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여성 암 환자의 실존적 경험에 관한 탐색적 분석

An Exploratory Analysis of the Existential Experiences of Women with Cancer

황숙연
대한신경정신의학회 (Korean Neuropsychiatric Association)|2006.11|신경정신의학 (JOURNAL OF THE KOREAN NEUROPSYCHIATRIC ASSOCIATION)|제45권 제6호|pp. 554-564

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참고문헌

키워드

연구의 완성을 위해 자문해주신 연세의대 정신과학교실 김 세주 교수께 감사드립니다.Experiences of cancer· Women· Qualitative study· Psycho-social.
주제분류정신과학

초록

본 연구의 결과 여성 암 환자의 심리사회적 경험의 차원은 4가지로 제시되었으며, 끝나지 않는 생존의 투쟁이라는 범주에서는 고갈, 재경험, 자존감이라는 하위주제가, 건강한 외부세계와의 단절이라는 범주에는 상실과 위축, 내적 유대라는 주제가, 여성이라는 범주에는 보호자와 피보호자 및 희생적 순응이라는 두 가지 주제가, 실존적 이 행의 범주에는 인생에 대한 반성과 통찰 및 성장이라는 주제가 제시되었다. 이러한 결과에 근거해 여성 암 환자의 관리에서 삶의 질을 고려하는 좀 더 통합적인 접근이 필요할 것으로 생각된다.

Abstract

Objectives：Although there have been increasing researches into a variety of aspects associated with women’s cancer, most of them are not based on cancer survivor’s subjective perspectives but on pathologic and therapists’ point of view. This qualitative study explores how women experience living with cancer and aims to construct the dimensions of their existential experiences from their perspectives. Methods：Focus groups and individual in-depth interviews were conducted to 17 patients who have been surgically treated with breast cancer or gynecologic cancer and attending the outpatient clinic in Yonsei University Severance Hospital in Seoul. The data were analyzed following constant comparison method by Strauss and Corbin. Results：Four major categories were explored by analysis as follows: continuing a fight for life, alienation from the healthy world, women’s distinctiveness, and existential transition. Related subjects and concepts by each category were described. Conclusion：This study shows that women with cancer experience the meaning of cancer not as a pathological process but as an adaptational process where the concept of health and dysfunction coexisted. It is suggested that oncologic medical team should approach women with cancer based on the bio-psycho-social model considering the whole dimension of patients’ experiences. (J Korean Neuropsychiatr Assoc 2006;45(6):554-564)

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