치매시부모 돌봄을 통해 나타난 며느리의 경험에 관한 사례연구

국문 초록 (Abstract)

본 연구의 목적은 주 돌봄자인 며느리의 치매시부모 돌봄 경험이 며느리의 삶에 어떤 영향을 주었으며 노인장 기요양보험제도의 서비스이용이 돌봄 부담경감에 어떻게 영향을 미쳤는지를 탐색하고자 하였다. 이 연구를 위하여 돌봄을 직접 수행한 3명의 며느리를 대상으로 개인적 경험에 근거한 내러티브를 질적 사례연구방법으로 분석하였 다. 그 연구의 결과로써 며느리의 돌봄 경험은 <질기고 긴 인연의 시작>, <내 삶이 아닌 며느리의 삶>, <바위가 되어가는 고된 삶>, <되돌아보는 나의 인생>, <허물을 벗은 새로운 인생>의 5가지로 나타났으며 결론은 다음과 같다. 첫째, 며느리는 전통적 역할기대에 의해 의무와 책임감을 부여 받고 돌봄 기간 동안 다양한 상황 속에서 독 특한 경험을 하게 되지만 치매시부모가 돌아가신 후 그 돌봄의 경험을 긍정적으로 해석하고 삶의 방향을 전환하는 계기가 되었다. 둘째, 서비스이용경험에 나타난 돌봄 부담경감 부분에서는 부족한 정보제공과 재가요양서비스이용 시간, 지역 내 치매노인과 그 가족을 위한 서비스시설의 부족함이 나타났다. 셋째, 요양서비스 이용의 접근성을 높 이기 위하여 치매에 대한 사회 및 가족의 인식 개선과 홍보가 필요하고 치매센터의 기능을 지역 내에 확대시키기 위하여 보건소에 상담소를 설치하고 치매전문 사회복지사를 배치하여 운영할 필요가 있음을 시사한다.

다국어 초록 (Multilingual Abstract)

The purpose of the study is to identify how the experiences in caring parents-in-laws have affected the lives of daughters-in-laws and to analyze how much the Long-Term Care Insurance for the Aged has reduced their economic burden. A qualitative case study was conducted through an in-depth interviews of three respondents inquiring about their personal experiences. We learned from the case study that their caring experiences could be described as “the beginning of a tough and long-term connection”, “the life as a daughter-in-law, not her own”, “a hard life like a rock”, “look-back of my life” and “new and transforming life.” Despite their unique experiences while serving their parents-in-laws as a traditional care-giver, they considered such experiences as an opportunity to turn their lives into a positive direction after their parents-in-laws passed away of dementia, They have been experienceing with a series of burdens from insufficient information, limited hours of the elderly home care service facilities, and the lack of facilities for the elderly with dementia and their families. In order to enhance the quality and accessibility of the long-term care service for the elderly, this case study suggests to improve the level of awareness of dementia among the family and the community, and to locate more consultation clinics with social workers specialized in dementia.

목차 (Table of Contents)

• Abstract
• 국문초록
• Ⅰ. 서론
• 1. 연구의 필요성
• 2. 연구의 목적 및 연구 문제
• Ⅱ. 선행연구의 고찰
• 1. 노인장기요양보험제도의 시행 이전의 연구들
• 2. 사회복지제도시행 이후의 선행연구
• Ⅲ. 연구방법
• 1. 연구 참여자
• 2. 자료 수집 및 분석방법
• 3. 연구의 엄격성 및 윤리적 고려
• Ⅳ. 연구결과
• 1. 내러티브 탐색 결과
• 2. 내러티브 속에 나타난 감정의 변화
• Ⅴ. 결론
• References

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