국내 치매노인의 72%는 가족 구성원에 의해서 돌봄을 받고 있으며[1], 2008년 노인장기요양보험 제도의 시작으로 인해 공적인 돌봄의 기회가 많이 확대되었음에도 불구하고 가족주 의에 바탕을 둔 우리나라의 경우 치매노인들은 가족으로부터 부양받기를 선호하여 치매노인을 돌보는 주된 간호제공자는 주로 가족이다[2]. 치매노인 간호에 있어서는 치매노인의 사 고와 감정을 토로하게 하고, 무비판적으로 반응하며 긍정적인 반응을 보여야 하고 싸움, 분노 반응을 자극하지 않도록 화나 게 하는 자극이나 부정적인 비평, 논쟁, 대면 등을 줄이는 것이 중요한데[3], 전문 지식과 경험이 없는 가족에게 치매노인 간 호는 매우 어려운 일이다[4].
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.
서론 연구 방법 연구 결과 논의 결론 REFERENCES
