• Korean Journal of Culture and Social Issue
• /
• v.13 no.2
• /
• pp.17-32
• /
• 2007

The word "Loss" means being deprived a person's meaningful property, people or idea by irresistible force, and it is not avoidable in one's life. Especially, the elderly have higher possibility to experience this "Loss" than any other age groups on account of their characteristics. Feeling grief of loss after going through any kind of loss is natural and normal. However, if someone has severe trouble with overcoming this grief, it would affect negatively to his/her psychological or social inelastic. Therefore, we tried to find out which factors consists the "Grief of loss" and how it affects on the elderly's quality of life, especially on the sense of ego-integrity through this study. 97 of the elderly over age 65 participated in the survey and the results as follow; grief of loss is classified into four factors, 'economical loss', 'loss from being parted by death', 'loss of physical functions' and 'loss of relations'. These four factors of "Grief of loss" showed negative correlations with the scores of the sense of ego-integrity factors except 'acceptance of death'. Especially, the 'economical loss' affects on every factor of the sense of ego-integrity negatively except 'acceptance of death' and 'acceptance of aging'. Moreover, 'loss of physical functions' and 'loss of relations' affect negatively on elderly's satisfaction to their lives. On the other hand, the 'loss from being parted by death' of "Grief of loss" and 'acceptance of death' of the sense of ego-integrity showed no statistically significant effect in every process of analysis.

• Journal of the Korea Convergence Society
• /
• v.11 no.11
• /
• pp.361-371
• /
• 2020

The purpose of this study was to analyze the path that the elderly discrimination experiences and sense of loss lead to suicidal ideation by verifying the influence of the elderly's discrimination experience on suicidal ideation and the mediating effect of sense of loss. To this end, questionnaire a survey was conducted on 400 elderly people aged 65 years or older who used 10 elderly welfare centers using stratified sampling of 31 cities, counties, and districts in Gyeonggi-do. Additionally, a total of 380 samples were finally analyzed excluding dishonest responses. As a result of the study, first, the more individual and social discrimination experiences, which are sub-factors of the elderly discrimination experience, increased suicidal ideation. Second, individual discrimination experiences were found to has a static effect on suicidal ideation through partial mediation of sense of loss. Third, the experience of social discrimination showed a static effect on suicidal ideation by perfect mediating the sense of loss. Therefore, it was found that the sense of loss acts as a risk factor for the elderly's suicidal ideation. Based on the research results, the urgent need for institutional supplementation to prevent the elderly's social discrimination experiences was suggested, and practical implications for preventing elderly suicide by resolving the sense of loss in the elderly welfare practice field were suggested.

• Journal of agricultural medicine and community health
• /
• v.45 no.1
• /
• pp.1-12
• /
• 2020

Purpose: The purpose of this study was to examine the mediating effects of depression on relationship between sense of loss and suicidal ideation among Rural Elders use Primary Health Care Post's Services. Methods: This study was conducted using a descriptive survey design. Participants were 345 rural elders use Primary Health Care Post's Services in Jeollanam-do. Data were collected from August 1 to 31, 2017 using self-report questionnaires. Data were analyzed using descriptive statistics, Pearson's correlation coefficient, hierarchical regression and Sobel test with SPSS 21.0. Results: There were significant positive correlations between sense of loss, depression and suicidal ideation. It was found that physical loss is very high and significantly different only subjective health status on suicidal ideation. Also, Depression partially mediated the relationship between sense of loss and suicidal ideation of Rural Elders. Addtionally, The results show that depression plays a key role in suicidal ideation of Rural Elders. Conclusions: Based on the present findings, nursing interventions should be developed to decrease depression, with additional consideration towards sense of loss, specially physical loss, in order to prevent suicidal ideation among Rural Elders use Primary Health Care Post's Services.

• Child Studies in Asia-Pacific Contexts
• /
• v.6 no.1
• /
• pp.1-16
• /
• 2016

From 1953 to 2015, approximately 200,000 children born in Korea were adopted into foreign countries. Many studies have focused on Korean adoptees growing up in the US, as the majority of these children were adopted by American families. In comparison, research on Korean transracial adoptees raised in European countries is limited. Thus, the current study aims to highlight the journey of Korean transracial adoptees from Europe to Korea. Three participants narrated their life stories as adoptees in two separate interview sessions. The findings of this study call attention to the adoptees' ongoing reconsideration of their identity as they assimilate life experiences within two disparate cultural settings in Europe and Korea. The study found that ambiguous loss faced by the adoptees from their childhood in Europe continued to their adulthood in Korea. Major themes of the participants' narratives in their journey from Europe to Korea focused on their feelings of loss and the lack of belongingness. This study found that the sense of loss and the lack of belongingness changed over time. Participants were active agents in the process of their journey from Europe to Korea, as they constantly worked to adapt to and improve their situation in face of adversity.

