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Kim, Park, Lee, and Lee: Resilience of Families with Elderly Patients with Dementia
Original Article
Journal of Korean Academy of Psychiatric and Mental Health Nursing

Journal of Korean Academy of Psychiatric and Mental Health Nursing 2012; 21(3): 197-209.

Published online: 30 September 2012

DOI: https://doi.org/10.12934/jkpmhn.2012.21.3.197

Resilience of Families with Elderly Patients with Dementia

Geun Myun Kim1, Eunyoung Park2, Young Shin Lee3, Jong Nam Lee4

1Seoul Women's College of Nursing, Seoul, Korea.

2College of Nursing, Korea University, Seoul, Korea.

3Department of Nursing, Korea Nazarene University, Cheonan, Korea.

4Department of Social Wellfare, Far East University, Eumseong, Korea.

Corresponding author: Park, Eunyoung. College of Nursing, Korea University, Anam-dong, Sungbuk-gu, Seoul 136-705, Korea. Tel: +82-2-3290-4910, Fax: +82-2-927-4676, eypark@korea.ac.kr

Received 25 April 2012       Revised 1 June 2012       Accepted 24 September 2012

© 2012 The Korean Academy of Psychiatric and Mental Health Nursing

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study was to pave the way for developing nursing intervention strategies to enhance family resilience by identifying unique patterns of resilience in families of elderly patients with dementia.

Methods

The Q-methodology was used to define types and describe characteristics of family resilience. After in-depth interviews with 12 family members of patients with dementia and study of related literature, final 50 Q-samples were selected by collecting the opinions of experts. The selected 50 Q-statements were sorted by 30 family members (P-samples). The PC-QUNAL program was used to analyze Q-sort data.

Results

Four distinctive Q-factors for family resilience were identified: I. Seeking positive meaning, II. Developing reasonable cooperation with family members, III. Accepting reality passively, IV. Depending on external resources.

Conclusion

Families caring for elderly patients with dementia show unique patterns of family resilience, which result from multi-factors, such as their own belief systems or culture, organizational patterns, and communication processes, in dealing with crisis. The results of this study can be useful in confirming the types of resilience of families of patients with dementia and their characteristics, and the underlying data can be used as to develop tailored nursing strategies for strengthening family capacities to master adversity.

Keywords: Dementia, Family, Resilience

Figures and Tables

Table 1
Eigen Value, Explained Variance, and Cumulated Variance of Q Factors
jkapmhn-21-197-i001
Table 2
Factor Weights by Q Factors and Characteristics of the Subjects
jkapmhn-21-197-i002

†P sample who shows the highest factor weight among P samples of each Q factor.

DL=daughter-in-law; ES=elementary school; MS=middle school; HS=high school; GS=graduate school; NH=nursing home; HHC=home health care; DC=daycare center; CWC=community welfare center.

Table 3
Array of Z-score of Four Q Factors and Q Items
jkapmhn-21-197-i003

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