DOI QR코드

DOI QR Code

The Lived Experience of Struggling against Illness for Patients with Amyotrophic Lateral Sclerosis

근위축성 측삭경화증 환자의 투병경험

  • Kang, Sung-Ye (Department of Nursing, Kkottongnae Hyundo University of Social Welfare)
  • 강성례 (꽃동네현도사회복지대학교 간호학과)
  • Published : 2008.12.31

Abstract

Purpose: The purpose of this study was to identify and describe phenomenological structures of the lived experience of struggling against an illness for patients with Amyotrophic Lateral Sclerosis (ALS). Methods: The participants were 7 patients with ALS recruited by snowball sampling who agreed to participate in this research and could verbally communicated with the researcher. Data were collected by long term-repeated interviews with participants in their own homes. Data were analyzed using Colaizzi's method of phenomenology. Results: Four categories were extracted as follows: 'Being seized with fear of death', 'Living a marginal life', 'Accepting hard fate', and 'Clinging to faint life'. Seven theme clusters were identified as: 'Wandering to find a healing method with ominous signs in the body', 'Having a diagnosis of ALS is like a bolt from the blue and struggling against illness with faint hope', 'Being forced out to the edge of life with anguish', 'Filling one's heart with hatred and longing toward becoming estranged from the world', 'Living with stigma as a stumbling block with bitter grief in one's heart', 'Accepting every things as one's fate with self controlled fear of death', and 'Attaching to desire to live'. Conclusion: The results of this study can be used to develop the programs to support patients with ALS and their family.

Keywords

References

  1. Antonietta, V., & Angela, G. (2007). The experience of hope in ALS patients. L'AXONE, 28, 27-34
  2. Beresford, S. (1995). Motor neuron disease (amyotrophic lateral sclerosis). London: Chapman & Hall
  3. Choi, K. J., & Back, H. C. (2006). Burden and quality of life in caregivers of patients with rare and incurable disease. Journal of Korean Academy of Community Health Nursing, 17, 364-375
  4. Colaizzi, P. F. (1978). Psychological research as the phenomenological views. In R. Valle, & M. King (Eds.), Existential phenomenological alternative for psychology (pp. 48-71). New York, NY: Oxford University Press
  5. David, M., Janice, L., & Linda, G. (2001). Do not give up: Employment experience of individual with amyotrophic lateral sclerosis who use augmentive and alternative communication. Augmentive and Alternative Communication, 17, 179-195
  6. Evance, J., & Shaw, P. J. (2001). Motor neuron disease: Clinical features and pathogenesis. The Pharmaceutical Journal, 267, 681-683
  7. Ince, P. G., Lowe, J., & Shaw, P. J. (1998). Amyotrophic lateral sclerosis: Current issues in classification, pathogenesis, and molecular pathology. Neuropathology and Applied Neurobiology, 24, 104-117 https://doi.org/10.1046/j.1365-2990.1998.00108.x
  8. Ingrid, B., & Goran, H. (2003). Conflict of interest: Experiences of close relatives of patients suffering from amyotrophic lateral sclerosis. Nursing Ethics, 10, 186-198 https://doi.org/10.1191/0969733003ne593oa
  9. Johnston, W. (2005). Amyotrophic lateral sclerosis. Parkhurst Exchange, 14, 128-132
  10. Kim, M. J. (2007). A study of the caregiving burden on grandmothers who raise their grandchildren: A phenomenological research. Journal of Korean Academy of Nursing, 37, 914-923 https://doi.org/10.4040/jkan.2007.37.6.914
  11. Kwon, K. R. (2003). Clinical studies of amyotrophic lateral sclerosis (ALS) through Korean medicine. The Journal of Korean Acupuncture & Moxibustion Society, 20, 209-216
  12. Lee, K. H. (2001). Correlation among the stroke patient family's health status, burden and quality of life. Journal of Korean Academy of Nursing, 31, 669-680 https://doi.org/10.4040/jkan.2001.31.4.669
  13. Lee, K. Y., & Sohng, K. Y. (1996). A study on the degree of burden and depression in family caregivers of patients with stroke. Journal of Korean Academy of Nursing, 26, 853-867
  14. Martine, J. H., Elmar, G., Sebastian, T., Thomas, H., Martin, W., Max-Josef, H., et al. (2003). Burden of care in amyotrophic lateral sclerosis. Palliative Medicine, 17, 327-333 https://doi.org/10.1191/0269216303pm754oa
  15. Maxwell, J. A. (1996). Qualitative Research design. Thousand Oaks: Sage
  16. Ministry of Welfare and Family Affairs. (2005). A guide to supporting medical expenses for the rare and incurable disease patients. Seoul: Author
  17. Oh, S. E. (2001). The lived experience of mothers of children with muscular dystrophy. The Korean Journal of Child Health Nursing, 7, 421-433
  18. Park, S. Y. (2005, November 9). Writing by eyes. The JoongAng Daily, p. E4
  19. Sandelowski, M. (1986). The problem of rigor in qualitative research. Advances in Nursing Science, 8(3), 27-37 https://doi.org/10.1097/00012272-198604000-00005
  20. Young, J. M., & McNicoll, P. (1998). Against all odds: Positive life experience of people with advanced amyotrophic lateral sclerosis. Health &Social Work, 23, 35-43 https://doi.org/10.1093/hsw/23.1.35

Cited by

  1. 뮤코다당증 환아 어머니의 애환 vol.17, pp.1, 2011, https://doi.org/10.4094/jkachn.2011.17.1.58
  2. The Stigma Scale for Chronic Illnesses 8-Item Version (SSCI-8): Development, Validation and Use Across Neurological Conditions vol.20, pp.3, 2008, https://doi.org/10.1007/s12529-012-9243-4
  3. 근위축성 측삭증후군 환자에게 적용한 가정 호흡관리 프로그램의 효과 vol.29, pp.4, 2017, https://doi.org/10.7475/kjan.2017.29.4.406
  4. 가정형 인공호흡기 사용 중인 재가 근위축성 측삭증후군 환자의 가정간호기반 호흡관리 프로그램이 미충족의료와 의료자원이용에 미치는 효과 vol.17, pp.4, 2008, https://doi.org/10.22678/jic.2019.17.4.077