Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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Phenomenological study about treatment experiences of Children with Precocious Puberty

성조숙증 치료경험 환아에 대한 현상학적 연구

  • Kim, Young-Wha (Dept. of Nursing, College of Medicine, Wonkwang University) ;
  • Choi, Hye-Kyung (Dept. of Nursing, College of Medicine, Wonkwang University) ;
  • Gwak, Yun-Bock (Dept. of Nursing, College of Medicine, Wonkwang University)
  • 김영화 (원광대학교 의과대학 간호학과) ;
  • 최혜경 (원광대학교 의과대학 간호학과) ;
  • 곽윤복 (원광대학교 의과대학 간호학과)
  • Received : 2018.05.09
  • Accepted : 2018.07.20
  • Published : 2018.07.28
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Abstract

This study is a qualitative study applying phenomenological methodology to understand the experiences of childrens with precocious puberty and to describe the whole meaning. Participants were randomly selected from six childrens who had been diagnosed with precocious puberty. From October 12, 2016 to November 18, 2016, data were collected through in-depth interviews with individuals and group interviews. The method proposed by Colaizzi (1978) was used to guide the process of data analysis. Four theme clusters were derived from interview data : the treatment chosen by the mother, uncomfortable treatment, illness not understood well, and don't want to get treatment again. we identified the various emotional and psychological difficulties experienced by childrens with precocious puberty. Future research should develop a nursing intervention program to reduce the burden of the children and accept the treatment as a positive emotion.

본 연구는 호르몬 치료를 받았거나 받고 있는 성조숙증 환아를 대상으로 성조숙증에 대한 이해와 경험적 의미를 이해하는 데 목적을 둔 현상학적 방법론을 적용한 질적 연구이다. 본 연구의 참여자는 성조숙증 진단 받고 치료경험이 있는 6명을 임의 표집방법을 통해 선정하였다. 2016년 10월 12일 부터 2016년 11월 18일 까지 참여자와 개인 심층면담 및 그룹인터뷰를 통하여 자료를 수집하였다. 수집된 자료는 Colaizzi(1978)에 의해 제안된 분석방법을 이용하여 분석하였다. 본 연구결과 성조숙증 치료 경험의 구조는 '엄마가 선택한 치료', '불편한 치료과정', '잘 이해하지 못하는 병', '다시는 받고 싶지 않은 치료' 의 4개의 주제 모음으로 확인되었다. 본 연구 결과를 통하여 성조숙증 치료를 경험한 환아들이 느끼는 여러 가지 정서 및 심리적 어려움을 확인하였다. 추후연구에서는 환아들의 부담감을 감소시키고 치료를 긍정적인 감정으로 받아들일 수 있도록 간호중재 프로그램을 개발하는 연구가 진행되어야 할 것이다.

