대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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말기암 환자의 호스피스 수용 경험: 현상학적 연구

Experience in Acceptance of Hospice by Patients with Terminal Cancer : A Phenomenological Research

  • 투고 : 2013.06.24
  • 심사 : 2013.10.18
  • 발행 : 2013.12.31
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초록

Purpose: The purpose of this study was to further understanding of the experience in acceptance of hospice by patients with terminal cancer and to explore the structure of this experience. Methods: A phenomenological methodology was used for the study. Participants were nine patients who were admitted to the hospice unit of a university hospital. In-depth interviews were done for data collection and the data were analyzed using Colaizzi's method. Results: Four categories, eight theme clusters and 18 themes were identified for the experience in acceptance of hospice by patients with terminal cancer. The three categories were 'Hope for a comfortable death', 'Overcoming barrier of prejudice about hospice', 'Incessant craving for life', 'The last consideration for self and family' Conclusion: While accepting the hospice care, participants experienced inner conflict between giving up medical treatments that prolong life and choosing a comfortable death, and also experienced an incessant craving for life. By accepting hospice care, they showed a human dignity that entails careful concerns for both self and family members.

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참고문헌

  1. Ahn, E. J., & Lee, Y. S. (2005). Burnout and burden of family care-givers for caring of terminal patients with cancer. Asian Oncology Nursing, 5(1), 40-51.
  2. Chang, S. Y. (2008). Effects of aroma hand massage on pain, state anxiety and depression in hospice patients with terminal cancer. Journal of Korean Academy of Nursing, 38(4), 493-502. http://dx.doi.org/10.4040/jkan.2008.38.4.493
  3. Choi, Y. (2012). Concepts associated with death, fear and fear overcoming methods held by patients with cancer in terminal stage and their families in hospices. Unpublished master's thesis, Chungnam National Univeristy, Daejeon.
  4. Colaizzi, P. F. (1978). Psychological research as the phenomenologist views it. In R. S. Valle & M. King (Eds.), Existential phenomenological alternatives for psychology (pp. 48-71). New York, NY: Oxford University Press.
  5. Han, Y. M. (2000). Spiritual needs of hospice patients. Korean Journal of Hospice and Palliative Care, 3(1), 39-48.
  6. Hong, M. S., & Cho, M. J. (2010). The effects of music therapy on pain, depression and anxiety in terminal cancer patients. Journal of Korean Oncology Nursing, 10(1), 112-118.
  7. Hong, Y. S. (2004, December). Treatment status and problems of terminally ill patients. Paper presented at the meeting of the Korean Society for Hospice and Palliative Care, Daejeon.
  8. Hughes, A., Gudmundsdottir, M., & Davies, B. (2007). Everyday struggling to survive: Experience of the urban poor living with advanced cancer. Oncology Nursing Forum, 34(6), 1113-1118. http://dx.doi.org/10.1188/07.onf.1113-1118
  9. Kim, J. I. (2010). Experience of hope in terminal cancer patients: Applying Parse's theory of becoming a human being. Unpublished doctoral dissertation, Chonnam National University, Gwangju.
  10. Kim, M. (2010). Philosophical studies on cognition and attitude of Koreans towards death. Studies in Confucianism, 22, 73-108. https://doi.org/10.18216/yuhak.2010.22..004
  11. Kim, M., & Jung, I. S. (2007). Suffering and hospice care. Korean Journal of Hospice and Palliative Care, 10(1), 21-28.
  12. Kim, M. S., Lee, C. S., & Kim, H. C. (2007). The effects of hospice volunteer education program on perceptions about hospice and the meaning of life. Asian Oncology Nursing, 7(2), 131-139.
  13. Kim, Y. H. (2001). A study of nurses burden and attitude on terminal cancer patients. Asian Oncology Nursing, 1(1), 65-74.
  14. Kong, B. H. (2007). Art of caring in nursing. Philosophy of Medicine, 3, 97-116.
  15. Koo, H. Y., Choi, S. H., & Park, H. R. (2009). Cognition and needs for hospice care among parents of children with cancer. Journal of Korean Academy of Child Health Nursing, 15(3), 325-333. http://dx.doi.org/10.4094/jkachn.2009.15.3.325
  16. Kubler-Ross, E. (1968). On death and dying. New York, NY: McMillan.
  17. Kyung, M. H., Jang, Y. M., Han, K. H., & Yun, Y. H. (2010). Current status and activation plan of hospice palliative care in Korea: Based on hospice palliative care facilities survey. Korean Journal of Hospice and Palliative Care, 13(3), 143-152.
  18. Lee, O. J. (1995). Lived experience of patients with terminal cancer: Parses human becoming methodology. The Journal of Nurses Academic Society, 25(3), 510-537. https://doi.org/10.4040/jnas.1995.25.3.510
  19. Lee, W. H. (2000). Total pain of patient with terminal cancer. Korean Journal of Hospice and Palliative Care, 3(1), 60-73.
  20. Paice, J. A. (2002). Managing psychological conditions in palliative care. The American Journal of Nursing, 102(11), 36-42; quiz 43.
  21. Satterly, L. (2001). Guilt, shame, and religious and spiritual pain. Holistic Nursing Practice, 15(2), 30-39. https://doi.org/10.1097/00004650-200101000-00006
  22. Shin, D. W., Choi, J. Y., Nam, B. H., Seo, W. S., Kim, H. Y., Hwang, E. J., et al. (2010). The current status of utilization of palliative care units in Korea: 6 month results of 2009 Korean terminal cancer patient information system. Korean Journal of Hospice and Palliative Care, 13(3), 181-189.
  23. Statistics Korea. (2013). 2013 annual report on the cause of death statistis. Daejeon: Author.
  24. Suh, I. S., Shin, M. H., & Hong, S. H. (2010). Needs of hospice care and quality of life for cancer patients. Korean Journal of Hospice and Palliative Care, 13(2), 89-97.
  25. Yoon, M. O. (2003). The study on the effects of hospice care on the pain management of the terminal cancer patients. Korean Journal of Hospice and Palliative Care, 6(1), 34-44.
  26. Yoon, M. O., & Park, J. S. (2002). The effect of spiritual nursing intervention on anxiety and depression of the hospice patients. Journal of Korean Academy of Adult Nursing, 14(3), 337-347.
  27. Yun, Y. H., Rhee, Y. S., Nam, S. Y., Chae, Y. M., Heo, D. S., Lee, S. W., et al. (2004). Public attitudes toward dying with dignity and hospice. Palliative care. Korean Journal of Hospice and Palliative Care, 7(1), 17-28.
  28. Zack, M. V. (1991). The experience of loneliness in adult, hospitalized, dying persons. Unpublished doctoral dissertation, Case Western Reserve University, Cleveland, OH.

