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만성질환자의 질병수용에 대한 개념분석: 혼종모형을 이용하여

Concept Analysis of Illness Acceptance in Chronic Disease: Application of Hybrid Model Method

기본간호학회지 2021년 28권 1호 p.67 ~ 82
고일선, 지현주, 홍소윤, 정은영,
소속 상세정보
고일선 ( Ko Il-Sun ) - Yonsei University College of Nursing
지현주 ( Ji Hyun-Ju ) - Yonsei University Graduate School Department of Nursing
홍소윤 ( Hong So-Yun ) - Yonsei University Graduate School Department of Nursing
정은영 ( Jung Eun-Young ) - Yonsei University Graduate School Department of Nursing

Abstract


Purpose: This study was done clarify the concept of illness acceptance in patients with chronic disease.

Methods: This study was conducted using a hybrid model of concept analysis that consists of three phases. In the theoretical phase, a working definition was formulated through a systematic review. In the fieldwork phase, five participants who had diabetes or hypertension for at least one year were interviewed. In the third phase, the results were combined in the final analysis.

Results: There are three phases of accepting an illness: experiencing the limits, disease management, and designing new life. At the experience of the limits and disease management stages, the attributes of physical, psychological and social domains were derived, but at the stage of designing their new life, integrated attributes of these three domains were derived.

Conclusion: Illness acceptance of chronic disease was defined as a continuous and dynamic process in three phases. First, patients experience limitations due to the disease, such as physical illness, psychological instability, and difficulty performing social roles. Second, patients manage the disease by engaging in self-management, psychological coping strategies, and establishing social support. Third, patients design their new life by seeking better health-related quality of life and integrating the illness into their everyday life. However, patients experienced negative changes when disease management was not performed properly. The fact that illness acceptance could be cyclic means the difference between illness and loss/death acceptance. Nurse should develop and provide an integrated nursing intervention that is appropriate for phases of illness acceptance.

키워드

건강관리에 대한 환자의 수용; 분석; 만성질환; 개념
Analysis; Chronic disease; Concept; Patient Acceptance of Health care

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