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B형 간염 환자의 건강관리 양상 탐색을 위한 질적 연구

 Qualitative Research Investigating Patterns of Health Care Behavior among Korean Patients with Chronic Hepatitis B

Journal of Korean Academy of Nursing 2009년 39권 6호 p.805 ~ 817
KMID : 0806120090390060805
양진향 ( Yang Jin-Hyang ) - 인제대학교 간호학과

조명옥 ( Cho Myung-Ok ) - 동의대학교 간호학과
이혜옥 ( Lee Hae-Ok ) - USA University of Colorado at Denver and Health Sciences Center School of Nursing

Abstract

Purpose :This ethnograpy was done to explore patterns of health care behavior in patients with chronic health problems.

Methods :The participants were 15 patients with chronic hepatitis B and 2 family members. Among the patients 4 had progressed to liver cirrhosis and liver cancer. Data were collected from iterative fieldwork in a department of internal medicine of I hospital. Data were analyzed using text analysis and taxonomic methods.

Results :Illness and disease, relationship between health care givers and clients, and communication patterns between health professions and clients were discussed as the context of health care behavior. Health care behavior of the participants was categorized by its focus: every day work centered, body centered, organ centered, and pathology centered.

Conclusion :Participants’ health care behavior was guided by folk health concept and constructed in the sociocultural context. Folk etiology, pathology, and interpretation of one’s symptoms were influencing factors in illness behavior. These findings must be a cornerstone of culture specific care for the chronic diseases.
KeyWords

Ethnography, Health care behavior, Chronic hepatitis B.
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SCI(E) MEDLINE 학술진흥재단(KCI) KoreaMed