피인용 문헌

  1. 한국판 사전의료의향서(K-AD)의 가용성 평가 vol.20, pp.4, 2013, https://doi.org/10.5977/jkasne.2014.20.4.639
  2. 말기암환자에서 가정호스피스완화 돌봄 경험 vol.17, pp.4, 2013, https://doi.org/10.14475/kjhpc.2014.17.4.223
  3. 노인요양병원 간호사의 영성과 임종간호태도 vol.13, pp.12, 2013, https://doi.org/10.14400/jdc.2015.13.12.347
  4. 위암 환자의 심리적 수용, 사회적 지지가 외상 후 성장에 미치는 영향 vol.25, pp.3, 2013, https://doi.org/10.22650/jkcnr.2019.25.3.265
  5. 저신장 및 성장과 관련된 질적연구에 대한 체계적 문헌 고찰 vol.33, pp.4, 2013, https://doi.org/10.7778/jpkm.2019.33.4.74
  6. Human relationships in patients’ end-of-life: a qualitative study in a hospice ward vol.15, pp.6, 2013, https://doi.org/10.1007/s11739-019-02254-6
  7. 요양병원 간호사의 임종간호 대처 경험 vol.21, pp.1, 2013, https://doi.org/10.5392/jkca.2021.21.01.710
  8. Concept Analysis of Illness Acceptance in Chronic Disease: Application of Hybrid Model Method vol.28, pp.1, 2013, https://doi.org/10.7739/jkafn.2021.28.1.67