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만성질환자의 질병수용에 대한 개념분석: 혼종모형을 이용하여

Other Titles
 Concept Analysis of Illness Acceptance in Chronic Disease: Application of Hybrid Model Method 
Authors
 고일선  ;  지현주  ;  홍소윤  ;  정은영 
Citation
 Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지), Vol.28(1) : 67-82, 2021-02 
Journal Title
Journal of Korean Academy of Fundamentals of Nursing(기본간호학회지)
ISSN
 1225-9012 
Issue Date
2021-02
Keywords
Analysis ; Chronic disease ; Concept ; Patient Acceptance of Health care
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.
Files in This Item:
T202125993.pdf Download
DOI
10.7739/jkafn.2021.28.1.67
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Ko, Il Sun(고일선) ORCID logo https://orcid.org/0000-0003-3671-4833
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/190347
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