Journal List > J Korean Acad Nurs > v.47(3) > 1003243

Jang and Yi: Hermeneutic Phenomenological Study on Caring Experience of Spouses of Elderly People with Dementia at Home

Abstract

Purpose

This study aimed to understand and describe the caring experiences of spouses of elderly people with dementia.

Methods

The hermeneutic phenomenological method was used and participants were 12 spouses aged 65 and over who were taking care of their husbands or wives with dementia at home. Data were collected from individual in-depth interviews on participants’ actual caring experiences. Additionally, novels, movies, and memoirs on elderly couples with partner who had dementia were included as data for the analysis. The qualitative data analysis software program was used to manage and process the collected qualitative data. Data were analyzed using hermeneutic phenomenological analysis based on four fundamental existentials including lived body, lived space, lived time, and lived others.

Results

Five essential themes emerged from the analysis: 1) body moving like an old machine, 2) swamp of despair filling with hope, 3) sweet time after bitterness, 4) disappointed elderly couple in the empty nest, and 5) unappreciation vs. empathetic feelings. These essential themes were comprehensively summarized as “the road leading to the maturation of life with dedication and hope while bearing the weight of caring based on the couple's relationship.”

Conclusion

The findings indicate that the nature of the caring experience of spouses of elderly individuals with dementia is filled with many dynamic and paradoxical dimensions. Thus, results of the study would help with developing interventions tailored specifically for elderly spouse caregivers to support their role adaptation and ultimately improving their quality of life.

References

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Table 1.
General Characteristics of the Spouse Caregivers
Participants A B C D E F G H I J K L
Age (yr) 65 72 74 76 67 73 78 78 77 68 83 83
Gender Female Male Female Female Female Female Female Male Female Male Male Female
Education Elementary Middle Elementary High Elementary Elementary Elementary High Elementary High University High
school school school school school school school school school school school
Occupation Yes Yes Yes No Yes No No No No No Yes No
Religion Yes No Yes Yes Yes Yes Yes Yes Yes No Yes Yes
Perceived Low Middle Low Low Middle Low Middle Middle Low Middle Middle Middle
economic status
Number of 1/1 2/3 1/1 2/2 2/1 0/3 2/0 1/4 3/3 2/0 1/0 2/3
son/daughter
Cohabitation No No No No Yes No No No Yes No No No
with children
Caring hours 15 8 24 24 7 24 24 20 24 24 12 9
per day
LTC services Home Home Home No No No No No No No Home Day care
(minutes/day) visit care visit care visit care visit care
90 min 240 min 90 min 240 min

LTC=Long-term Care.

Table 2.
General Characteristics of the Elderly with Dementia
Participants A B C D E F G H I J K L
Age (yr) 73 72 72 77 75 81 81 76 81 68 83 83
Years since diagnosis 5 5 5 3 5 9 8 4 4 4 6 6
Stage of dementia Middle Middle Late Early Middle Late Late Early Early Middle Middle Middle
Table 3.
The Essential Themes Experienced by Spouses of Elderly Individuals with Dementia
Existential dimension Essential themes Themes
Lived body Body moving like an old machine Tired body working constantly without rest
Trained body acquired from day-to-day caring
Lived space Swamp of despair filling with hope Jail without bars
Battlefield without any winners or losers
Happy place to live in
Lived time Sweet time after bitterness Time filled with unfamiliarity and suffering
Time of filling and emptying
Time resonated with faint hope
Lived other Disappointed elderly couple in the empty nest Justified companion as a soul mate
Incongruity of duty and wish as parents
Unappreciation vs empathetic feelings Stranger with pent-up feelings
A true hero in caring
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