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Ⅰ. 序(서) 論(론)
西洋醫學(서양의학)에서는 關節痛(관절통)을 관절과 그 주위의 통증으로 정의하며 東醫學
(동의학)에서는 팔다리의 아픔(四肢疼痛(사지동통))으로 팔다리의 근맥과 기육, 관절,뼈가 아
픈 것이 이에 해당한다. 팔다리의 아픔을 주호소로 하는 病症(병증)에는 행비(行痺(행비), 痺
(풍비)), 한비(寒痺(한비)), 착비(着痺(착비), 濕卑(습비), 열비(熱卑(열비), 근비(筋痺(근비), 맥
비(脈痺(맥비), 기비(肌痺(기비), 피비(皮(피)痺(비), 골비(骨痺(골비)등이 있고 이는 풍(風
(풍), 한(寒(한),서(署(서), 습(濕(습)의 사기(邪氣(사기)가 經絡(경낙)에 침범하여 생기는 것으
로 서양의학의 류머티스성 관절염, 골관절염이 있을 때 일어난다(동의 내과 증상의 감별과
치료, 1992).
關節痛(관절통)은 주로 관절염, 골관절염에서 유발되는데 관절통에 대한 전국적 역학조사
가 없어서 정확한 수치는 알 수 없으나 일부 農村地域住民(농촌지역주민)을 대상으로 한 연
구결과를 살펴보면 관절통의 비율은 요통과 상하지의 관절통이 36.6%, 이중男性(남성)이
13.8% 女性(여성)이 22.8%으로 여성이 남성보다 2배에 가까운 많은 수를 차지하고 있었다.
(박정양, 1981). 최근 島嶼地域(도서지역) 여성을 대상으로 한 연구에서는 관절통의 경험 중
요통(腰痛(요통)이 65.16%, 무릎통증이 49.68%, 어깨통증이 36.77%, 손가락과 손의 통증이
25.16%, 됫목의통증이 24.52%(신경림, 1997)로 위 농촌의 연구 조사에 비해 상대적으로 높
은 비율을 차지하고 있었다.
This Qualitative nursing research was made with a hermeneutic phenomenological
approach to find out the meaning and nature of human's experience. The purpose of the
inquiry is to find out the meaning and to understand the nature of joint pain's
experience of women in the island and to apply the result to nursing practice.
The study was guided by Shin Kyung Rim's four step that revised van Manen's
method for doing research. The method of inquiry included : turning to interesting
phenomenon ; inquiring and investigating experience as it was lived rather than as
conceptualized ; reflecting and analyzing essential themes which characterize phenomenon
; and describing phenomenon through art and literature. Multiple strategies for data
collecting were needed deep face to face interview ; analysis of Joint paln of women's
writings ; describing and analysis of examples of the phenomenon in art, lit-erature.
Through this process essensial them of the experience was emerged ; Misery that I
would like to cut off my body, Sea wind soaking deeply into the bones, Dull pain from
the postpartum cold wind, The another suffer I should endure by myself, Recrudesce
despite all the try I have made, Often forgetting the pain of every joint for hardship of
life.
Findings from artistic and creative inquiry further was validated and meaning was
discovered. The study illuminated meaning and simultaneously validated the
phenomenological research process.
Essential themes for understanding women joint pain's experience, implications, for
eaucation, research and practice, direction and need for continuing inquiry were
identified.
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