대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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입원 치료중인 유방암 재발 환자의 삶의 경험

Life Experience of Inpatients with Recurrent Breast Cancer

  • Kim, Young-Ju (Department of Nursing, Daejeon Health Sciences College)
  • 투고 : 2010.01.08
  • 심사 : 2011.04.15
  • 발행 : 2011.04.30
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초록

Purpose: Understanding daily life experiences of patients admitted to hospital with recurrent breast cancer. Methods: The grounded theory method was used for this study. Results: Consistent comparative analysis was used throughout the study to obtain the results. Results showed that inpatients with recurrent breast cancer experience 'a co-existence of life suffering and fear of death'. The causal condition of this result was determined to be 'patient's response to cancer recurrence (acceptance/despair)', including contextual conditions such as, 'previous experience with cancer treatment', 'patient's current physical condition', and 'treatment methods for recurrent cancer'. Intervening conditions, such as 'a strong will to live', 'family support', 'moral support providers', and action/interaction strategies were found to provide patients with 'a strength to live'. Shown in these results, inpatients with recurrent breast cancer were seen to have a simultaneous 'hope for life and fear of death'. Conclusion: When providing nursing services to inpatients with recurrent breast cancer, people must recognize there is a notable difference between individual patients' contextual conditions and interactive strategies. Henceforth, proper cognitive nursing must be provided which encourages patients to maintain a strong will to overcome the many hardships of treatment as well as physical nursing, such as management of side effects caused by chemotherapy.

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참고문헌

  1. Bull, A. A., Meyerowitz, B. E., Hart, S., Mosconi, P., Apolone, G., & Liberati, A. (1999). Quality of life in women with recurrent breast cancer. Breast Cancer Research and Treatment, 54, 47-57. https://doi.org/10.1023/A:1006172024218
  2. Cho, O. H., & Yoo, Y. S. (2009). Psychosocial adjustment, marital intimacy and family support of post-mastectomy patients. Journal of Korean Oncology Nursing, 9, 129-135.
  3. Guba, E. G., & Lincoln, Y. S. (1981). Effective evaluation. San Francisco, CA: Jossey-Bass.
  4. Hofstede, G. (1980). Culture's consequences: International differences in work-related values. Beverly Hills, CA: Sage.
  5. Hofstede, G. (1986). Cultural differences in teaching and learning. International Journal of Intercultural Relations, 10, 301-320. https://doi.org/10.1016/0147-1767(86)90015-5
  6. Im, E. O. (2005). Development of situation-specific theories: An integrative approach. Advances in Nursing Science, 28, 137-151.
  7. Im, E. O. (2006). A situation-specific theory of Caucasian cancer patients pain experience. Advances in Nursing Science, 29, 232-244.
  8. Jeon, M. H. (1994). (An) Experience of life following breast cancer surgery. Unpublished Doctoral dissertation, Seoul National University, Seoul.
  9. Jo, K. H., & Son, B. K. (2004). The relationship of uncertainty, hope and quality of life in patient of breast cancer. Journal of Korean Academy of Nursing, 34, 1184-1193.
  10. Johnson-Vickberg, S. M. (2001). Fears about breast cancer recurrence. Cancer Practice, 9, 237-243. https://doi.org/10.1046/j.1523-5394.2001.009005237.x
  11. Jung, P. J., & Im, T. H. (1998). The patterns, the survival, and the change of serologic markers after recurrence in patients with breast cancer. Journal of the Korean Surgical Society, 54, 313-322.
  12. Kenne-Sarenmalm, E., Thorén-Jönsson, A. L., Gaston-Johansson, F., & Ohlen, J. (2009). Making sense of living under the shadow of death: Adjusting to a recurrent breast cancer illness. Qualitative Health Research, 19, 1116-1130. https://doi.org/10.1177/1049732309341728
  13. Kim, B. H., Tak, Y. R., & Chon, M. Y. (1996). A study of the experience of patients with terminal cancer who are in an independent hospice center. Journal of Korean Academy of Nursing, 26, 668-677.
  14. Kim, J. Y., & Chang, E. S. (1994). The recurrence of breast cancer after the breast conservation surgery. Journal of the Korean Cancer Association, 26, 415-424.
  15. Kim, K. B. (1978). A study on the attitudes toward death of the elderly people. Journal of Korean Academy of Nursing, 8, 85-98.
  16. Kim, S. I., & Park, B. W. (2001). The impact of patient age upon locoregional and systemic failures after breast conservation therapy. Journal of the Korean Surgical Society, 60, 23-28.
  17. Mahon, S. M., Cella, D. F., & Donovan, M. I. (1990). Psychosocial adjustment to recurrent cancer. Oncology Nursing Forum, 17(3), 47-52.
  18. Maliski, S. L. (1997). The experience of recurrent breast cancer: A case study. Unpublished doctoral dissertation, State University of North Carolina, Chapel Hill, USA.
  19. Meleis, A. I. (4th Ed.). (2007). Theoretical nursing: Development & progress. Philadelphia, PA: Lippincott Williams & Wilkins.
  20. Min, H. S., Park, S. Y., Lim, J. S., Park, M. O., Won, H. J., & Kim, J. I. (2008). A study on behaviors for preventing recurrence and quality of life in breast cancer survivors. Journal of Korean Academy of Nursing, 38, 187-194. https://doi.org/10.4040/jkan.2008.38.2.187
  21. Montagna, E., Bagnardi, V., Rotmensz, N., Rodriguez, J., Veronesi, P., & Luini, A. (2008). Factors that predict early treatment failure for patients with locally advanced (T4) breast cancer. British Journal of Cancer, 98, 1745-1752. https://doi.org/10.1038/sj.bjc.6604384
  22. National Cancer Information Center. (2009, May 27). Breast cancer statistics. Retrieved January 6, 2010, from http://www.cancer.go.kr/cms/cancer/cancer_is/04/1191178_1753.html
  23. National Cancer Information Center. (2010, January 13). Breast cancer statistics. Retrieved January 6, 2010, from http://www.cancer.go.kr/cms/statics/stat/1372851_1611.html
  24. No, O. H. (2003). Breast cancer survivor's conquest experience. Unpublished Doctoral dissertation, Chonnam National University, Gwangju.
  25. Northouse, L. L., Dorris, G., & Charron-Moore, C. (1995). Factors affecting couples' adjustment to recurrent breast cancer. Social Science & Medicine, 41, 69-76. https://doi.org/10.1016/0277-9536(94)00302-A
  26. Santillan, A. A., Kiluk, J. V., Cox, J. M., Meade, T. L., Allred, N., & Ramos, D. (2008). Outcomes of locoregional recurrence after surgical chest wall resection and reconstruction for breast cancer. Annals of Surgical Oncology, 15, 1322-1329. https://doi.org/10.1245/s10434-007-9793-x
  27. Shin, K. R. (1995). A phenomenological perspective and discovery of meaning in mid-aged women's experience of mastectomy. Journal of Korean Academy of Nursing, 25, 295-315.
  28. Strauss, A., & Corbin, J. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory. California, CA: Sage Publication Inc.
  29. Suh, Y. O. (2007). Predictors of quality of life in women with breast cancer. Journal of Korean Academy of Nursing, 37, 459-466.

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