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Trends and Meta-Analysis of Research on the Operation of Programs for Bereaved Families in South Korea

  • Myung-Nam Lee (Department of Nursing, College of Health Science, Kangwon National University) ;
  • Jung Won Suk (School of Nursing, Sahmyook Health University) ;
  • Hyunsook Zin Lee (College of Nursing, Kyungdong University)
  • Received : 2023.05.25
  • Accepted : 2023.07.27
  • Published : 2023.09.01

Abstract

Purpose: This study aimed to analyze interventions for bereaved families and evaluate their effectiveness, with the ultimate goal of supporting evidence-based nursing for bereaved families. Methods: Research trends were identified based on a search of domestic databases from January 2000 to December 2022, and a meta-analysis was conducted on interventions for bereaved families. Forty-five papers were selected, and information was extracted on participants, research design, and interventions. A meta-analysis of seven papers was performed, and the effect size was calculated. Results: Fourteen papers dealt with interventions for middle-aged women who had lost their spouses, 20 used qualitative research methods, and 20 were on art therapy programs. Thirty studies had fewer than 10 participants, and most interventions had 60~120 minutes per session and 9~16 sessions in total. There were seven randomized controlled trials, and all studies included in the quality evaluation showed a low risk of bias. Four papers measured grief as an outcome, and the effect size was -1.9577 (95% CI: -2.9206 to -0.9947), indicating that the treatment significantly decreased grief (P<0.001). Six papers measured depression as an outcome, and the effect size was -1.6775 (95% CI: -2.1835 to -1.1716), showing that the treatment significantly decreased depression (P<0.001). Conclusion: Intervention programs for bereaved families were shown to be effective in relieving grief and depression. However, programs should be developed that target middle-aged men who have lost their spouses and children who have lost their parents. Randomized controlled trials should also be conducted on interventions to reduce grief and depression.

