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이명선 ( Yi Myung-Sun ) - 서울대학교 간호대학
박은영 ( Park Eun-Young ) - 가천의과학대학교 간호학과
김달숙 ( Kim Dal-Sook ) - 충남대학교 간호대학
태영숙 ( Tae Young-Sook ) - 고신대학교 간호대학
정복례 ( Chung Bok-Yae ) - 경북대학교 간호대학
소향숙 ( So Hyang-Sook ) - 전남대학교 간호대학
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Abstract
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Purpose: To describe psychosocial adjustment of low-income Koreans who have cancer.
Methods: Data were collected during 2008 using individual in-depth interviews with 18 Korean people with cancer. The income status of the participants was low, 11 were recipients of the National Basic Livelihood Protection program. Mean age was 58.3 yr and 11 were female. Five participants had stomach cancer, five, colorectal cancer, and four, breast cancer. Data were analyzed using grounded theory methodology.
Results: The core category emerged as ‘bearing up alone with double suffering’. ‘Poverty and cancer: A double suffering’ emerged as a causal condition. The adjustment process consisted of three stages: ‘forming a treatment will to live’ ,‘practicing for the cure’,and ