Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
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Experience of Alopecia in Adults: A Grounded Theory Approach

성인의 탈모경험: 근거 이론적 접근

  • Received : 2018.04.30
  • Accepted : 2018.08.13
  • Published : 2018.08.31
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Abstract

Purpose: The purpose of this study was to investigate the alopecia experience in adults and to explain the process of their experiences. Methods: Using a grounded theory methodology, 18 interviews were performed with fourteen men and four women, 34~57 years of age, suffering from alopecia. Data were analyzed using the constant comparative analysis method. Results: The core category emerged as "inescapable fetters". adults with alopecia engaged in three stages: embarrassment, seeking solution, and acceptance phase. Causal conditions were a vicious cycle of stress, biological factors and poor life style. Contextual conditions were recognition of irreversibleness, negative social awareness, and marriage. The central phenomenon of the adaptation process among the adults with alopecia was withdrawn life due to negative body image. Action/Interaction strategies included rely on medical treatment, efforts to take good care of hair, research for information treatment, efforts to cover up hair loss, and mind control. Intervening conditions were time cost, economic cost, support of surrounding people. Consequences was burden of unfinished lifetime homework. Conclusion: When caring for these adults, it is important to identify needs, allow patients to express what they want at that moment and support them in maintaining a daily life.

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References

  1. Seoul National University Hospital. Naver Knowledge Alopecia [internet]. Seoul: Seoul National University Hospital; 2015 [cited 2015 May 28]. Available from: http://terms.naver.com/entry.nhn?docId=926806&mobile&cid=51007&categoryId=51007#TABLE_OF_CONTENT1
  2. Kim JH. The study on trends of alternative medicine for preventing alopecia [master's thesis]. Jeonju: Jeonju University; 2009. p. 1-39.
  3. Hankyung News. Hair loss disease… "If you cure, you can be better". [Internet]. Seoul: Hankyung News; 2013 [cited 2015 June 06]. Available from: http://wstarnews.hankyung.com/apps/news?popup=0&nid=03&c1=03&c2=03&c3=00&nkey=201408311326351&mode=sub_view
  4. Health Insurance Review & Assessment Service. 100 kinds of statistics [Internet]. Seoul: Health Insurance Review & Assessment Service; 2017 [cited 2017 September 08]. Available from: http://www.nhis.or.kr/menu/boardRetriveMenuSet.xx?menuId=F3325
  5. Oh WJ. (An) epidemiological study of alopecia in 3,517 Korean patients for 10 year follow up [master's thesis]. Seoul: Chung-Ang University; 2016. p. 1-42.
  6. Can G, Demir M, Erol O, Aydiner A. A comparison of men and women's experiences of chemotherapy-induced alopecia. European Journal of Oncology Nursing. 2013;17(3):255-260. https://doi.org/10.1016/j.ejon.2012.06.003
  7. Harrison S, Bergfeld W. Diffuse hair loss: Its triggers and management. Cleveland Clinic Journal of Medicine. 2009;76(6):361-367. https://doi.org/10.3949/ccjm.76a.08080
  8. Rushton DH. Nutritional factors and hair loss. Clinical and Experimental Dermatology. 2002;27(5):396-404. https://doi.org/10.1046/j.1365-2230.2002.01076.x
  9. Paus R. Therapeutic strategies for treating hair loss. Drug Discovery Today: Therapeutic Strategies. 2006;3(1):101-110. https://doi.org/10.1016/j.ddstr.2006.03.004
  10. Rogers NE, Avram MR. Medical treatment for male and female pattern hair loss. Journal of American Academy of Dermatology. 2008;59(4):547-566. https://doi.org/10.1016/j.jaad.2008.07.001
  11. Park KS. The study on management plan of scalp & hair depilation. Korean Beauty Art Society. 2005;3(1):111-124.
  12. Park JH, Lee JK. A study of scalp and alopecia improved effect with in the diet and lifestyle change. Korea Wellness Management Research. 2013;1(1):75-99.
  13. Kim IR. Experiences of chemotherapy-induced alopecia in breast cancer patients [master's thesis]. Seoul: Sungkyunkwan University; 2010. p. 1-91.
  14. Strauss AC, Corbin JM. Basics of qualitative research: techniques and procedures for developing grounded theory. 4th ed. Thousand Oaks, USA: Sage Publication; 2015.
  15. Nana dermatology clinic. Self check for hair loss before treatment. [Internet]. Seoul: Nana dermatology clinic; 2009 [cited 2017 September 08]. Available from: https://blog.naver.com/nanaskin/80096009295
  16. Savin RC. A method for visually describing and quantitating hair loss in male pattern baldness. Journal of Investigative Dermatology, 1992;98:604. Cited by Gupta M, Mysore V. Classifications of patterned hair loss: a review. Journal of Cutaneous and Aesthetic Surgery. 2016;9(1):3-12. https://doi.org/10.4103/0974-2077.178536
  17. Norwood OT. Male pattern baldness: Classification and incidence. Southern Medical Journal. 1975;68(11):1359-1365. Cited by Gupta M, Mysore V. Classifications of patterned hair loss: A review. Journal of Cutaneous and Aesthetic Surgery. 2016;9(1):3-12. https://doi.org/10.4103/0974-2077.178536
  18. Phillips TG, Slomiany WP, Allison R. Hair loss: common causes and treatment. American Family Physician. 2017;96(6):371-378.
  19. Iee SM, Jung YJ. A study on depression caused by hair loss on daily life stress. Asian Journal of Beauty and Cosmetology. 2015;13(3):367-375.
  20. Matzer F, Egger JW, Kopera D. Psychosocial stress and coping in alopecia areata: a questionnaire survey and qualitative study among 45 patients. Acta Dermato-Venereologica. 2011;91(3):318-327. https://doi.org/10.2340/00015555-1031
  21. Park JY, Lee SD, Gwon GH. A study on the analysis of factor related to alopecia of women in 20-30 years old. Journal of Korea Society Beauty and Art. 2014;15(4):53-65.
  22. Kim JH, Koi SH. A study on utilization of beauty service according to scalp & hair-related factors and hair physical properties of female adults. Journal of Korea Parliamentary Law Institute. 2015;8(2):31-41.
  23. Kacar SD, Ozuguz P, Bagcioglu E, Coskun KS, Polat S, Karaca S, et al. Frequency of body dysmorphic disorder among patients with complaints of hair loss. International Journal of Dermatology. 2016;55(4):425-429. https://doi.org/10.1111/ijd.12758
  24. Lulic Z, Inui S, Sim WY, Kang H, Choi GS, Hong W, et al. Understanding patient and physician perceptions of male androgenetic alopecia treatments in Asia-Pacific and Latin America. The Journal of Dermatology. 2017;44(8):892-902. https://doi.org/10.1111/1346-8138.13832
  25. Seo ES, Kim M, Kim JH. The effects of mindfulness meditation on the psychological factors and quality of life in patients with severe alopecia areata. The Korean Journal of Health Psychology. 2014;19(2):533-547. https://doi.org/10.17315/kjhp.2014.19.2.005