Journal of Hospice and Palliative Care

  • 제14권1호
  • /
  • Pages.34-41
  • /
  • 2011
  • /
  • 2765-3072(pISSN)
  • /
  • 2765-3080(eISSN)
한국호스피스완화의료학회 (Korean Society for Hospice and Palliative Care)
권호 표지

말기암환자가 보완대체요법을 선택한 이유

The Reason to Select Complementary and Alternative Therapy for Terminally Ill Cancer Patients

  • 김경운 (강원대학교 간호학과) ;
  • 박진노 (보바스기념병원 완화의학센터) ;
  • 이수한 (꽃동네현도사회복지대학교 사회복지학부)
  • Kim, Kyeong-Uoon (Department of Nursing, Kangwon National University) ;
  • Park, Jean-No (Bobath Memorial Hospital) ;
  • Lee, Soo-Han (Deprarment of Social Welfare, Kkottongnae Hyundo University of Social Welfare)
  • 투고 : 2010.09.02
  • 심사 : 2011.01.18
  • 발행 : 2011.03.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

목적: 말기암환자들이 보완대체요법을 선택하게된 주관적 경험을 파악하여, 대상자 입장에서의 당위성을 이해하고 이용과정에서 발생할 수 있는 현상들을 이해함으로써 좀 더 바람직하고 효율적인 이용을 위한 호스피스 완화의료 중재를 하는데 기여하고자 실시하였다. 방법: 심층면담한 내용을 Colaizzi(1976)의 방법을 이용하여 귀납적이고 서술적인 기술과 분석을 실시하였다. 결과: 말기암환자와 가족들이 보완대체요법을 선택한 4가지 범주는 첫째 현대의학의 한계 인식, 둘째 보완대체요법의 효과에 대한 신뢰, 셋째 가족의 정서적 욕구 충족 넷째, 의사의 부정적인 태도로 인한 불신이었다. 주제모음은 9가지로 '불가능한 완치에 대한 기대', '병원치료에 대한 불확실성', '항암치료의 부작용을 해결하기 위한 보조적 수단', '증상완화와 생명연장을 위함', '암치료의 부작용에 대한 두려움', '체험과 정보에 대한 신뢰', '타인의 권유', '가족으로서 도리를 다함', '의사의 부정적 태도에 불만족'이었다. 결론: 암환자의 치료 결정과정에서 대상자와 의사가 바람직한 의사소통과정을 통하여 현대의학 치료에 대한 설명이 충분히 이루어져서 대상자가 일반적인 호스피스 완화의료 서비스를 이용하고 과학적인 근거에 바탕을 둔 보완대체요법에 대한 정확한 정보 제공이 필요하다고 본다.

Purpose: The purpose of this study was to analyze the reason to select complementary and alternative therapy for terminally ill cancer patients. Methods: The data were collected from 21 terminal cancer patients and families through the in-depth interview. Data analysis were performed by the Colaizzi's phenomenological method (1976). Results: The reason to select complementary and alternative therapy for terminal cancer patients and families was then categorized with 4 elements; Awareness of limitations in contemporary medical treatments, Belief in effectiveness of the CAM, Satisfaction with emotional needs of family members, and Disbelief due to negative attitudes of physicians. The result indicated the following 9 themes expectation for a complete cure, uncertainty in hospital treatments, complementary method for management of side effect of chemotherapy, alleviation of symptoms and life-sustaining, fear for side effects of cancer treatments, belief in earned information, referrals by other, responsibility of family, and dissatisfaction with negatine attitudes of physicians. Conclusion: Physicians should provide a sufficient explanation and try to effectively communicate with clients about hospice and palliative service and the CAM. We strongly realized that concerns about patients' best care and satisfactions with family's needs should be understood.

키워드

참고문헌

  1. Ministry of Health & Welfare, National Cancer Center, National Cancer Information Center. Annual report of the central cancer registry in Korea (1998.1-1998.12). Seoul: Ministry of Health & Welfare, National Cancer Center, National Cancer Information Center; 2000.
  2. National Cancer Information Center. 2008 annual report of the central cancer registry in Korea [Internet]. Goyang: Ministry of Health & Welfare, National Cancer Center; c2010. Available from: http://cancer.go.kr/nciapps/fcatalog/ecatalog.jsp?Dir=81.
  3. Seol KL, Choi SY, Lee JI. A study on the use, understanding and satisfaction with alternative therapy for hospitalized cancer patients. J Korean Public Health Assoc 2002;28(2):198-211.
  4. Lee EI, Shin YC, Lee JH, Kim SD, Kim HJ, Jo MS. Use of complementary and alternative medicine in cancer patient at 7 general hospitals in Seoul. J Korean Public Health Assoc 2002;28(3):225-38.
  5. Choi YJ, Chung HW, Choi SY. A study on the use of alternative medicine for cancer patients admitted at a hospital. J Korean Public Health Assoc 1998;24(1):167-81.
  6. Lee KS, Ahn HS, Hwang LI, Lee YS, Koo BH. Utilization of alternative therapies in cancer patients. J Korean Cancer Assoc 1998;30(2):203-13.
  7. Park HS, Lee YM. A study on use of alternative therapy in cancer patients. Korean J Rehabil Nurs 2000;3(2):212-27.
  8. Woodruff R. Palliative medicine. 2nd ed. Melbourne: Asperula Pty Ltd.; 1996.
  9. Cassileth BR, Lusk EJ, Miller DS, Hurwitz S. Attitudes toward clinical trials among patients and the public. JAMA 1982;248(8):968-70. https://doi.org/10.1001/jama.1982.03330080050028
  10. Kim BH, Kim KJ, Park IS, Lee KJ, Kim JK, Hong JJ, et al. A comparison of phenomenological research methodology: focused Giorgi, Colaizzi, Van Kaam methods. J Korean Acad Nurs 1999;29(6):1208-20. https://doi.org/10.4040/jkan.1999.29.6.1208
  11. Kim DY, editor. Hospice complementary and alternative medicine: selection of subjects and role of health care professionals. 2006 Summer Symposium of Korean Soiety for Hospice and Palliative Care; 2006 Jul 1; Daegu, Korea. Seoul: Korean Soiety for Hospice and Palliative Care; 2006. p. S45-9.
  12. Moon HW. A study on the use of the complementary and alternative therapy in female cancer patients. Korean J Women's Health Nurs 2004;5(2):19-44.
  13. Son HM, Suh MJ. A experience of patients seeking alternative therapies for chronic liver disease: the process of Jagi Momdasrim. J Korean Acad Adult Nurs 2000;12:52-63.
  14. Jang DM. A study on utilization behavior of cancer patients. J Korean Public Health Assoc 1998;24(2):106-17.
  15. Begbie SD, Kerestes ZL, Bell DR. Patterns of alternative medicine use by cancer patients. MJA 1996;165:545-8.
  16. Berenson S. Complementary and alternative therapies in palliative care. In: Ferrell B, Coyle N, eds. Textbook of palliative nursing. 2nd ed. New York;Oxford University Press;2005. p. 491-509.