대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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노인 암환자의 자아통합감 회복 경험: 근거이론 접근

Experiences of Ego Integrity Recovery in Elderly Cancer Patients: Grounded Theory Approach

  • 최한교 (가톨릭대학교 간호대학) ;
  • 염혜아 (가톨릭대학교 간호대학)
  • Choi, Han-Gyo (College of Nursing, The Catholic University of Korea) ;
  • Yeom, Hye-Ah (College of Nursing, The Catholic University of Korea)
  • 투고 : 2019.01.21
  • 심사 : 2019.05.13
  • 발행 : 2019.06.30
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초록

Purpose: This study was conducted to derive a substantive theory on lived experiences of elderly cancer patients. Methods: The data were collected from February to March 2018 through in-depth personal interviews with 14 elderly cancer patients. The collected data were analyzed based on Corbin and Strauss's grounded theory. Results: The core category was "the journey to find balance in daily lives as a cancer patient by recovering disturbed ego integrity." The core phenomenon was "shattered by suffering from cancer," and the causal conditions were "physical change" and "limitations in daily life." The contextual conditions were "decreased self-esteem," "feelings of guilt toward the family," and the sense of "economic burden." The participants' action and interaction strategies were "maintaining or avoiding social relations," "seeking meaning of the illness," "falling into despair," and "strengthening the willingness to battle the cancer." The intervening conditions were "support from health care providers and family," "dissatisfaction with health care providers," "spiritual help from religion," and "the improvement or worsening of health conditions." The consequences were "having a new insight for life," "living positively along with cancer illness," and "the loss of willingness to live." A summary of the series of processes includes the "crisis stage," "reorganizing stage," and the "ego integration stage." Conclusion: This study explored the holistic process of ego integrity impairment and the recovery experience of elderly cancer patients. This study is expected to be used as a basis for the development of nursing interventions that can support patients when coping with all stages of their cancer illness trajectory.

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  1. 노인의 자아통합현상에 관한 연구 vol.37, pp.4, 2019, https://doi.org/10.12925/jkocs.2020.37.4.794
  2. 암 병원 입원 환자들의 '좋은 간호(Good Nursing)' 경험 vol.13, pp.3, 2019, https://doi.org/10.34250/jkccn.2020.13.3.51
  3. Identifying optimal care coordination strategies for older adults with cancer vol.42, pp.6, 2021, https://doi.org/10.1016/j.gerinurse.2021.08.009