Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Phenomenological Research on Recovery Lived Experience of Stroke Inpatients

뇌졸중 입원 환자들의 회복체험에 관한 현상학적 연구

  • Song, A-Young (Department of Occupational Therapy, The Graduate School, Konyang University) ;
  • Kim, Su-Kyoung (Department of Occupational Therapy, Konyang University)
  • 송아영 (건양대학교 대학원 작업치료학과) ;
  • 김수경 (건양대학교 작업치료학과)
  • Received : 2017.05.10
  • Accepted : 2017.07.07
  • Published : 2017.07.31
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Abstract

The components that influence recovery were investigated to understand the recovery lived experience of stroke inpatients. Using the phenomenological research methodology reported by Giorgi, 3 conversation sessions were performed on 12 stroke inpatients. The conversations were recorded through agreement, in which the data were analyzed according to the scientific phenomenological methods. Sixteen summarized meaning units were integrated to deduct 10 main meanings and 6 themes. The themes of the restoration experience included the burden of help, performance of independent roles, self-overcoming, return to society, psychological support, and enhanced motivation for recovery. This can be used as data to predict the difficulty that stroke patients experience during hospitalization and propose a direction of intervention for restoration. Rehabilitation experts must provide intervention for the restoration of stroke patients based on the formation of a therapeutic relationship to strengthen the psychological support and motivation, and make strategies for self-overcoming and a proper cooperation relationship with their family.

본 연구는 뇌졸중 입원 환자들의 회복체험에 대한 경험을 이해하고 회복에 영향을 미치는 구성요소들을 알아보고자 하였다. Giorgi의 현상학적 연구방법론을 활용하여 재활병원에 입원해 있는 뇌졸중 환자 12명에게 3회의 대화를 진행하였다. 본 연구의 질문은 회복체험이란 무엇인가? 회복하는 과정에서 가장 중요하게 생각되는 것은 무엇인가? 회복에 있어서 재활이 주는 영향은 무엇인가? 이다. 사전 동의를 통해 대화내용을 녹음하였고, 과학적 현상학의 4단계에 따라 자료를 분석하였다. 뇌졸중 입원 환자들의 회복체험에 관한 16개의 요약된 의미단위를 통합하여, 10개의 하위구성요소와 6개의 구성요소를 도출하였다. 회복체험의 구성요소는 도움에 대한 부담감, 독립적 역할수행, 자기극복, 사회복귀, 심리적 지지, 회복에 대한 동기강화로 나타났다. 뇌졸중 환자가 입원 중 경험하는 어려움을 예측하고, 회복을 위한 중재의 방향성을 제시하기 위한 자료로 활용될 수 있을 것이다. 재활전문가들은 자기극복 및 가족과의 올바른 협력관계를 위한 전략을 세우고, 심리적 지지 및 동기 강화를 위한 치료적 관계형성을 토대로 뇌졸중 환자의 회복을 위한 중재를 제공해야 할 것이다.

Keywords

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