[논문]골수이형성 증후군 환자의 질병 적응과정: 불확실성 안에서 최선 다하기

김애경

doi:10.7475/kjan.2017.29.5.472

골수이형성 증후군 환자의 질병 적응과정: 불확실성 안에서 최선 다하기
The Illness Adaptation Process of Patients Suffering from Myelodysplastic Syndrome (MDS): Doing My Best in Uncertainty 원문보기

성인간호학회지 = Korean Journal of Adult Nursing, v.29 no.5, 2017년, pp.472 - 483

Abstract ▼ AI-Helper

Purpose: The purpose of this study was to describe and explore the adaptation process of patients with myelodysplastic syndrome (MDS). Methods: Using a grounded theory methodology, 15 interviews were performed with nine men and six women, 43-83 years of age, suffering from MDS. Data were analyzed using the constant comparative analysis method. Results: The core category emerged as "To do my best in uncertainty". MDS patients engaged in three stages: Panic, Active fighting against illness, and Putting down/Adaptation phase. Causal conditions were unexpected cancer diagnosis, endless painful treatment, and uncertainty. Contextual conditions were physical deterioration and differences in recovery. The central phenomenon of the illness adaptation process among the patients with MDS was powerlessness at the dead end. Action/Interaction strategies included dependence on the constant medical care, physical energy conservation, mind control and environmental control. Intervening conditions were social support and desire to live. Consequences were hope for recovery and tug-of-war from repetition of exacerbation and recuperation. Conclusion: When caring for these patients, 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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참고문헌 (24)

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골수이형성 증후군 환자의 질병 적응과정: 불확실성 안에서 최선 다하기
The Illness Adaptation Process of Patients Suffering from Myelodysplastic Syndrome (MDS): Doing My Best in Uncertainty 원문보기

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골수이형성 증후군 환자의 질병 적응과정: 불확실성 안에서 최선 다하기 The Illness Adaptation Process of Patients Suffering from Myelodysplastic Syndrome (MDS): Doing My Best in Uncertainty 원문보기

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골수이형성 증후군 환자의 질병 적응과정: 불확실성 안에서 최선 다하기
The Illness Adaptation Process of Patients Suffering from Myelodysplastic Syndrome (MDS): Doing My Best in Uncertainty 원문보기