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미주 한인 만성 B형 간염 환자의 질병의 의미

 The Meaning of Illness among Korean Americans with Chronic Hepatitis B

Journal of Korean Academy of Nursing 2010년 40권 5호 p.662 ~ 675
KMID : 0806120100400050662
양진향 ( Yang Jin-Hyang ) - 인제대학교 간호학과

이혜옥 ( Lee Hae-Ok ) - 메사츄세츠대학교 간호건강과학대학
조명옥 ( Cho Myung-Ok ) - 동의대학교 간호학과

Abstract

Purpose:This ethnography was done to explore the meaning of illness in Korean Americans with chronic hepatitis B.

Methods: The participants were 6 patients with chronic hepatitis B and 6 general informants who could provide relevant data. Data were collected from iterative fieldwork with ethnographic interviews within Korean communities in two cities in the United States. Data were analyzed using causal chain analysis developed by Wolcott.

Results: The analyses revealed three meanings for the illness: hidden disease, intentionally hidden disease, and inevitably hidden disease. The contexts of meaning of illness included characteristics of the illness, social stigma, structure of health care system and communication patterns and discourse between health care providers and clients.

Conclusion: The meaning of illness was based on folk illness concepts and constructed in the sociocultural context. Folk etiology, pathology and interpretation of one’s symptoms were factors influencing illness behavior. These findings could be a cornerstone for culture specific care for Korean Americans with chronic hepatitis B.
KeyWords

Qualitative research, Chronic Hepatitis B, Chronic disease
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SCI(E) MEDLINE 학술진흥재단(KCI) KoreaMed