Lee Mi-Ra
Department of Nursing, Daejeon Health Sciences College, Dong-Gu, Daejeon, Korea.
Taehan Kanho Hakhoe Chi. 2007 Dec;37(7):1119-30. doi: 10.4040/jkan.2007.37.7.1119.
This study was done to develop the concept of grief focusing on the process of spousal bereavement in Korea.
The Hybrid model was used for analysis according to the 3 phases. An extensive literature review was done for the Theoretical phase. In-depth interviews were conducted with 15 participants whose spouses died within the past 3 years in the Field phase. In the Final analytic phase, the results in the Theoretical and the Field phases were compared, analyzed, and integrated according to the process of grief.
The antecedent of the concept of spousal grief was spousal death. The dimensions of grief were classified to inner dimensions related to oneself, relational dimensions related to family and others, and existential dimensions related to the meaning of being. The attributes of grief were physical suffering, decline of cognitive ability, heartbreaking sorrow, expectations and conflicts of a new life, social stigma, dependence on or resentment towards God, etc. The empirical referent of grief was physical, psychological, social, and spiritual health status. The grieving progressed through 3 phases-shock-emancipation, suffering, and integration.
Nurses should recognize the importance of their unique position as supporters for grievers, and try to assess individual characteristics and to provide tailored nursing interventions.
本研究旨在构建聚焦韩国配偶丧亲过程的悲伤概念。
采用混合模型按三个阶段进行分析。理论阶段进行广泛的文献综述。实地阶段对15名配偶在过去3年内去世的参与者进行深入访谈。在最终分析阶段，根据悲伤过程对理论阶段和实地阶段的结果进行比较、分析和整合。
配偶悲伤概念的前因是配偶死亡。悲伤的维度分为与自身相关的内在维度、与家庭及他人相关的关系维度以及与存在意义相关的存在维度。悲伤的属性包括身体痛苦、认知能力下降、心碎的悲伤、新生活的期望与冲突、社会污名、对上帝的依赖或怨恨等。悲伤的实证指标是身体、心理、社会和精神健康状况。悲伤过程经历三个阶段——震惊-解脱、痛苦和整合。
护士应认识到其作为悲伤者支持者的独特地位的重要性，并尝试评估个体特征，提供个性化护理干预措施。
