Integrated medical treatment experience of cancer patients -grounded theory around-

암환자의 통합의학 치료경험 - 근거이론을 중심으로 -

  • 문준석 (나주 효사랑 요양병원) ;
  • 신헌태 (동신대학교 한의학과 예방의학교실)
  • Received : 2017.03.25
  • Accepted : 2017.04.25
  • Published : 2017.04.30

Abstract

Purpose : Recently, cancer has become a chronic disease that requires supervision because of early diagnosis and the development of therapeutic technology. As a result, cancer patients are interested in improving the quality of their lives besides the treatment of cancer itself. Therefore, it is necessary to conduct a qualitative research to understand the vivid experiences of cancer patients and structure their treatment experience. Among qualitative researches, grounded theory is developed based on the data collected in the field. The grounded theory research method is easy to analyze for the process and structure of the treatment experience. Therefore, the purpose of this study is to provide basic data on the integrated medical experience of cancer patients Methods : Participants were conveniently selected, and the criteria for selection were for those who had more than 1 month of hospitalization so that they could dictate their situation and experience in a meaningful manner. Data was collected through in-depth interviews and continued until the data were saturated through theoretical sensitivity and continuous comparison methods. The collected data were analyzed through the process of open-coding, axial coding, and selection coding, which are the research methods of grounded theory. Results : Cancer patients differ in their path, purpose, and attitudes depending on their respective situations and the internal and external resources of individuals. There is also a difference in the perception of their situation among the cancer patients and their families. Cancer patients were shown to recognize and cope with problems in the integrated medical treatment process, and have been classified into 6 different types after the results. Cancer patients showed positive changes in terms of physical, emotional, and lifestyle after their integrated medical treatment. Cancer patients perceived the integrated medical treatment process as a horizontal relationship structure and with diversity. Conclusions : The experience of integrated medical treatment of cancer patients is a process of rehabilitation that heals the body and restores life within the interaction of support system, contextual situation, and internal resources of the individual. Despite this, there is a need not only for the efforts of integrated medical service providers but also institutional support in the future with regards to the current weaknesses and points for improvement. In addition, there is a need for an objective criterion to measure the outcome of integrated medicine for the standardization of integrated medical services.

Keywords

References

  1. 통계청. 2017
  2. 국가 통계포털. 2015
  3. 국가 암 정보센터. 2017
  4. Padilla, G .V & Grant M.M. Quality of life as a cancer nursing outcome variable. Advances in nursing science. 1985; 8(1): 45-60. https://doi.org/10.1097/00012272-198510000-00007
  5. Cella DF, Tulsky DS, Gray G, Sarafian B, Bonomi EL et al. The functional assessment of cancer therapy scales. Development and validation of the general measure Journal of clinical oncology. 1993; 11(3): 570-579.
  6. 권미형. 암 질병에 따른 암환자의 불편감과 고통에 관한 연구. 한양대학교 대학원 석사학위 논문. 2003.
  7. Spigel, D. & Koopman, C. Pain and Depression in patients with cancer. cancer. 1985; 74(9): 2570-2578. https://doi.org/10.1002/1097-0142(19941101)74:9<2570::AID-CNCR2820740927>3.0.CO;2-3
  8. 박옥선. 암환자의 영적건강과 불안의 관계 연구. 연세대학교 대학원 석사학위 논문. 2006.
  9. Holmes Pursuit of happiness Nurs Mirr. 1985; 161(3):43-45.
  10. 백형원. 암환자의 포괄적 건강관리 요구도와 삶의 질. 이화여자대학교 대학원 석사학위 논문. 2013.
  11. 권인수, 은영. 간호사가 지각한 암환자의 퇴원 후 가정간호 요구. 대한간호학회지. 1998; 28(3): 602-615.
  12. 이은현, 문성미, 조수연, 오영택, 전미선, 김성환, 김재성, 김혜경. 추후관리 받는 암환자의 요구 측정도구 개발 및 평가. 대한 간호학회지. 2010;40(4):551-560.
  13. 왕순. 암환자의 보완대체요법 사용실태에 대한 조사 연구. 경희대학교 대학원 석사학위 논문. 2007.
  14. Gaduet TW. Integrative medicine: the evolution of a new approach to medicine and to medical education. integrative medicine. 1998;1(2):67-73. https://doi.org/10.1016/S1096-2190(98)00028-6
  15. 김운용. 유방암 환자의 통합의료서비스 이용 예측 요인. 한양대학교 대학원 석사학위 논문. 2012.
  16. 구광서. 재발전이암 환자의 통합의학 치료 경험. 한국방송통신대학교 대학원 석사학위 논문. 2016.
  17. 진용재. 항암치료와 통합 암치료 병용으로 호전된 전이성 난소 및 자궁 내막암 환자 1례. 대한암한의학회지. 2014; 19(1): 33-41. https://doi.org/10.15432/JKTO.2014.19.1.33
  18. Strauss, A., & Corbin, J. Basics of qualitative research: technique and procedures for developing grounded theory. New York : SAGE Pub Inc. 1998.
  19. Guba, E. G., & Lincoln, Y. S. Effective evaluation. San Francisco Jossey-Bass. 1981.
  20. 이명선 위암환자 가족들의 경험세계에 관한 연구 간호학회지. 1996;27(2):276-287.
  21. 박진미, 최명자, 유영수, 박정미, 박덕선, 구선애. 항암화학요법으로 인한 오심 구토 불안 불편감 감소를 위한 점진적 근육이완요법의 효과. 대한간호협회 대구직할시지부. 1994;1(14)
  22. 최경숙, 전명희. 가족력을 지닌 대장암 환자와 가족의 암 염려 경험 종양간호학회지. 2013; 13(4): 313-321.
  23. 한금선, 김순용, 이순자, 박은숙, 박영주, 김정화, 이광미, 강현철, 윤지원. 암환자 가족 간호자가 인지하는 가족기능수행과 삶의 질. 대한간호학회지. 2006; 36(6): 983-991.
  24. 김혜진. 암환자 가족의 미충족 요구와 삶의 질. 서울대학교 대학원 석사학위 논문. 2014.
  25. Folkman, S., & Lazarus, R, S. Coping as a mediator of emotion. Journal of Personality and Social Psychology. 1985; 54: 466-475.
  26. 서영희, 강현숙. 호흡강화운동프로그램이 폐절세술 환자의 수술 후 폐기능 회복, 불안 및 수면에 미치는 효과. 임상간호연구. 2007; 13(3): 157-167.
  27. Barrie R. Cassileth, Gary Deng. Complementary and alternative therapies for cancer. Oncologist. 2004; 9(1): 80-89. https://doi.org/10.1634/theoncologist.9-1-80
  28. Curtis H. Jones. The spectrum of therapeutic influences and integrative health care: classifying health care practices by mode of therapeutic action. J Altern Complement Med. 2005; 11(5): 937-944. https://doi.org/10.1089/acm.2005.11.937