뇌졸중 이후 운전 중단으로 인한 고통 체험: Parse의 인간되어감 연구 방법 적용
Lived Experiences of Suffering following Driving Cessation after Stroke: Parse's Theory of Human Becoming
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
본 연구는 뇌졸중 이후 운전 중단을 경험함으로 발생하는 고통 체험 현상의 본질을 파악하여 구조화 하는 것이다. 뇌졸중 이후 운전 중단을 경험한 환자 6명의 고통 체험을 Parse의 인간되어감 연구 방법을 적용하여 확인하였다. 대화 기간은 2014년 3월부터 6월 까지였으며, 각각의 대화 시간은 약 40∼50분으로, 참여자마다 2회 이상 실시하였다. 뇌졸중 이후 운전 중단으로 인한 고통 체험의 구조적 전환은 “신체적 기능 손상으로 인해 활동과 참여의 제한 그리고 역할 상실의 고통을 극복하기 위해 긍정적 전환을 시도하는 과정이다.”로 분석되었다. 이는 “뇌졸중 이후 운전 중단으로 인한 고통 체험은 가치화를 가능-제한·연결-분리·노출-은폐하여 강화·변형해가는 과정이다.”의 개념으로 통합할 수 있다. 뇌졸중 이후 운전 중단으로 인한 기능 손상은 활동과 참여의 제한 그리고 역할 상실의 고통을 야기하고 이를 극복하기 위해 뇌졸중 환자들은 긍정적 전환을 시도한다. 따라서 뇌졸중 이후 운전 중단으로 고통 받는 환자들의 운전 재훈련 관정에 기능적 회복과 심리적 극복 과정을 위한 접근이 필요할 것으로 사료된다.
Abstract
This study aims to understand and structure the essence of the lived experiences of suffering following driving cessation after stroke. This study checked the lived experiences of six patients who suffered following driving cessation after stroke, applying Parse’s theory of human becoming. Terms of conversation were March through June 2016, and each term of conversation was approximately 40 to 50 minutes, which was carried out with each participant more than two times. It was analyzed as follows: “A structural change in the lived experiences of suffering following driving cessation after stroke was a process of an attempt of a positive change to overcome the restriction of activity and participation and suffering from a loss of role.” This can be integrated into a concept as follows: “The lived experiences of suffering following driving cessation after stroke valuation is a process of enhancing and changing valuation by allowing-restricting; connecting-disconnecting; and exposing-concealing that.” Functional impairment due to driving cessation after stroke causes the restriction of activity and participation and suffering from a loss of role, and to overcome these, stroke patients attempts a positive change. Therefore, the process of driving re-training of the patients who suffer following driving cessation after stroke should include an approach for the processes of their functional recovery and psychological overcoming.
참고문헌 (17)
- F. T. Sherman, "Driving: the ultimate IADL", Geriatrics, 61(10), pp.9~10 (2006)
- K. J. Anstey, "Cognitive sensory and physical factors enabling driving safety in older adults", Clinical Psychology Review, 25(1), pp.45~65 (2005)
- S. C. Marshall, "Predictors of driving ability following stroke: a systematic review", Topic in Stroke Rehabilitation, 14(1), pp.98~114 (2007)
- J. Liddle, "The experiences and needs of people who cease driving after stroke", Brain Impairment, 10(3), pp.271~281 (2009)
- R. Lister, "Loss of ability to drive following stroke: the early experiences of three elderly people on discharge from hospital", British Journal of Occupational Therapy, 62(11), pp.514~520 (1999)
- J. White, "Access and participation in the community: a prospective qualitative study of driving post-stroke", Disability and Rehabilitation, 34(10), pp.831~838 (2012)
- J. A. Griffen, "Driving status and community integration after stroke", Topics in Stroke Rehabilitation, 16(3), pp.212~221 (2009)
- G. D. Fisk, "Driving after stroke: driving exposure advice and evaluations", Archives of Physical Medicine and Rehabilitation, 78(12), pp.1338~1345 (1997)
- F. L. Quigley, "Assessing the driving potential of cerebral vascular accident patients", American Journal of Occupational Therapy, 37(7), pp.474~478 (1983)
- S. George, "Rehabilitation for improving automobile driving after stroke(Review)", The Cochrane Library, 2, pp.1~38 (2014)
- N. Korner-Bitensky, "Older driver retraining: An updated systematic review of evidence of effectiveness", Journal of Safety Research, 40(2), pp.105~111 (2009)
- H. W. Creswell, "Qualitative inquiry and research design: choosing among five approaches" (2013), Sage Publishers
- R. R. Parse, "The human becoming school of thought" (1998), Sage Publishers
- R. R. Parse, "Qualitative inquiry: the path of sciencing" (2001), Jones & Bartlett Learning Publishers
- J. A. Maxwell, "Qualitative research design: An interactive approach" (1996), Sage Publishers
- S. M. Lee, "I am wonderful and beautiful" (2010), Bookie Publishers
- A. Patomella, "Lived experience of driving ability following stroke", Disability ang Rehabilitation, 31(9), pp.726~733 (2009)