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

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The Lived Experience of Dietary Adaptation in Peritoneal Dialysis Patients: A Phenomenological Study

복막투석환자의 식이적응경험: 현상학적 연구

  • 이현정 (조선대학교 일반대학원 간호학과) ;
  • 김봉희 (서영대학교 간호학과) ;
  • 강희영 (조선대학교 간호학과)
  • Received : 2020.07.15
  • Accepted : 2020.11.06
  • Published : 2020.11.30
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Abstract

This paper describes the experience of the dietary adaptation of patients undergoing peritoneal dialysis due to end-stage renal failure by identifying the meanings and structure of the experience. In the research method, the data from nine patients were collected using individual in-depth interviews and analyzed using Colaizzi's phenomenological method. The experience of the dietary adaptation of participants undergoing peritoneal dialysis was organized into four theme-clusters and 15 themes. These four theme-clusters were characterized as follows: 'the double sufferings of peritoneal dialysis process and dietary adaptation', 'vague and ambiguous diet management', 'the hardship of diet management felt by experiencing diet using one's body', and 'realizing the importance of diet management with peritoneal dialysis, resetting one's goal in life'. This paper describes the dietary adaptation process experienced by peritoneal dialysis patients was a process of adhering to a better life, even though it was the double sufferings of peritoneal dialysis process and dietary adaptation. In conclusion, the findings in this study provide a deep understanding of the lived experience of the dietary adaptation in peritoneal dialysis patients and should help in the development of tailored diet interventions for patients on peritoneal dialysis.

본 연구의 목적은 말기신부전증으로 복막투석을 받는 환자의 식이적응 경험의 의미와 구조를 규명하고 기술하는 것이다. 연구 방법으로 Colaizzi의 현상학적 연구방법을 적용한 질적 연구로서, 자료는 G광역시 일개 대학병원을 다니고 있는 복막투석 6개월 이상 된 9명의 환자를 대상으로 심층면담을 통해 수집되었다. 자료 분석을 위해 모든 면담은 녹취되고 필사되었고, Colaizzi의 현상학적 방법을 이용하여 분석하였다. 본 연구결과, 복막투석환자의 식이적응 경험은 네개의 주제모음과 15개의 주제로 구조화되었다. 네 개의 주제모음은 '복막투석과 식이적응의 이중적 고통', '막막하고 답답한 식이조절', '체험하면서 느끼게 된 식이조절의 고됨', '투석과 식이조절 병행의 중요성을 깨닫고 삶의 목표 재설정'이었다. 결론적으로 본 연구를 통해 복막투석환자들이 겪는 현실적인 식이적응과정은 복막투석과 식이요법적응의 이중적 고통으로 삶이 고되었지만, 순응하고 더 나은 삶을 위해 나아가는 과정이었다. 이를 바탕으로 복막투석환자 식이적응의 어려움에 대해 깊이 있게 이해하고, 식이관련 맞춤형 중재연구 개발에 필요한 기초자료로 활용하고자 한다.

Keywords

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