• 제목/요약/키워드: 암환아 경험

검색결과 3건 처리시간 0.015초

암환아 형제자매의 경험 (The Experience of Siblings of children with Cancer)

  • 전나영
    • Child Health Nursing Research
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    • 제4권2호
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    • pp.294-304
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    • 1998
  • Illness is a situational crisis which affects entire family members. Children have different experiences and responses when their sibling has a cancer. there are many studies on sibling experiences to childhood cancer which have many problems in the USA. The main purpose of this study is to describe sibling experiences to childhood cancer accurately and coprehensively by collecting data from sibling to provide the data to develop nursing interventions for the families with childhood cancer. The data was collected from October 1 to November 6, 1995. A total of ten siblings with childhood cancer were interviewed. The meaningful contents were classified and categorized to four areas. Theses areas include knowledge and perception related to illness, changes in family life, changes in school life, and siblings' marturation. The results of this study were as follows 1. Knowledge and perception related to childhood cancer : Children had limited knowledge about illness and expressed the desire to tow more about sibling's illness. 2. Changes in family and school life : Children expressed loneness, emptiness, sadness, depression about seperation with the mother and sibling, family mood change, leisure activities and financial difficulites. Many children reported that their school performance had suffered since sibling's illness. 3. Maturation of children : Some positive outcoms related to having a sibling with a cancer are maturation, increased affection for the sibling, empathy for their parents. The results of this study indicate that it is important to develop comprehensive nursing intervention programs for the families with a childhood cancer.

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암 환아 부모의 경험에 대한 질적 연구 (The Experience of Parents Whose Child is Dying with Cancer)

  • 조영숙;김수지
    • 대한간호학회지
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    • 제22권4호
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    • pp.491-505
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    • 1992
  • The purpose of this research was to understand the structure of the lived experience of parents of a child terminally ill with cancer The research question was “What is the structure of the experience of parents of a child terminally ill with cancer\ulcorner” The sample consisted of 17 parents of children admitted to the cancer units of two university hospitals in Seoul. The unstructured interviews were carried out from October 10, 1991 through January 10, 1992. They were audio-recorded and analysed using Van Kaam's method. Parents ascribed the cause of the cancer to the mother's emotional imbalance during pregnancy, the mother's stress, failure to observe religious rites, food, the parent's sin, misfortune and pollution. The theme clusters were tension, fear and depression experienced during pregnancy, stress that children suffer from abusive parents, failure to observe religious activites, bad luck, and sins committed during a previous life. When the child suffered a recurrence of cancer, the parents experienced negative emotions, nervousness, sorrow. depression and death. The theme clusters were feelings of despair, helplessness, regret, guilt, insecurity, emptyness and apathy. The long struggle with cancer resulted in the loss of economic security, loss of psychological and physical well being, and social withdrawal. The theme clusters were the economic burden of medical cost, giving up treatment, debt, limited medical insurance coverage and blood transfusion. The loss of psychological well being included stress, lack of support systems, inability to carry out responsibilities, lack of trust of the medical ten family breakdown, inappropriate expression of emotion and not disclosing the diagnosis to the child. Physically the parents suffered fatigue, insomnia, loss of appetite, loss of weight, dizzness, headache, psychosomatic symptoms, and increased consumption of liquor and cigarettes. Social withdrawal was manifested by taking time off from work to look after the child, decrease of outside social activities and feelings of isolation. Influences on family life were spousal conflicts, negative response of siblings, separation of the family members and economic hardship. The theme clusters were blaming a spouse for the cause of the illness and disagreements, maladjustment, lonliness, hostility and depression of siblings. The high price of medical care over the long period was a major factor influencing the life of the family. Positive experiences during the child's long illness were the strengthening of support systems and religious beliefs and financial help from social organizations. The support of one's spouse primarily helped to overcome the stress of the long illness. In addition, support was received from parents of other children with cancer and from nurses and religious leaders. The nurse, by providing empathetic support, should be a person with whom parents can express their feelings and share their experiences.

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최근 경험한 후두부분절제술 8예 (8 Cases of Partial Laryngectomy)

  • 유홍균;김명진;이상학;신홍수
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1983년도 제17차 학술대회연제순서 및 초록
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    • pp.14.4-15
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    • 1983
  • 이비인후과영역의 악성종양중 가장 많은 빈도를 보이는 후두암의 외과적료법으로는 1873년 Billroth가 처음으로 후두전적출위을, 1873년 H. B. Sands가 후두부분절제술을 시행한 이래 항생제료법, 수혈 및 보다 안전해진 마취 등의 전반적인 진보로 수술후 보다 좋은 예후를 가져왔다. 후두의 임파계는 구획되어 있는 해부학적 특성이 있기 때문에 후두부분절제술의 시행을 가능케 하였으며 이러한 후두부분절제술은 후두전적출술에 비하여 적응증이 다르긴 하나 환부를 제거함과 동시에 발성작용, 호흡작용 및 방어작용등의 기능적인 면을 보존시킬 수 있는 장점이 있다. 최근 수술적요법은 화학요법, 방사선료법 등과 병합으로 재발의 빈도를 줄이고 5연생존율을 증가시켰다. 저자들은 1980연부터 1982연까지 고대부속병원 이비인후과에 내원한 후두암환자중 후두부분절제술의 적응이 되는 8예를 경험하였다. 이들의 발병부위는 후두개 2예, 양측성대 전 1/3부위 2예, 우측성대 전 1/3부위 및 전연합부 1예, 우측후두실 1예, 좌측성대 중 1/3부위 2예로서 이들에 시행한 후두부분절제술에 대하여 문헌적 고찰과함께 보고하는 바이다.

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