[논문]유방암 환자의 외모 관리 경험에 대한 근거이론적 접근

김선우; 손형진

doi:10.5850/jksct.2017.41.3.556

유방암 환자의 외모 관리 경험에 대한 근거이론적 접근
Appearance Management Experiences of Breast Cancer Patients -A Grounded Theory Approach- 원문보기

한국의류학회지 = Journal of the Korean Society of Clothing and Textiles, v.41 no.3, 2017년, pp.556 - 574

Abstract ▼ AI-Helper

This study explored the appearance management experiences of breast cancer patients undergoing mastectomy. For data collection, one-on-one interviews were held with 18 Korean females diagnosed with breast cancer from the first stage to the third stage from 2008 to 2015. The data was analyzed through a three-step analysis of grounded theory. QSR NVivo 11.0 for Mac was applied in order to avoid biased results according to the subjective viewpoint of researchers. From open coding results, six paradigms and 15 categories were drawn. The results of axial coding showed that the psychological changes category was the central phenomenon. Additionally, three categories (skin changes, scalp/hair changes, and general reactions) were found to be causal conditions, and five paradigms (clothing behavior, skin care behavior, makeup behavior, scalp/hair-care behavior, and shopping behavior) were found to be action/interaction strategies. Last, selective coding integrated fragmented qualitative data through open coding and axial coding in order to derive explanatory narratives. A comprehensive examination of the appearance management behaviors of breast cancer patients suffering from extreme stress due to physical/psychological changes enables this study to provide a foundation for related studies to be activated in the clothing and textiles discipline.

주제어

질의응답

핵심어	질문	논문에서 추출한 답변
	유방암이 높은 발병률을 보이는 이유는 어떤 사회적 배경에 기인한 것인가?	경제적 성장에 따른 물질적 풍요, 고지방과 고칼로리로 대변되는 서구화된 식생활과 이로 인한 비만의 증가, 늦은 결혼 연령과 출산율 및 모유 수유의 감소로 인해, 유방암은 우리나라 여성에게 발생하는 암 중 갑상선암에 이어 두번째로 높은 발병율을 보이고 있다(Jung etal., 2015).
	유방의 절제, 항암제의 투여, 방사선 요법과 항호르몬제의 투여와 같은 유방암의 치료 과정이 환자에게 주는 부정적인 영향은?	유방의 절제, 항암제의 투여, 방사선 요법과 항호르몬제의 투여와 같은 유방암의 치료 과정들은 유방의 형태변형 및 손상, 탈모, 체중의 증가 및 감소와 같은 외모의 변화와(Brunet et al., 2013; Lim, 2006), 우울감과 불안감, 신체적 수치심, 자아 존중감의 하락과 같은 심리적 고통을 함께 유발한다(Burgess et al., 2005; Kim et al.
	유방암의 치료에 따른 환자의 심리적 부작용은 어떤 것이 있는가?	유방암의 치료는 신체적 부작용과 더불어 심리적 부작용도 수반하였다. 유방 절제술을 받은 환자들은 여성성과 모성을 상징하는 유방의 손상 및 훼손으로 인해 여성으로서의 상실감, 자격지심, 상대적 박탈감, 타인의 시선에 대한 불안감을 느끼는 것으로 나타났다(Lim, 2006). 특히, 여성의 매력을 신체 및 성적 매력으로 획일화하는 현대 사회의 풍토는 유방암 환자들의 부정적인 심리를 더욱 강화시켰다(Brunet et al., 2013). 여성성의 손실로 인해 비롯된 부정적 심리는 전반적인 신체 이미지 및 자아 존중감, 자아 효능감, 자신감 등의 자아 개념에도 부정적 영향을 미쳐, 전반적인 삶의 질을 저하시키는 요인으로 작용하였다(Helms et al., 2008).

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