치매노인을 부양하는 며느리수발자의 주말보호서비스 이용 경험에 관한 연구 = Study on the usage of weekend protective service for the caretakers (Daughter-in-laws) of elderly alzheimer's patients

다국어 초록 (Multilingual Abstract)

This study was conducted to uncover the impact of the usage of the weekend protective service for the daughter-in-laws who are caretakers of elderly Alzheimer’s patients. In October 2006, a question of "How was your experience as a caretaker of an elderly Alzheimer’s patient and your experience with the weekend protective service?" was asked to four subjects who were each daughter-in-laws taking care of an elderly Alzheimer’s patient. They were interviewed in depth and the subjects’ accounts were analyzed using Colaizzi’s phenomenological analysis method, one of the qualitative analytical approaches.
Through analysis, it was concluded that 135 statements had abstract and scientific significance and of these, 32 meanings were formed. From these 32 meanings, 16 themes and four categories of "Beginning a life without me," "Adding more rocks to the burden on one’s back," "Attempts and management to unload the burden," and "Escape from caretaking via weekend protection" were formulated, which expounded the reality that the weekend protection service was like "an oasis in the desert" to these daughter-in-law caretakers. Through the above process, the following analysis was made about the experiences of the caretaking daughter-in-laws.
First, caretaking daughter-in-laws, just as is true for the rest of the family members, lacked suitable knowledge of Alzheimer’s symptoms. Because they fail to notice Alzheimer’s symptoms or lack general knowledge on this disease, many of them are experiencing difficulties in the beginning caretaking stage.
Second, despite conflicts within the family or with siblings, the motivation behind caretaking daughter-in-laws include expectation of rewardsfrom husband, self-comfort, and traditional values placed on filial piety. These are unique experiences limited to caretaking daughter-in-laws.
Third, burdensome factors for daughter-in-laws were two-fold, with external burdens from the outer environments and internal burdens from psychological or emotional effects. These were similar to what is experienced by family caretakers.
Fourth, as an escape route from such burdens, some caretaking daughter-in-laws resort to passive solutions including avoidance, obedience, or resignation as others choose more assertive solutions to limit their problematic behaviors. However, it was found that they lack variety in their methods, which supports previous study results.
Finally, regarding the usage of the weekend protective service, they professed a decrease in stress and increased support in the caretaking of elderly Alzheimer’s patients as positive aspects of the service. However, they also voiced pressure with time and fear of the service being cut. In addition, the desires of the caretaking daughter-in-laws regarding caretaker insurance are showing various services including reduction in expenses, bathing service, dispatching of caretakers, and extension of weekend protective service time.
Because this is a qualitative study, we are not attempting to generalize our findings like quantitative studies. However, based on the findings of this study, the following suggestions can be made.
First, because there are still many caretakers without suitable knowledge of Alzheimer’s disease, more research on elderly Alzheimer’s patients, the recently increasing occurrences of early Alzheimer’s disease, and other studies related to Alzheimer’s disease should be conducted.
Second, as can be seen from the testimonies of caretakers of Alzheimer’s patients, the patients live in comfort while the caretakers have great difficulties. Therefore, although it is important to do further studies on elderly Alzheimer’s patients, it is just as imperative to show interest in the caretakers. In order to further understand the caretakers of elderly Alzheimer’s patients, more quality studies on caretakers,other than daughter-in-laws, must be done.
Third, because this study is for caretaking daughter-in-laws who use both the week-day and weekend protective services, it has a limitation in generalizing the results to other caretaking daughter-in-laws who are currently not using the services. Therefore, doing a follow-up study on caretaking daughter-in-laws who are not using the weekend protective services is suggested.

목차 (Table of Contents)

• Ⅰ. 서론 1
• 1. 연구의 필요성 1
• 2. 연구의 목적 및 연구문제 3
• Ⅱ. 이론적 배경 5
• 1. 치매 노인 가족수발자의 부양부담 5
• 2. 며느리 수발자의 수발경험 7
• 3. 주말보호서비스 현황 9
• Ⅲ. 연구방법 12
• 1. 연구설계 12
• 2. 연구참여자 선정 12
• 3. 연구참여자에 대한 윤리적 고려 13
• 4. 자료수집 방법 14
• 5. 자료의 분석과정 14
• 6. 며느리 수발자에 대한 선 이해 18
• Ⅳ. 연구결과 19
• 1. 연구 참여자의 일반적 특성 19
• 2. 연구 참여자의 경험에 대한 현상학적 반성 22
• 3. 현상학적 글쓰기 55
• Ⅴ. 연구결과에 대한 논의 59
• Ⅵ. 결론 및 제언 69
• 참고문헌 72
• ABSTRACT