• Journal of Korean Critical Care Nursing
• /
• v.10 no.2
• /
• pp.34-44
• /
• 2017

Purpose: The purpose of this study was to identify post-operative discomfort, sense of loss, family support, and resilience in breast cancer surgery patients, and to investigate factors that affect resilience. Method: The sample of this study consisted of 108 patients who underwent surgery for breast cancer in two university hospitals located in B city. The collected data was analyzed with descriptive statistics, t-test, ANOVA, and Scheffé test, Pearson's correlation coefficients, and hierarchical multiple regression. Results: The factors that significantly affected resilience were as follows: having a religion (${\beta}=-.20$, p=.006), having an occupation (${\beta}=.14$, p=.049), having a high school diploma (${\beta}=.31$ p=.001), making less than 2-3 million won (${\beta}=-.19$, p=.036) per month, experiencing a sense of loss (${\beta}=-.22$, p=.003) and family support (${\beta}=.44$, p<.001). The total explanatory power amounted to 53.8% (F=14.83, p<.001, $AdjR^2=.54$). Conclusion: Educational intervention programs for breast cancer surgery patients that improve resilience by reducing the sense of loss and increasing family support must be developed.

• Journal of Digital Convergence
• /
• v.19 no.12
• /
• pp.541-548
• /
• 2021

This study analyzed the path through which elderly discrimination experience, sense of loss, and depression lead to suicidal ideation by verifying the influence of elderly discrimination experience on suicidal ideation and the mediating effect sense of loss and depression. The subjects of the study were a 1:1 in-depth interview survey of 400 elderly people aged 65 or older using stratified sampling methods by region and type of 31 city, county, and district the elderly welfare welfare centers(10 locations) in Gyeonggi-do. As a result, a total of 360 samples were finally analyzed. It was verified through frequency analysis, descriptive statistics analysis, correlation analysis, structural equation and bootstrapping analysis methods using SPSS 25.0 and AMOS 23.0. As a result of the study, first, it was found that the more the elderly experienced discrimination, the higher the suicidal ideation. Second, the effect of sense of loss was partially mediated on the effect of discrimination experience on suicidal ideation in the elderly. Third, the feeling of depression was found to play a partial mediating role between the experience of discrimination among the elderly and suicidal ideation. Based on the results of this study, policy and practical suggestions were made to alleviate the suicidal ideation of experiences of discrimination against the elderly and sense of loss and depression to prevent suicide among the elderly.

• Journal of Korean Academy of Nursing
• /
• v.29 no.1
• /
• pp.161-173
• /
• 1999

