Experiences of Inpatients Living with Lung Cancer in South Korea
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Purpose: This study aimed to examine the processes of adaptation lung cancer patients undergo by examining their social interactions with medical staff, families, and other patients during hospitalization. Methods: Data were collected from February 2017 to January 2018 for a qualitative research study based on in-depth interviews with 10 participants who were inpatients at a cancer treatment hospital. Data were analyzed using the grounded theory of Corbin and Strauss. Results: Through comparative analysis, we identified the central phenomenon of the study was, ‘living in a body that is not related to one’s own will.’ The causal conditions were, ‘hit by a bolt out of the blue’ and ‘a disease that I do not want to inform others of.’ The contextual conditions were, ‘an encounter with reality’ and ‘breaking down the wall of fear.’ The intervention conditions included, ‘finding comfort in adversity,’ ‘a loaf of bread is better than the song of many birds,’ and ‘the communion of the same situation.’ Action/interaction strategies included ‘sharing information,’ ‘a word of encouragement,’ and ‘accepting the wave of change.’ Finally, the perceived consequences were ‘life redesign’ and ‘a life journey with limited time.’ Conclusion: This study describes the processes underlying how patients find meaning in their lives after a diagnosis of lung cancer. Based on their experiences, it is necessary to offer nursing interventions including admission rooms, equipment, and instruments to meet the unique needs of patients. The findings indicate that inpatient treatment for lung cancer needs more meaningful and effective management.
Abstract
Purpose: This study aimed to examine the processes of adaptation lung cancer patients undergo by examining their social interactions with medical staff, families, and other patients during hospitalization. Methods: Data were collected from February 2017 to January 2018 for a qualitative research study based on in-depth interviews with 10 participants who were inpatients at a cancer treatment hospital. Data were analyzed using the grounded theory of Corbin and Strauss. Results: Through comparative analysis, we identified the central phenomenon of the study was, ‘living in a body that is not related to one’s own will.’ The causal conditions were, ‘hit by a bolt out of the blue’ and ‘a disease that I do not want to inform others of.’ The contextual conditions were, ‘an encounter with reality’ and ‘breaking down the wall of fear.’ The intervention conditions included, ‘finding comfort in adversity,’ ‘a loaf of bread is better than the song of many birds,’ and ‘the communion of the same situation.’ Action/interaction strategies included ‘sharing information,’ ‘a word of encouragement,’ and ‘accepting the wave of change.’ Finally, the perceived consequences were ‘life redesign’ and ‘a life journey with limited time.’ Conclusion: This study describes the processes underlying how patients find meaning in their lives after a diagnosis of lung cancer. Based on their experiences, it is necessary to offer nursing interventions including admission rooms, equipment, and instruments to meet the unique needs of patients. The findings indicate that inpatient treatment for lung cancer needs more meaningful and effective management.
참고문헌 (30)
- "Cancer incidence in Korea 2016"[URL]
- Riaz SP, "Trends in incidence of small cell lung cancer and all lung cancer", Lung Cancer, 75, pp.280~284 (2012)
- "Status of cancer occurrence and death" (2019)[URL]
- Chrischilles EA, "Adverse events among the elderly receiving chemotherapy for advanced non-small-cell lung cancer", J Clin Oncol, 28, pp.620~627 (2010)
- Holland JC, "Distress management", J Natl Compr Canc Netw, 8, pp.448~485 (2010)
- Zabora J, "The prevalence of psychological distress by cancer site", Psychooncology, 10, pp.19~28 (2001)
- Hagedoorn M, "Couples dealing with cancer : role and gender differences regarding psychological distress and quality of life", Psychooncology, 9, pp.232~242 (2000)
- Tedeschi RG, "The Posttraumatic Growth Inventory : measuring the positive legacy of trauma", J Trauma Stress, 9, pp.455~471 (1996)
- Cataldo JK, "Lung cancer stigma, depression, and quality of life among ever and never smokers", Eur J Oncol Nurs, 16, pp.264~269 (2012)
- 이정림, "폐암환자의 스티그마, 디스트레스와 삶의 질의 관계", Asian Oncology Nursing, 11(3), pp.237~246 (2011), 대한종양간호학회
- Yu JY, "Symptom experience and physical activity as predictors of resilience among patients with advanced lung cancer", master, pp.2016
- Keum KS, "Relationships among activity status, anxiety, depression, social support, symptom experience, and functional status in lung cancer patients based on the theory of unpleasant symptoms", Perspect Nurs Sci, 10, pp.87~96 (2013)
- 성지현(Sung, Ji Hyun), "폐암환자 증상관리를 위한 전화상담 가이드라인 개발 예비 조사", Asian Oncology Nursing, 10(2), pp.218~230 (2010), 대한종양간호학회
- 오의금, "폐암 환자의 기능상태에 관한 연구", 성인간호학회지, 14(4), pp.491~500 (2002), 한국성인간호학회
- Son SG, "Feelings of despair in lung cancer patients", Korean Nurse, 35, pp.46~49 (1996)
- Sung JH, "Experience of patients with lung cancer, participating in a selfhelp group", master, pp.2006
- Corbin J, "Basics of qualitative research: Techniques and procedures for developing grounded theory" (2015), Sage Publications
- Lincoln YS, "Naturalistic inquiry" (1985), Sage Publications;
- 최한교, "노인 암환자의 자아통합감 회복 경험: 근거이론 접근", Journal of Korean Academy of Nursing, 49(3), pp.349~360 (2019), 한국간호과학회[DOI]
- Youlden DR, "The International Epidemiology of Lung Cancer : geographical distribution and secular trends", J Thorac Oncol, 3, pp.819~831 (2008)
- 유양경, "폐암환자와 건강인의 생활습관 비교", Asian Oncology Nursing, 13(3), pp.136~144 (2013), 대한종양간호학회
- 유승연, "입원 스트레스에 대한 국내 연구동향 분석 - 대상자 중심으로 -", 스트레스 硏究, 23(2), pp.49~61 (2015), 대한스트레스학회
- 이병관, "개인의 e-헬스 리터러시(e-Health Literacy)가 의사－환자 커뮤니케이션에 미치는 영향", 사이버커뮤니케이션학보, 27(3), pp.89~125 (2010), 사이버커뮤니케이션학회
- 오지혜, "지역사회 노인 고혈압 환자의 건강정보이해능력이 고혈압 자가관리행위에 미치는 영향", 보건교육건강증진학회지, 34(1), pp.35~45 (2017), 한국보건교육건강증진학회[DOI]
- Kourkouta L, "Communication in nursing practice", Mater Sociomed, 26, pp.65~67 (2014)
- 홍기연, "암 치료 시 영양상담을 통한 식생활 개선에 관한 연구", 대한지역사회영양학회지, 21(1), pp.93~101 (2016), 대한지역사회영양학회
- 김수올, "암환자 영양 관련 국내 간호연구 동향", Asian Oncology Nursing, 16(1), pp.1~8 (2016), 대한종양간호학회
- 박은혜, "항암화학요법을 받는 여성암 환자의 영양 상태와 피로", 기본간호학회지, 22(4), pp.387~397 (2015), 기본간호학회[DOI]
- 박순주, "간호사의 의사소통기술에 대한 간호사와 환자의 인식 차이", 성인간호학회지, 29(2), pp.166~176 (2017), 한국성인간호학회[DOI]
- 김정이, "말기 암 환자의 희망체험: Parse의 인간되어감 연구방법론 적용", Asian Oncology Nursing, 19(2), pp.55~70 (2019), 대한종양간호학회[DOI]