노인 암환자의 자아통합감 회복 경험: 근거이론 접근 = Experiences of Ego Integrity Recovery in Elderly Cancer Patients: Grounded Theory Approach

다국어 초록 (Multilingual Abstract)

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.

참고문헌 (Reference)

1 한나영, "좋은 죽음에 대한 노인들의 인식" 대한가정의학회 23 (23): 769-777, 2002

2 김현정, "일반 노인과 노인 암 환자의 죽음에 대한 태도와 삶의 만족 비교" 대한종양간호학회 13 (13): 240-247, 2013

3 황윤영, "일 지역 여성노인의 우울, 자아존중감 및 자아통합감간의 관계" 한국자료분석학회 11 (11): 1843-1854, 2009

4 김혜령, "일 도시지역 노인의 삶의 질과 관련요인: 자아통합감의 매개효과를 중심으로" 한국노년학회 32 (32): 223-236, 2012

5 임연옥, "의사의 노인 암 환자에 대한 차별: 암 진단 고지와 치료 설명을 중심으로" 대한임상건강증진학회 16 (16): 101-110, 2016

6 이상목, "암환자의 의학적 의사결정과정" 한국의료윤리학회 12 (12): 1-14, 2009

7 양진향, "암환자의 생활세계 경험" 한국간호과학회 38 (38): 140-151, 2008

8 이현주, "수술 후 항암치료를 받은 남성노인위암환자의 치료경험" 한국노년학회 34 (34): 495-521, 2014

9 김진구, "가족형태가 노인의 건강행위에 미치는 영향" 한국노인복지학회 (51) : 35-56, 2011

10 Erikson EH, "Vital involvement in old age" W.W. Norton & Company 1-352, 1994

11 B. THOME, "The meaning of having to live with cancer in old age" Wiley 13 (13): 399-408, 2004

12 Nessa Coyle, "The Hard Work of Living in the Face of Death" Elsevier BV 32 (32): 266-274, 2006

13 J. J. Mao, "Symptom Burden Among Cancer Survivors: Impact of Age and Comorbidity" American Board of Family Medicine (ABFM) 20 (20): 434-443, 2007

14 Ritesh Mistry, "Social isolation predicts re-hospitalization in a group of older American veterans enrolled in the UPBEAT Program" Wiley 16 (16): 950-959, 2001

15 Julianne Holt-Lunstad, "Social Relationships and Mortality Risk: A Meta-analytic Review" Public Library of Science (PLoS) 7 (7): e1000316-, 2010

16 Statistics Korea, "Relative survival rate for 5 years by 24 kinds of cancer, cancer occurrence time and gender" Statistics Korea

17 James Battle, "Relationship between Self-Esteem and Depression" SAGE Publications 42 (42): 745-746, 2016

18 Deborah McCaffrey Boyle, "Realities to guide novel and necessary nursing care in geriatric oncology" Ovid Technologies (Wolters Kluwer Health) 17 (17): 125???136-, 1994

19 Statistics Korea, "Population projections and summary indicators by scenarios (Korea)" Statistics Korea

20 Maria Larsson, "Needing a Hand to Hold" Ovid Technologies (Wolters Kluwer Health) 30 (30): 324-334, 2007

21 da Costa Vargens OM, "Living with breast cancer : Its effect on the life situation and the close relationship of women in Brazil" 30 (30): 471-478, 2007

22 Moosa Sajjadi, "Lived Experiences of “Illness Uncertainty” of Iranian Cancer Patients" Ovid Technologies (Wolters Kluwer Health) 39 (39): E1-E9, 2016

23 Faulkner KA, "Is social integration associated with the risk of falling in older community-dwelling women? The Journals of Gerontology" 58 (58): M954-M959, 2003

24 Fried LP, "Frailty in older adults: Evidence for a phenotype" 56 (56): M146-M157, 2001

25 Guba EG, "Effective evaluation: Improving the usefulness of evaluation results through responsive and naturalistic approaches" Jossey-Bass Publishers 103-127, 1981

26 Kirsti Kvåle, "Do cancer patients always want to talk about difficult emotions? A qualitative study of cancer inpatients communication needs" Elsevier BV 11 (11): 320-327, 2007

27 Statistics Korea, "Cancer incident cases and incidence rates by site (24 items), sex, age group" Statistics Korea

28 Corbin J, "Basics of qualitative research: Techniques and procedures for developing grounded theory" Sage 1-310, 2015

29 Laura Fratiglioni, "An active and socially integrated lifestyle in late life might protect against dementia" Elsevier BV 3 (3): 343-353, 2004

30 Gulbeyaz Can, "A comparison of men and women's experiences of chemotherapy-induced alopecia" Elsevier BV 17 (17): 255-260, 2013