The purpose of this study was to develope and test the structural model for quality of life in women having hysterectomies. A hypothetical model was constructed on the basis of previous studies and a review of literature. The conceptual framework was built around eight constructs. Exogenous variables included in this model were marital intimacy, importance of uterus, professional support, positive coping behavior and pre-operative symptoms. Endogenous variables were spouse's support, sense of loss and quality of life. Empirical data for testing the hypothetical model was collected using a self-report questionnare from 203 women having hysterectomies at the outpatient clinics of four general hospitals and a mail survey in Pusan City. The Data was collected from December, 1997 to January, 1998. Reliability of the eight instruments was tested with Cronbach's alpha which ranged from 0.639-0.915. For the data analysis, SPSS 7.5 WIN Program and LISREL 8.12 WIN Program were used for descriptive statistics and covariance structural analysis. The results of covariance structure analysis were as follows : 1. Hypothetical model showed a good fit with the empirical data. ［$\chi$$^2$＝6.93(df＝5, P＝.23), GFI＝.99, AGFI＝.94, RMSR＝.019, NNFI＝.97, NFI＝.98, CN＝440, standardized residuals(-2.14-2.10)］ 2. For the parsimony of model, a modified model was constructed by deleting 3 paths and adding 1 path according to the criteria of statistical significance and meaning. 3. The modified model also showed a good fit with the data. ［$\chi$$^2$＝5.26(df＝7, P＝.63), GFI＝.99, AGFI＝.97, RMSR＝.014, NNFI＝1.02, NFI＝.99, CN＝710, standardized residuals(-1.46-1.70)］ Results of the testing of the hypothesis were as follows : 1. Marital intimacy(${\gamma}$11＝.78, t＝14.37) and professional support(${\gamma}$13＝.12, t＝2.12) had a significant direct effect on the spouse's support. 2. Pre-operative symptoms(${\gamma}$25＝.32, t＝3.12), importance of uterus(${\gamma}$22＝.20, t＝2.61) and spouse's support($\beta$2l＝-.19, t＝-2.43) had a significant direct effect on the sense of loss. 3. Sense of loss($\beta$32＝-.66, t＝-9.83) had a direct effect on the quality of life. Marital intimacy had a direct(${\gamma}$31＝.19, t＝3.33), indirect(${\gamma}$31＝.14, t＝2.52) and total effect(${\gamma}$31＝.25, t＝4.41) on the quality of life. Professional support had a direct effect(${\gamma}$33＝.11, t＝2.07) and total effect(${\gamma}$33＝.13, t＝2.31) on the quality of life. The direct effect of pre-operative symptoms(${\gamma}$35＝-.36, t＝4.02) and positive coping behavior(${\gamma}$34＝.15, t＝2.06) had the insignificant effect on the quality of life while, due to the idirect effect these variables had overall significant effect on the quality of life. The results of this study showed that the sense of loss had the most significant direct effect on the quality of life. Marital intimacy, pre -operative symptoms and spouse's support had a significant direct effect on this sense of loss. These four variables, the sense of loss, marital intimacy, pre-operative symptoms and spouse's support, were identified as relatively important variables. The results of this study suggested that there is needed to determine if nursing intervention would alleviate this sense of loss and promote a greater quality of life in women who have had hysterectomies.

• Journal of Agricultural Extension & Community Development
• /
• v.29 no.2
• /
• pp.81-98
• /
• 2022

The purpose of this study is to examine the mediating effect of a sense of self-integration in the relationship between death anxiety and death anxiety on the quality of life for the elderly living in rural areas. First, death anxiety among the elderly living in rural areas was found to have a negative effect on the quality of life, and among the sub-elements of death anxiety, the anxiety of loss of existence and the anxiety of the death process were negative on the quality of life. Second, it was found that there is a positive effect on the sense of self-integration, which is a parameter such as anxiety about loss of existence, anxiety about the death process, and anxiety about post-mortem outcomes. Third, it was confirmed that the sense of self-integration mediates between death anxiety and quality of life. Based on the results of this study, several discussions and suggestions were made to improve the quality of life of the elderly living in rural areas by improving the sense of self-integration and reducing death anxiety.

• Journal of Korean Critical Care Nursing
• /
• v.2 no.1
• /
• pp.69-80
• /
• 2009

Purpose: The purpose of this preliminary study was to describe the physical and psychosocial distress of critically ill patients undergoing noninvasive ventilation(NIV). Method: Open-ended question interviews were conducted with four patients using NIV. Considering the outcomes of the interviews, literature, and experts'opinions, a survey questionnaire was developed. Twenty patients in medical and surgical intensive care units answered the questions. Results: Through open-ended question interviews and survey, the patients using NIV reported feeling heavy, impotent feeling, pain, loss in feeling, loss in communication, and lack of sleep as physical distress and a loss in sense of time, pain, anxiety, mind of desiring to die, worry about family, and a sense of burden for medical-cure expenses as psychosocial distress. Conclusion: Critically ill patients undergoing NIV experience physical and psychosocial distress to artificial respiratory ventilation treatment. Further research should be performed with a large sample for generalization of the study result.

• The Journal of the Korea Contents Association
• /
• v.20 no.11
• /
• pp.534-545
• /
• 2020

In the super-aged societies, an increased elderly population living in solitude has been causing many problems. Since the elderly may incur a sense of loss and interest in suicide when living alone, this study investigated the effects of smartphones as well as types of living arrangements on elderly peoples' sense of loss and suicidal thoughts. This study found social roles and relationships were lower for older individuals using smartphones than those using 2G phones. Not surprisingly, those living with family members or a partner had significantly fewer suicidal thoughts than those living in solitude. However, our results indicate subjects' loss of role and relationships was affected more significantly by their smartphone usage (2G phone vs. smartphone) rather than their living arrangements (i.e., living with family or a partner vs. living in solitude). Moreover, smartphone users showed a lower sense of loss in terms of social roles and relationships. Among the elderly, loss of health, social role, and relationships were identified as precedents for increased suicidal thoughts; yet, economic capacity was surprisingly not an indicator of suicidal thoughts.