Keywords

References

  1. Cooley ME. Bereavement care. A role for nurses. Cancer Nurs 1992;15:125-9. https://doi.org/10.1097/00002820-199204000-00004
  2. Park KB, Kim B. Experiences of spousal bereavement in middle aged men. Asian Oncology Nursing 2004;4:143-53.
  3. Kim CG, The hospice and palliative care in Korea. J Hosp Palliat Care 2019;22:1-7. https://doi.org/10.14475/kjhpc.2019.22.1.1
  4. World Health Organization. WHO definition of palliative care [Internet]. Geneva: WHO; 2019 [cited 2019 Aug 10]. Available from: https://www.who.int/cancer/palliative/definition/en/.
  5. Ro YJ, An Yl. Bereavement care of hospice services in Korea. J Hosp Palliat Care 2000;3:126-35.
  6. Doo HJ. Experience of grief adaptation in bereaved family-Focused on the bereaved family inc based hospice center- [dissertation]. Seoul: Univ. of Hanyang; 2008. Korean.
  7. Shin Y. A phenomenological study on the emotion of university students who experienced death of their parent [dissertation]. Seoul: Univ. of Baekseok; 2008. Korean.
  8. Gray S. The alchemy of words. Bereavement Care 2011;30:2-4. https://doi.org/10.1080/02682621.2011.555234
  9. Jeong Y, Kim CT. Suicidal ideation differences to bereavement experiences in Korean adults: focused on 2019 Koreans views of life and death survey. Mental Health & Social Work 2020;48:91-114. https://doi.org/10.24301/MHSW.2020.12.48.4.91
  10. Neimeyer RA, Currier JM, Coleman R, Tomer A, Samuel E. Confronting suffering and death at the end of life: the impact of religiosity, psychosocial factors, and life regret among hospice patients. Death Stud 2011;35:777-800. https://doi.org/10.1080/07481187.2011.583200
  11. Ott CH, Lueger RJ. Patterns of change in mental health status during the first two years of spousal bereavement. Death Stud 2002;26:387-411. https://doi.org/10.1080/07481180290087375
  12. Parkes CM. Searching the literature on bereavement. Bereavement Care 2001;20:19-21. https://doi.org/10.1080/02682620108657516
  13. Aoun SM, Rumbold B, Howting D, Bolleter A, Breen LJ. Bereavement support for family caregivers: the gap between guidelines and practice in palliative care. PLoS One 2017;12:e0184750.
  14. Statistics Korea. Top 100 indicators - Mortality [Internet]. Daejeon: Statistics Korea; 2021 [cited 2023 Feb 24]. Available from: https://kosis.kr/visual/nsportalStats/detailContents.do?statJipyoId=3676&vStatJipyoId=4845&listId=D.
  15. Kwon S, Choi S. Experiences of hospice and palliative nurses in response to the COVID-19 pandemic: a qualitative study. J Hosp Palliat Care 2021;24:245-53. https://doi.org/10.14475/jhpc.2021.24.4.245
  16. Kim SY, Park JE, Lee YJ, Seo H, Sheen S, Hahn S, et al. Testing a tool for assessing the risk of bias for nonrandomized studies showed moderate reliability and promising validity. J Clin Epidemiol 2013;66:408-14. https://doi.org/10.1016/j.jclinepi.2012.09.016
  17. Higgins J, Green S, editors. Cochrane handbook for systematic reviews of interventions [Internet]. Version 5.1.0. Chichester(UK): John Wiley & Sons, Inc. [updated 2011 Mar; cited 2023 Fed 24]. Available from: http://www.cochrane-handbook.org.
  18. Cohen J. Statistical power analysis for the behavioral science. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates; 1988.
  19. Shim SR, R meta-analysis for medicine & public health researchers. Seoul:Hannarae publishing co.;2019.
  20. Meier EA, Gallegos JV, Thomas LP, Depp CA, Irwin SA, Jeste DV. Defining a good death (successful dying): literature review and a call for research and public dialogue. Am J Geriatr Psychiatry 2016;24:261-71. https://doi.org/10.1016/j.jagp.2016.01.135
  21. Won HJ, Song SA. Effect of spousal bereavement on depression of the elderly: analysis of the impact of traditional gender norms through gender comparison. Health and Social Welfare Review 2019;39:145-72. https://doi.org/10.15709/hswr.2019.39.4.145
  22. Yang JS, Lee JE, Lyu JY. Grief therapy programs for bereaved families: a systematic review and meta-analysis. Family and Family Therapy 2017;25:645-70. https://doi.org/10.21479/KAFT.2017.25.3.645
  23. Kim CH, Kim MS, Moon YJ, Shin HY, Lee MN, Kang KA. Content analysis of multifaceted needs for improving the quality of pediatric palliative care among parents of children with life-threatening conditions. J Hosp Palliat Nurs 2022;24:301-11. https://doi.org/10.1097/NJH.0000000000000908
  24. Park SW. The effects of a mourning program using art therapy on grief, depression, and ego-integrity of elders bereaved of the spouse [master's thesis]. Busan: Kyungsung Univ.; 2019. Korean.
  25. Kim JS. Development and effect of healing program of mourning based on the four noble truths for middle aged bereaved women [dissertation]. Busan: Kyungsung Univ.; 2018. Korean.
  26. Yang JS, Chang HJ. The effects of bereavement stress on depression: focusing on the moderating effects of post-adversity growth. Journal of Humanities and Social Sicence 2020;11:891-906.
  27. Lee JW. Verification of the effectiveness of loss healing program among widowed elderly women [dissertation]. Chuncheon: Hallym Univ.; 2021. Korean.
  28. Jang SS, Lee KM. Study on the research trend of art therapy dissertation in Korea. Journal of Arts Psychotherapy 2013;9:395-418.
  29. Nam IS. How to help clients who have psychological difficulties after bereavement? Proceedings of the 2015 Autumn Congress of KAMHSW 2015;10:263-81.