DOI QR코드

DOI QR Code

말기암환자의 기도 경험

The Prayer Experiences of Patients with End-Stage Cancer

  • 박순복 (평양과학기술대학 공중보건학) ;
  • 이원희 (연세대학교 간호대학) ;
  • 오경환 (연세의료원 간호과)
  • 투고 : 2016.08.23
  • 심사 : 2017.02.08
  • 발행 : 2017.03.01

초록

목적: 본 연구의 목적은 기독교인과 불교인 말기암환자의 기도경험의 의미를 탐색하고 분석하여, 영적간호 중재 방안으로 기도의 활용가능성을 파악하는데 있다. 방법: Y 대학병원에 입원한13명의 말기암환자가 연구에 참여하였고(기독교 7명, 불교 6명), 심층면담을 통해 자료를 수집하였고, Colaizzzi(1978)가 제시한 현상학적 방법을 사용하여 자료를 분석하였다. 결과: 참여자의 기도경험의 의미는 6개의 범주로 도출되었다: 하나님과의 의사소통, 마음 다스리기, 영적성장, 죽음과 사후세계에 대한 인식, 신비한 체험, 다양한 기도 형태. 결론: 참여자들의 기도경험은 자신들이 믿는 종교의 틀 안에서 서술되었다. 기독교인들에게 기도는 하나님과의 의사소통이었고, 불교인들에게는 스스로의 마음을 다스리는 것이었다. 그들이 믿고 있는 종교에 따라 약간의 차이점은 있었지만 기도경험의 의미는 자신들이 해결할 수 없는 절박한 건강문제를 자신이 믿고 있는 하나님 혹은 자신보다 능력이 있는 신을 의지하여 해결하려 하는 절실한 간구였고, 기도를 통해 자신들을 돌아보게 되면서 다른 사람들을 생각하고 기도하는 영적성장을 경험하고 있었다. 연구결과는 말기암환자들의 기도 경험의 현상에 대한 설명과 함께 기도경험에 대해 보다 폭넓은 지식을 제공하고, 기도가 중요한 대처 방법이었음을 보여주고 있다.

Purpose: To explore the meaning of prayer in Korean patients with end-stage cancer who profess Christianity or Buddhism, given the significant differences between these religions. Methods: The Colaizzi (1978) analysis method was employed. In-depth interview were performed with 13 participants (seven Christians and six Buddhists) who were admitted to a University-affiliated hospital in Korea. Results: The six categories emerged: 1) communication with God, 2) mind discipline, 3) spiritual growth, 4) mysterious experiences, 5) perception of death and after-life, and 6) various forms of prayers. Conclusion: The participants' prayer experiences were described in a religious context. Christians believed that prayer is communication with God while Buddhists regarded it as disciplining of minds. Despite some differences between the religious groups, a general meaning of prayer was a desperate desire to solve their health issues by relying on God or someone who is more powerful than themselves. They also experienced personal and spiritual growth through prayer. This study explains the phenomenon of prayer experiences and shows that prayer is an important coping mechanism.

