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노인의 자아통합현상에 관한 연구

A Study on the Ego-Integrity Phenomenon of the Elderly

  • 투고 : 2020.08.03
  • 심사 : 2020.08.14
  • 발행 : 2020.08.31

초록

본 연구는 만65세 이상 노인의 자아통합현상을 심층적으로 이해하고 기술하기 위해 시도되었다. 자료는 2020년 6월부터 7월까지 반구조화된 질문을 통한 심층면담으로 수집되었다. 자료는 현상학적 연구의 분석방법 중 Colaizzi 방법으로 분석하였다. 모든 인터뷰는 분석을 위하여 녹취하여 필사하였다. 분석을 통하여 309개의 중요한 진술이 추출되었고, 88개의 의미형성, 53개의 주제, 16개의 주제묶음, 5개의 범주가 도출되었다. 범주와 주제묶음은 다음과 같다 : '지난 생애를 흐뭇하게 되돌아봄'('생애주기에 따른 보람', '책임을 다함으로 이룩함', '특별하고 감사하게 성취됨'), '씁쓸한 지난날로 인해 지금 외롭고 괴로움'('신체의 건강과 심리사회적 욕구가 충족되지 않음', '부모와 자녀를 위한 선택을 잘하지 못함', '노후생활이 녹록치 않음'), '고단하고 어려운 삶의 여정을 잘 견뎌낸 만족감'('직장과 가정에서 수고한 것을 보상 받음', '견디고 극복함으로 문제가 해결됨', '지난날의 습관에서 벗어나 노년을 건강하게 살고 있음'), '노년기 삶의 방법을 터득하여 살아감'('지금이 제일 뿌듯하고 좋을 때임', '노년에 자기관리 함', '늦었으나 열정적으로 살기', '충만한 마음으로 생활전선에서 물러남'), '마지막 때를 아름답게 마무리함'('노년에 대한 바램', '임종을 맞이했을 때의 희망', '죽음이 다가왔을 때의 모습과 감정')이었다. 자아통합현상은 과거의 아쉬움이나 어려움을 회상함으로써 인생의 의미를 통찰하게 되고, 이런 회상을 통해서 남은 생애를 위해 긍정적이며 초월적인 희망을 가지게 됨이 관찰되었다. 노인의 자아통합은 주관적이며 역동성이 있고, 연속적이기보다는 동시에 일어나는 것으로 보였다. 나이와 경험의 형태를 고려하여 다양한 간호중재를 개발할 것을 추천한다.

This study was conducted in order to attain an in-depth understanding of and describe the Ego-Integrity Phenomenon of the elderly of age 65 and older. The data was collected from June 2020 to July 2020 as an in-depth interview consisting of semi-structured questions. The data was analyzed using the Colaizzi's method, one of the phenomenology methods. All interviews were recorded and transcribed for analysis. Through analysis, 309 significant statements were extracted, and 88 formulations of meaning, 53 themes, 16 theme clusters, and 5 categories were derived. The categories and the theme clusters are as such : 'reflecting on the past life with delight' ('fruitfulness over the lifetime', 'achieving through fulfilling responsibilities', 'achieved specially and gratefully'), 'Currently lonely and distressed due to the bitter old days' ('Physical health needs and psychosocial needs are not met', 'Wasn't able to make good choices for parents and children', 'Elderly life is not easy'), 'Satisfaction from enduring tough and difficult journeys in life' ('Compensated for hard work at workplace and home', 'Problem solved through endurance and overcoming', 'Living a healthy elderly life by escaping from the habits of the past'), 'Realizing the way of life as an elderly' ('Now is the best and most satisfying moment', 'Managing self in old age', 'Living passionately, though it may be late', 'Retiring from the forefront of life with an abundant heart'), 'Passing on beautifully' ('Desires toward the later years', 'Hope during the last moments', 'Appearance and emotions when death approaches'). It was observed that during the Ego-Integrity Phenomenon of the elderly, they have come to discern the meaning of life by reminiscing the regrets and difficulties of the past, and through this reminiscence, they have come to attain a positive and transcendental hope for the rest of their lives. The Ego-Integrity of the elderly appeared to be subjective, dynamic, and occurring simultaneously rather than continuously. It is recommended to develop a variety of nursing interventions while taking into consideration the age and the type of experience of the elderly.

키워드

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