Keywords

References

  1. H. S. Kim. (2008). Update of Precocious Puberty. Endocrinology and metabolism, 23(3), 165-173.
  2. Y. J. Rhie & K. H. Lee. (2015). Overview and treatment of precocious puberty. Journal of Korean Medical Association, 58(12), 1138-1144. https://doi.org/10.5124/jkma.2015.58.12.1138
  3. J. Mendle, E. Turkheimer & R. E. Emery. (2007). Detrimental psychological outcomes associated with early pubertal timing in adolescent girls. Developmental Review, 27(2), 151-71. DOI : http://dx.doi.org/10.1016/j.dr.2006.11.001
  4. Health Insurance Review & Assessment Service. (2018). Retrieved April 13, 2018, from http://www.hira.or.kr/co/search.do
  5. M. J. Park. (2006). Recent Advance in Pathogenesis and Treatment of Precocious Precocity. Development & Reproduction, 10(4), 215-225.
  6. H. S. Kim et. al. (2007). Clinical and Endocrinologic Characteristics of Children Referred for Precocious Puberty. Annals of Pediatric Endocrinology &Metabolism, 12(2), 119-126. URL : http://uci.or.kr/G704-002175.2007.12.2.002
  7. S. K. Cesario & L. A. Hughes. (2007). Precocious puberty: a comprehensive review of literature. Journal of Obstetric, Gynecologic, &Neonatal Nursing, 36(3), 263-274. https://doi.org/10.1111/j.1552-6909.2007.00145.x
  8. T. Johansson & E. M. Ritzen. (2005). Very long-term follow-up of girls with early and late menarche. Endocrinology, 8, 126-136. DOI :http://dx.doi.org/10.1111/j.1552-6909.2007.00145.x
  9. R. Kaltiala-Heino, E. Kosunen & M. Rimpela. (2003). Pubertal timing, sexual behaviour and seil-reported depression in middle adolescence. Journal of Adolescence, 26, 531-45. DOI :https://doi.org/10.1016/S0140-1971(03)00053-8
  10. S. Y. Roh & K. H. Kim. (2012). Sexual maturation, Body image, and Self-esteem among Girls of Lower Grades in Elementary School. Journal of Korean Academy Community Health Nursing. 23(4), 405-414. DOI :http://dx.doi.org/10.12799/jkachn.2012.23.4.405
  11. J. C. Carel, E. A. Eugster, A. Rogol, L. Ghizzoni, M. R. Palmert M. M. Lee & ESPE-LWPES GnRH Analogs Consensus Conference Group. (2009). Consensus statement on the use of gonadotropin-releasing hormone analogs in children. Pediatrics, 123, e752-e762. DOI : http://dx.doi.org/10.1542/peds.2008-1783
  12. A. Caspi & T. E. Moffitt. (1991). Individual differences are accentuated during periods of social change: the sample case of girls at puberty. Journal of Personality and Social Psychology. 61(1), 157. DOI : http://dx.doi.org/10.1037/0022-3514.61.1.157
  13. B. Pinyerd & W. B. Zipf. (2005). Puberty-Timing is everything! Journal of Pediatric Nursing, 20(2), 75-82. DOI : http://dx.doi.org/10.1016/j.pedn.2004.12.011
  14. E. Stice, K. Presnell & S. K. Bearman. (2001). Relation of early menarche to depression, eating disorders, substance abuse, and comorbid psychopathology among adolescent girls. Journal of Developmental Psychology, 37(5), 608-19. DOI :http://dx.doi.org/10.1037//0012-1649.37.5.608
  15. S. H. Lee & S. H. Lee. (2010). Relationships between Menarche and Emotional/Behavioral Traits in Middle School Girls. Journal of emotional & behavioral disorders, 26(1), 163-180.
  16. S. S. Han & K. M. Kim. (2006). Influencing Factors on Self Esteem in Adolescents. Journal of Korean Academy of Nursing, 36(1), 37-44. https://doi.org/10.4040/jkan.2006.36.1.37
  17. A. Giorgi. (2004). Qualitative research methodology : Advanced workshop on the descriptive phenomenological Method.
  18. N. I. Lee. (2014). Phenomenology and qualitative research. Hangilsa.
  19. P. F. Colaizzi. (1978). Psychological research as the phenomenologist views it. In R. Valle & M. King(Eds.), Existential phenomenological alternatives for psychology. NewYork, NY: Oxford University Press. 48-71.
  20. J. H. Lim & J. H. Kim. (2013). Mother's experience of having a girl with precocious puberty. Keimyung journal of nursing science, 17(2), 23-34.
  21. K. M. Chung, S. H. Shin, S. A. Lee, M. J. Park & S. H. Kim. (2012). Psychological Characteristics of Girls with Precocious Puberty. Korean journal of health psychology, 17(2), 461-477. https://doi.org/10.17315/kjhp.2012.17.2.012
  22. W. J. Moon. H. J. Kwon & M. K. Hwang. (2018). The Comparison of Psycho-Social Behavior Characteristics between Girls with Precocious Puberty and Normal Girls. Journal of the Korea Academia-Industrial cooperation Society, 19(2), 357-369. DOI : http://dx.doi.org/10.5762/KAIS.2018.19.2.357
  23. P. Jackson & M. Ott. (1990). Perceived self-esteem among children diagnosed with precocious puberty. Journal of Pediatric Nursing, 5(3), 190-203.
  24. Y. K. Kwon & S. H. Jeong. (2012). Mother's parenting styles and the resilience of children. Studies on Korean Youth, 23(4), 219-243.