키워드

참고문헌

  1. National Cancer Information Center: Cancer statistics [Internet]. Goyang: National Cancer Information Center; 2015. [cited 2016 Feb 2]. Available from: http://www.cancer.go.kr.
  2. National Cancer Information Center: Cancer statistics [Internet]. Goyang: National Cancer Information Center; 2012. [cited 2016 Feb 2]. Available from: http://www.cancer.go.kr/mbs/cancer/subview.jsp?id=cancer_040102000000.
  3. Ross L. Spiritual care in nursing: an overview of the research to date. J Clinical Nurs 2006;15:852-62. https://doi.org/10.1111/j.1365-2702.2006.01617.x
  4. Bahrami M. Meanings and aspects of quality of life for cancer patients: a descriptive exploratory qualitative study. Contemp Nurse 2011;39:75-84. https://doi.org/10.5172/conu.2011.39.1.75
  5. Carson V. Meeting the spiritual needs of hospitalized psychiatric patients. Perspect Psychiatr Care 1980;18:17-20.
  6. Lee MS. A study on uncertainty and nursing need of cancer patients according to the phases of illness [master's thesis]. Daegu: Kyungpook National Univ.; 2005. Korean.
  7. Fish S, Shelly JA. Spiritual care: the nurse's role. Illinois: Inter-Varsity Press.;1978.
  8. Kim SS, Oh SG, Choi HS. Hospice: care of love. Seoul: Soomoonsa;1997.
  9. Lee YJ, Kim C, Linton JA, Lee DC, Suh S, Seo A, et al. Association between spiritual well-being and pain, anxiety and depression in terminal cancer patients: a pilot study. Korean J Hosp Palliat Care 2013;16:175-82. https://doi.org/10.14475/kjhpc.2013.16.3.175
  10. Yoon MO, Park JS. The effect of spiritual nursing intervention on anxiety and depression of the hospice patients. J Korean Acad Adult Nurs 2002;14:337-47.
  11. Reele BL. Effect of counseling on quality of life for individuals with cancer and their families. Cancer Nurs 1994;17:101-13.
  12. Folta RH. Spiritual nursing. Jung JS, translator. Seoul: Hyunmoonsa;1995.
  13. Shelly JA. Spiritual care: a guide for caregivers. Yoon SN, translator. Seoul:IVP;2001.
  14. Taylor EJ, Outlaw FH. Use of prayer among persons with cancer. Holist Nurs Pract 2002;16:46-60. https://doi.org/10.1097/00004650-200204000-00010
  15. Taylor EJ. Nurses caring for the spirit: patients with cancer and family caregiver expectations. Oncol Nurs Forum 2003;30:585-90. https://doi.org/10.1188/03.ONF.585-590
  16. Frisch N. Holistic nursing. Philadelphia:W.B. Saunders;2007. (The series in Nursing Clinics of North America; vol. 42, no. 2).
  17. Yoon MO. Development and effect of spiritual nursing program for the terminal cancer patients [dissertation]. Daegu: Keimyung Univ.; 2005. Korean.
  18. Shelly J, Fish S. Praying with patients: why, when & how. J Christ Nurs 1995;12:9-13.
  19. Lee SW, Lee EO, Park HA, Oh HS, Ahn HS, Huh DS, et al. A study on home visiting hospice care of the terminally ill patients. Korean J Hosp Palliat Care 1988;1:39-46.
  20. Lagman RA, Yoo GJ, Levine EG, Donnell KA, Lim HR. "Leaving it to God" religion and spirituality among Filipina immigrant breast cancer survivors. J Relig Health 2014;53:449-60. https://doi.org/10.1007/s10943-012-9648-z
  21. Walton J, Sullivan N. Men of prayer: spirituality of men with prostate cancer: a grounded theory study. J Holist Nurs 2004;22:133-51. https://doi.org/10.1177/0898010104264778
  22. Lee WH, Sung JH, Lee JE, Kang KA. The experiences of prayer in Christian patients with breast cancer. J Korean Oncol Nurs 2010;10:199-209. https://doi.org/10.5388/jkon.2010.10.2.199
  23. Shim S. The effects of the religious life on Buddhism for job stress of care-givers [master's thesis]. Seoul: Dongkuk Univ.; 2007. Korean.
  24. Colaizzi P. Psychological research as the phenomenologist views it. In: Valle RS, King M, eds. Existential-phenomenological alternatives for psychology. New York:Oxford University Press;1978.
  25. Sandelowski M. The problem of rigor in qualitative research. ANS Adv Nurs Sci 1986;8:27-37. https://doi.org/10.1097/00012272-198604000-00005
  26. Kim BR, Kim YH, Kim JS, Jeong IS, Kim JS. A study to the coping patterns of cancer patients. J Korean Acad Nurs 2003;33:321-30. https://doi.org/10.4040/jkan.2003.33.3.321
  27. Smith AR, DeSanto-Madeya S, Perez JE, Tracey EF, DeCristofaro S, Norris RL, et al. How women with advanced cancer pray: a report from two focus groups. Oncol Nurs Forum 2012;39:E310-6. https://doi.org/10.1188/12.ONF.E310-E316
  28. Song MO. Effect of spiritual nursing interventions on spiritual well-being and depression of the hospice patients [master's thesis]. Daegu: Keimyung Univ.; 2002. Korean.
  29. Yoon MO. The effect of spiritual nursing intervention on pain and anxiety of the hospice patients. J Hosp 2001;1:1-17.

피인용 문헌

  1. Analysis of Spiritual Care Experiences of Acute-Care Hospital Nurses vol.23, pp.2, 2020, https://doi.org/10.14475/kjhpc.2020.23.2.44