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만성신부전 혈액투석 환자의 삶의 재구성 경험에 관한 현상학적 연구

The Experience of Life Reconstruction in Hemodialysis Patients with Chronic Renal Failure

  • 김윤정 (고신대학교 전인간호과학 연구소) ;
  • 권수혜 (고신대학교 간호학과)
  • Kim, Yun-Jeong (Dept. of Office, The Society of Digital Policy & Management) ;
  • Kwon, Su-hye (College of Nursing, Kosin University)
  • 투고 : 2017.07.22
  • 심사 : 2017.09.20
  • 발행 : 2017.09.28

초록

본 연구의 목적은 만성신부전환자의 혈액투석 후 삶의 재구성 경험을 이해하고, 그들의 생생한 경험의 의미를 밝히기 위함이며, 연구 방법은 질적연구 방법 중 Colaizzi의 현상학적 연구방법을 이용하였다. 연구대상은 만성신부전증을 진단받고 혈액투석 중인 8명의 환자를 대상으로 개별 심층면담을 통해 자료수집을 진행하였다. 연구결과 도출된 5개의 범주는 '예기치 못한 어려움의 시작', '혈액투석이 가져온 생존의 버거움', '재기의 원동력', '내일을 살기 위한 오늘의 선택과 집중', '정성껏 엮어가야만 하는 일상'으로 나타났다. 본 연구결과를 통해 의료인들은 만성신부전환자가 혈액투석을 하면서 경험하는 신체적, 정신적 고통과 변화된 삶의 방식에 적응하기 위하여 그들이 부단히 노력하는 방법을 심층적으로 이해하는데 도움이 될 것이다. 또한 향후 혈액투석 환자의 건강관리를 위한 효율적인 간호중재를 개발하는 데 기초자료가 될 수 있을 것이라 생각된다.

키워드

만성신부전 환자;혈액투석;삶의 재구성 경험;현상학;질적연구

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