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6 "Grief"
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Original Articles
Influential Factors of Complicated Grief of Bereaved Spouses from Cancer Patient
So Myeong Kim, So Hi Kown
J Korean Acad Nurs 2018;48(1):59-69.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.1.59
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to investigate variables and construct paths that affect complicated grief.

Methods

Participants in this cross-sectional, descriptive study were 164 bereaved spouses of cancer patients at least 12 months before the death. Data were collected from October 2016 to February 2017 using self-report structured questionnaires and were analyzed using IBM SPSS 21.0 and AMOS 20.0.

Results

The variables affecting complicated grief of bereaved spouses of cancer patients were the quality of end-of-life care (g=.15, p<.001), preparedness for death (b=-.06, p=.005), and coping with bereavement (b=-.24, p<.001), whereas the quality of death and dying did not show any effects. Preparedness for death had multiple mediating effects in the relationship between the quality of end-of-life care and complicated grief (z=-2.20, p=.028), and in the relationship between the quality of end-of-life care and coping with bereavement (z=2.11, p=.035). Coping with bereavement had a mediating effect on the relationship between preparedness for death and complicated grief (z=-2.39, p=.017).

Conclusion

This study revealed that preparedness for death and coping with bereavement play a prominent role in complicated grief. Therefore, it is important to help in preparing for death and enhancing coping with bereavement of spouses providing end-of-life care to cancer patients. In addition, investigating cultural differences in the relationship between the quality of end-of-life care and complicated grief is recommended.

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Elderly Women's Grief
Kwuy Bun Kim, Kyung Ho Lee, Hye Kyung Oh
Journal of Korean Academy of Nursing 2001;31(6):1021-1033.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.6.1021
AbstractAbstract PDF

PURPOSE: This study sought to find a nursing intervention tool for enhancing elderly women's lives by investigating the causes and the meaning of their grief.
METHOD
This research was derived from a phenomenological tool such as qualitative research design. The data collection took place from December of 2000 until April of 2001 Through systematic interviews and participatory observations of five elderly women attending C welfare center located in downtown Seoul the data was collected. Each interview lasted an hour and a half and was arranged five times. The analysis of this research was conducted using the Giorgi method.
RESULTS
(1) There was obvious physical and physiological decline caused by aging old; as well as there being spouse health problems, additional physical suffering, signs of senility, adn insomnia, (2) Further grief was imposed by unpleasant memories of the spouse; infidelity, incapability, and even disregard of her own well-being, (3) Then there was pity for children; unfaithful children, uncertain futures of the children, and early death of a child, (4) Also, regrettable fate, painful daily acttrities, unreliable factors, bad circumstances, and feelings emptiness were reported, (5) Finally, anxiety for the future; ac sense of despair, loneliness, economic hardship, and the fear of imminent death increased grief levels.
CONCLUSION
A variety of programs and social meetings for the elderly to overcome their physiological or psychological crisis should be substantially developed and supported by the government. In order to implement the social welfare for the elderly women, special consideration whether on the governmental level or the personal level, should be devoted to the elderly who live without any financial support or social concern.

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Grief, Family Hardiness and Family Resource for Management after Bereavement of Family Member
Mi Young Chon
Journal of Korean Academy of Nursing 2000;30(6):1569-1579.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.6.1569
AbstractAbstract PDF

The purpose of this study was to identify the level of grief experience, family hardiness and family resource for management after bereavement of a family member. The subjects of this study were 100 family members who had lost a family member from cancer within the past two years. The data was analyzed using the SPSS program for descriptive statistics, t-test, ANOVA, Duncan test, and Pearson correlation. The results were as follows. 1. The mean score for the level of grief was 2.84 +/- 0.66. The mean score for the a family hardiness was 3.08 +/- 0.39. The mean score for the level of family resource management was 2.70 +/- 0.35. 2. The level of grief experience differed according to respondent's age was F=2.95, p=.02, and type of bereavement was t=2.01, p=.04. 3. The level of family hardiness was not significantly different according to respondent's and familial characteristics. 4. The level of family resource management differed according to monthly income of the family (F=3.98, p=.01). 5. There were negative correlations between grief experience and family hardiness (r= -.551, p<.001), grief experience and family resource for management (r=-.351, p<.001). Family hardiness was positively related with family resource for management (r=.709, p<.001). In conclusion, family hardiness and family resource management were identified as important variables that contributed to reduce the grief experience. Therefore, it is important to develop nursing intervention that enhances family hardiness and family resource for management for bereaved family.

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Concept Development of Grief-Focusing on the Process of Spousal Bereavement
Mi Ra Lee
Journal of Korean Academy of Nursing 2007;37(7):1119-1130.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.7.1119
AbstractAbstract PDF

PURPOSE: This study was done to develop the concept of grief focusing on the process of spousal bereavement in Korea. METHODS: 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. RESULTS: 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 phasesshock-emancipation, suffering, and integration. CONCLUSION: 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.

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Grief Stages and Responses of Bereaved Mother Who Lost Her Children with Cancer
Won Hee Lee, Ae Ran Hwang
Journal of Korean Academy of Nursing 2003;33(6):847-855.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.6.847
AbstractAbstract PDF
Purpose

This study was done to develop a bereaved family care program by identifying characteristics of a grief healing process in a child loss.

Method

The subjects were five bereaved mothers who have lost their children with cancer. Data was collected with in-depth interviews using grief phase assessment tool and grief reaction assessment tool from 1, February, 2001 to 31 August, 2002. Data was analyzed on the basis of two tools.

Result

Process of grief in general was as follows: evading phase was within one week - one month, confrontation phase was 5 - 12 months, and reconciliation phase was after 9 months and still going on when the study was finished. Grief reaction in five (physical, cognitive, emotional, social, and spiritual) dimensions was stabilized when the phase moved into reconciliation phase. Influencing factors were intimacy and expectation towards child, social support, personality, prior loss experience, coping style, religion, culture, family cohesion, openness of communication, and stress events.

Conclusion

These results suggest that a bereaved family care program considering characteristics of Korean culture should be developed and activated.

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Concept Analysis of Preparatory Grief in Terminal Cancer Patients
Hyoung Sook Park, Myoung Soo Kim, Jung Sim Jung, Nam Yeoun Choi, Sung Mi Yu, Young Soon Kim, Young Hee Ko
Journal of Korean Academy of Nursing 2006;36(5):782-791.   Published online August 31, 2006
DOI: https://doi.org/10.4040/jkan.2006.36.5.782
AbstractAbstract PDF
Purpose

The purpose of this study was to conceptualize and clarify a concept of “preparatory grief” in terminal cancer patients.

Method

A hybrid model of concept development was applied to develop a concept of preparatory grief, which included a field study carried out in Busan, Korea. Participants of this study were 8 cancer patients.

Result

On the basis of our literature, research and clinical experience, the concept of preparatory grief emerged as a complex phenomenon playing an important role in five areas; physical, emotional, interpersonal, religious, and transcendental dimensions. Two new attributes were defined through a field phase; trust of the post-mortal world and a serene state of mind. Indicators reflected attitudes of sadness, worry, regret, capability to adapt and hope. The results of preparatory grief were loss of energy and interest, emotional chaos, contemplation, taciturnity and restoration.

Conclusions

Differentiating among preparatory grief and other symptoms in cancer patients is essential because of therapeutic implications. Understanding preparatory grief is necessary in order to manage cancer patients for promoting quality of life so that its application may have a positive impact on the patient's life.

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