대장암 생존 여정 경험: 상처받은 자아상을 딛고 거듭 태어남
Experience of Colorectal Cancer Survival Journeys: Born Again after Going Through an Altered Self Image
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Purpose: This microethnographic study was performed to understand the survival experiences of patients after surgical resection of colorectal cancer. Methods: In-depth interviews of seven male and six female patients with colorectal cancer were conducted after being observed. Digital-audio recordings of the interviews were transcribed verbatim and then qualitatively analyzed. Results: The survival journeys of patients with colorectal cancer surgery were described as ‘born again after going through an altered self-image’. This consists of 4 phases: ‘Confrontation of the cancer diagnosis’, ‘Fierce compliance’, ‘Leveling off’, and ‘Born again’. Their self-images were significantly altered subsequent to confronting their cancer diagnosis. While they were in the phase of fierce compliance, patients were introverted from the outside world, but upon receiving help from a substantial supportive system including family, health professionals,peer patients, and religion, their internalized self-image was reinforced. This would significantly boost the patients’ morale. Finally they felt born again with an emotional and spiritual self-image. Conclusion: Nursing intervention should be differentiated and specified according to the specific phase of the long term colorectal cancer survival journey. Colorectal cancer patients should be provided with a specialized nursing program to improve their self-images.
Abstract
Purpose: This microethnographic study was performed to understand the survival experiences of patients after surgical resection of colorectal cancer. Methods: In-depth interviews of seven male and six female patients with colorectal cancer were conducted after being observed. Digital-audio recordings of the interviews were transcribed verbatim and then qualitatively analyzed. Results: The survival journeys of patients with colorectal cancer surgery were described as ‘born again after going through an altered self-image’. This consists of 4 phases: ‘Confrontation of the cancer diagnosis’, ‘Fierce compliance’, ‘Leveling off’, and ‘Born again’. Their self-images were significantly altered subsequent to confronting their cancer diagnosis. While they were in the phase of fierce compliance, patients were introverted from the outside world, but upon receiving help from a substantial supportive system including family, health professionals,peer patients, and religion, their internalized self-image was reinforced. This would significantly boost the patients’ morale. Finally they felt born again with an emotional and spiritual self-image. Conclusion: Nursing intervention should be differentiated and specified according to the specific phase of the long term colorectal cancer survival journey. Colorectal cancer patients should be provided with a specialized nursing program to improve their self-images.
참고문헌 (30)
- "Major cancer survival rate"[URL]
- Mullan F, "Seasons of survival : reflections of a physician with cancer", N Engl J Med, 313, pp.270~273 (1985)
- Gusani NJ, "Cancer survivorship : a new challenge for surgical and medical oncologists", J Gen Intern Med, 24, pp.456~458 (2009)
- Jasen L, "Quality of life among long-term(=5years)colorectal cancer survivors-Systemic review", Eur J Cancer, 46, pp.2879~2888 (2010)
- Pedro LW., "Quality of life for long-term survivors of cancer", Cancer Nurs, 24, pp.1~11 (2001)
- Contrium H, "Impact of colorectal cancer on patient and family; Implication for care", Eur J Oncol Nurs, 12, pp.217~226 (2008)
- Simon AE, "Disease stage and psychosocial outcomes in colorectal cancer", Colorectal Dis, 11, pp.19~25 (2009)
- Choi KS, "Ethnographic case study of an experience of a patient with rectal cancer through oral history", pp.1995
- Kim MS, "Long-term survival experience of patients with rectal cancer", pp.1996
- Kim HJ, "Self-management of colorectal cancer patients, according to trajectory of disease", pp.2010
- Agar MH, "The Professional Stranger" (1980), Academic Press Inc
- Roper JM, "Ethnography in nursing research: methods in nursing research" (2000), Sage Publications Inc
- Field AP, "Nursing research the application qualitative approaches" (1985), Croom Helm
- "National Action Plan for Cancer Survivorship : Advancing Public Health Strategies"[URL]
- Gao J, "Preparing for survivorship: quality of life in breast cancer survivors", J Sex Med, 10, pp.16~20 (2013)
- "Self-image"[URL]
- Niiya Y, "Compassionate and self-image goals in the united states and Japan", J Cross Cult Psychol, 44, pp.389~405 (2013)
- 최경숙, "고위험 유전성 유방암을 지닌 한국계 미국 여성의 질병경험", Asian Oncology Nursing, 12(2), pp.175~185 (2012), 대한종양간호학회
- 박미성, "암 생존자의 생활경험", Asian Oncology Nursing, 8(2), pp.93~104 (2008), 대한종양간호학회
- Wyatt G, "Long-term female cancer survivors : quality of life issues and clinical implications", Cancer nurs, 19, pp.1~7 (1996)
- Baik OM, "Social support in Korean breast and gynecological cancer survivors : comparison by the cancer stage at diagnosis and the stage of cancer survivorship", KFWA, 32, pp.5~35 (2011)
- Lim JW, "Comparison of quality of life on the stage of cancer survivorship for breast and gynecological cancer survivors", KASW, 60, pp.5~27 (2008)
- Mahon SM, "Tertiary prevention : implications for improving the quality of life of long-term survivors of cancer", Semin Oncol Nurs, 21, pp.260~270 (2005)
- 이길재, "근치적 절제술을 시행한 대장암 환자에서 복강경 수술과 개복수술의 중기 결과", Annals of Coloproctolgy, 24(5), pp.373~379 (2008), 대한대장항문학회
- Friedman G, "The experience of loneliness among young adult cancer patients", J Psychosoc Oncol, 7, pp.1~15 (1989)
- Sekse RJ, "Life beyond cancer : women’s experiences 5 years after treatment for gynecological cancer", Scand J Caring Sci, 24, pp.799~807 (2010)
- Corrigan P, "Reducing self-stigma by coming out proud", Am J Public Health, 103, pp.1~6 (2013)
- Mizuno M, "Experiences of Japanese patients with colorectal cancer during the first six months after surgery", Oncol Nurs Forum, 34, pp.869~876 (2007)
- Au T, "Health-seeking behaviors and sexuality in rectal cancer survivors in taiwan : associations with spirituality and resourcefulness", Oncol Nurs Forum, 39, pp.390~397 (2012)
- Maxwell A, "Peer navigation improves diagnostic follow-up after breast cancer screening among Korean American women : results of a randomized trial", Cancer Causes Control, 21, pp.1931~1940 (2010)