디지털융복합연구 (Journal of Digital Convergence)

  • 제12권6호
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  • Pages.375-384
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  • 2014
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  • 2713-6434(pISSN)
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  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
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뇌졸중 환자의 자가 선택에 의한 한·양방 병행 치료 경험

Experiences of Stroke Patients With Combined Treatment of Self-selected Oriental and Western Medicine

  • 투고 : 2014.03.10
  • 심사 : 2014.06.20
  • 발행 : 2014.06.28
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초록

본 연구는 뇌졸중 환자가 한방과 양방을 병행하여 치료를 받으면서 겪는 회복 경험이 어떤 의미인지에 관한 본질을 추구하고 현상을 심층적으로 이해하고자 질적 연구방법으로 진행하였다. 연구 참여자는 주로 D시에 거주하는 뇌졸중 환자로 한방과 양방을 병행 치료하되 본인의 의지에 의한 자가 선택 하에 한방치료를 받은 25명을 대상으로 하였다. 자료 수집은 심층 면담을 하여 녹취하였다. 자료 분석은 Colaizzi의 현상학적 방법에 의해 분석하였으며, 연구 결과 뇌졸중 환자의 한 양방치료 경험은 21개의 주제모음과 6개의 범주로 도출되었다. 6개의 범주는 '갑작스런 발병으로 충격이 큼', '재활과 함께 우울감이 밀려옴', '응급상황에서는 양방치료가 효과적임', '양방치료에서 한계를 느낌', '한방치료를 스스로 선택함', '한방치료에서 재활의 의미를 찾음'이다. 이러한 연구결과를 바탕으로 뇌졸중 환자의 발병을 예방하고, 회복과 재활을 도울 수 있는 체계적인 한방 재활프로그램 개발에 필요한 자료로 활용되고자 하였다.

This research was done to determine and analyze a qualitative on the essential structure of the experiences of stroke patients with combined treatment of oriental and western medicine. Methods: Participants in this study were targeting 25 stroke patients who live mostly in D city and received the combined treatment of oriental and western medicine, but received oriental medicine treatments based on their own wills. Data were collected and recorded through in-depth interviews. Data analysis was conducted by Colaizzi's phenomenological method. Results: As a result, their acculturation were classified into 21 clusters of theme and 6 categories. Selected 6 categories as follows. 'being severely shocked from sudden attack', 'being depressed with rehabilitation', 'western therapy was more effective in emergency situations', 'having limitations in western therapy', 'selecting oriental therapy for themselves', 'discovering the meaning of rehabilitation in oriental therapy'. Conclusion: Based on these necessary data for systematic oriental rehabilitation development.

키워드

참고문헌

  1. D. H. Kim., & K. H. Lee, Utilizing pattern and attitude on collaborating care of korean traditional medicine and westernm medicine among cerebral apoplexy patients. Korean Journal of Hospital Management, Vol. 9(2), pp. 76-101, 2004.
  2. Statistical report of causes of death in korea in 2011. [cited on September 13, 2012], Available from: http://kostat.go.kr/wnsearch/search.jsp. (accessed May., 10, 2013)
  3. J. B. Yang, A study on the major factors affecting health-related quality of Life of elderly stroke survivors. Journal of the Korean Gerontological Society, Vol. 30(4), pp. 1239-1261, 2010.
  4. Y. A. Lee, Patients' lived experience in rehabilitating from stroke. Korean Journal of Rehabilitation Nursing, Vol. 4(1), pp. 20-30, 2001.
  5. K. S. Choi, S. A. Chi., & M. Y. Ham, An ethnographic study of the experience of stroke recovery, Chung-Ang Journal of Nursing, Vol. 7(1), pp. 1-7, 2003.
  6. C. Y. Yang, et al., A survey on the use of oriental medicine and complementary & alternative medicine in the stroke patients of korea. Journal of Wonkwang Medical Science, Vol. 19(2), pp. 311-322, 2004.
  7. L. S. Kim, The experience of the stroke patients about the use of oriental medicine. Journal of Korean Public Health Nursing, Vol. 11(1), pp. 82-92, 1997.
  8. H. S. Kim., & Y. S. Kim, A study on the quality of life, self-efficacy and family support of stroke patients in oriental medicine hospitals. Korean Journal of Health Education and Promotion, Vol. 20(1), pp. 111-130, 2003.
  9. I. J. Song, Change the quality of life according to elapsing time in stroke patient. Unpublished Doctoral Dissertation, Chonnam National University, Gwangju, 2012.
  10. P. E. Colaizzi, Psychological research as the phenomenologist views it. Existential Phenomenological Alternatives for Psychology. Oxford University Press, New York, pp. 48-71, 1978.
  11. E. G. Guba., & Y. S. Lincoln, Effective Evaluation. Jossey-Bass, San Francisco, 1989.
  12. F. Hjelmblink., & I. Holmstrom, To cope with uncertainty : stroke patient's use of temporal models in narratives. Journal of Caring Science, Vol. 20(4), pp. 367-374, 2006. https://doi.org/10.1111/j.1471-6712.2006.00415.x
  13. H. C. Kim, et al., Quality of Life after stroke. Journal of the Korean Neuropsychiatric Association, Vol. 41(4), pp. 681-692, 2002.

피인용 문헌

  1. A Study about the Quality of Life and QALYs of Stroke Patients according to the Medical Care Utilization Behavior: Findings from the 2009–2012 Korea Health Panel Data vol.37, pp.1, 2016, https://doi.org/10.13048/jkm.16005