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논문KCI 등재

동료 멘토링을 제공한 위암 생존자의 경험

Experiences of Stomach Cancer Survivors Providing Peer Mentoring in Korea

김민아|최권호|송효석
한국사회복지연구회 (Korean Association For Social Welfare Studies)|2016.06|사회복지연구 (Korean Journal of Social Welfare Studies)|제47권 제2호|pp. 89-114|DOI 10.16999/kasws.2016.47.2.89

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암 생존자위암stomach cancerpeer mentoring동료 멘토링cancer survivors
주제분류사회복지학

초록

당사자의 암 경험을 바탕으로 암 환자들 간 동료 지지를 제공하는 동료 멘토링 프로그램은 암 진단 초기의 환자 뿐 아니라 동료지지를 제공하는 암 생존자들의 심리사회적 적응을 도모하는 데 유용하다. 본 연구의 목적은 위암 환자에게 동료 멘토링을 제공한 위암 생존자들의 경험을 이해하는 데 있다. 이를 위해 위암 치료를 종결하고 현재 위암 환자들에게 동료 멘토링을 제공하고 있는 14명의 위암 생존자(남성 9명, 여성 5명)를 대상으로 심층면접을 실시하였다. 참여자들의 평균연령은 60세(표준편차 6.8세)였고, 위암 수술 이후 평균 8.6년(표준편차 2.4년)이 경과되었다. 연구 참여자들은 평균 3.5년(표준편차 1.0년) 동안 위암 환자에게 동료 멘토링을 제공하고 있었다. 주제분석 결과, 동료 멘토링 제공 동기(환자들에게 도움이 되고 싶음, 현재 건강함에 감사를 느낌, 동료 멘토링의 필요성을 느낌), 동료 멘토링 제공 경험(암 환자의 어려움을 공감함, 암 환자에게 필요한 실제적 정보를 제공함, 멘토로서 불안함과 두려움을 느낌), 동료 멘토링 제공이 삶에 미친 영향(삶의 의미를 찾음, 자기관리 행동을 증진함, 친밀한 유대관계를 형성함, 삶의 활력과 자신감을 찾음)과 같이 3개의 상위 주제 내 10개의 하위 주제가 도출되었다. 본 연구 결과를 토대로 동료지지를 제공하는 멘토들을 위해 교육과 자원을 제공하고 건강 전문가로서 의료사회복지사의 역할을 강조하여 동료 멘토링이 보다 활성화될 수 있는 방안을 제언하였다.

Abstract

Peer mentoring, which provides support to cancer survivors based on similar experiences in the lives of the mentors, is critical for promoting the psychosocial adjustments of patients who have recently been diagnosed with cancer as well as those providing the mentoring. This study explores the experiences of stomach cancer survivors who are providing peer mentoring to cancer patients. In-depth interviews were conducted with 14 cancer survivors (nine male and five female) who have completed treatment for stomach cancer and who are currently providing peer mentoring. Participants’ mean age was 60 years old (SD=6.8); average time since surgery was 8.6 years (SD=2.4). Participants have been involved in a peer-mentoring program, as a peer mentor, for stomach cancer patients on average 3.5 years. Thematic analyses revealed 10 subthemes within three categories: a) reasons for providing peer-mentoring (wanting to give back and help others, appreciating current life, and recognizing needs for peer mentoring); b) experiences of supporting peer as a peer mentor (understanding cancer patients’ difficulties with empathy, providing practical information to cancer patients, and feeling pressure and anxiety); and c) impact of providing peer mentoring on life (finding meaning in life, promoting healthy behavior, building bonds of friendship, and building self-confidence and self-esteem). The study showed that peer mentoring provides benefits not only for patients who have recently been diagnosed with cancer but also for cancer survivors who act as peer mentors. Providing appropriate education and resources for peer mentoring and collaborating with a medical social worker, as a health professional, could address barriers to and promote the peer-mentoring program.

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