analysis of the general characteristics exerting influences on anxiety level patients ; (sex, age, marrital status, religious, education level, occupation, economic status, experience of hospitalization, care giver, the period of hospitalizatiot side of paralysis). In this analysis, any factor has not a statistical significance.(p>.05). 4) The analysis of the relationship about effective factors of family support level by the general characteristics of patient (sex, age, marrital status, religious, education level, occupation, economic status, experience of hospitalization, care giver, the period of hospitalization, side of paralysis). In this analysis, there was significant difference on perceived family support between married and bereaved patients(t=-2.68, p= .009) As a result of this study, anxiety level of physical factor was higher than any other factors (psychological factor, social factor) and the delayed recovery of paralyzed upper limbs is the largest causal factor of anxiety of physical factor. Meanwhile, the relationship between the degree of family support and the level of anxiety was negatively correlated but the degree of relationship was low. Therefore, one can infer from this study that sufficient information about recovery of physical problems and family support were effective in preventing and reducing anxiety in hemiplegic patient.

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Collaboration with Stakeholders for Conservation of Contemporary Art

  • Kwon, Hee Hong;Lee, Gi Sun
    • 보존과학회지
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    • 제36권1호
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    • pp.37-46
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    • 2020
  • It is difficult to predict the kinds of damage to contemporary art because of the diversity of materials and experimental techniques used. This makes it hard to conserve. Furthermore, the artist's intention in contemporary art is emerging as one of the important issues to be handled in conservation treatment. Thus, collaboration with various stakeholders such as the artists themselves, bereaved family members, and foundations have become more important than ever from the viewpoint of planning conservation treatment. The trustworthiness of conservation treatment would be significantly enhanced if conservation treatment reflected the understanding and respect of not only the appearance of the work, but also the social/cultural context inherent in the work. This should be done, in particular, through collaboration with the artists. In this study, various case studies at home and abroad were analyzed as to explore collaboration methods with various stakeholders for objective and trustworthy conservation treatment. Along the way, the study raised the need to establish new conservation ethics for contemporary art. It is expected that the outcomes of the study could be used as basic material to preserve the originality of contemporary artwork and to set the direction for conservation practice.

독신의 심리적 성향에 대한 연구 (A Study of the Psychological Characteristics of a Single Life)

  • 장현숙
    • 가정과삶의질연구
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    • 제20권6호
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    • pp.185-195
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    • 2002
  • This study examined the psychological aspects of a single life with particular focus on the personality & emotional characteristics, the social & behavioral characteristics, marriage, happiness, and sex of singles. The sample consisted of 160 single male and female aged 30 to 49. The results of the questionnaire survey showed that the singles tended to be self-centered, especially when they did not have a plan to get married, and that most of the singles in the 30s wanted to have a friend of the other sex. In the view of marriage, young, male singles were more likely to form a family than old, female singles. Also, female singles, bereaved or divorced, were shown to have fear about marriage and negative attitudes toward marriage more than male, never-married singles did. Regarding the extent of happiness, old, female (rather than young, male) singles tended to be more satisfied with a single life. Besides, old, religious singles were less likely to feel lonely than young, unreligious singles. In addition, it appeared that college-graduated singles had rather liberal view on sex although singles generally showed rather conservative toward sex in this study. Therefore, the findings reveal that singles were self-centered, social, positive view on marriage, somewhat happy of a single life, and having a conservative attitude about sex. Further understanding of a single life in modem society is needed in future studies.

전문장례식장 조문공간 구성에 관한 연구 (A Study On the Organization of Condolent Space in funeral Ceremony Hall)

  • 오영모;박재승
    • 한국실내디자인학회논문집
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    • 제39호
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    • pp.124-131
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    • 2003
  • The purpose of this study is furnishing applicable data, in deviation from the conventional study of architectural planning, for funeral ceremony hall actually built as a various form. For that, this study performed analysis of condolent space, through dividing space into three phase which is planning unit, organizing unit and making layout as a general method of architectural planning steps. The results are as follows. Establishing spaces for bereaved family's rest in funeral space is also applicable, through the renovation, in case of A type u nit that is more than 25$m^2$. If wish to organize funeral space unit by monolithic space type at planning, than should be controle d size of unit so as not to excessive and if wish to organize by connection style and 1:1 separation style, than area of room where coffin is placed should be considered not overly lacking than condoler's waiting space. On arranging of middle corridor type should be controled scale of funeral space so that is not lacking than room where coffin is placed. In case of hall type, there are necessity to make area of condoler's waiting space do not excess than area of room where coffin is placed.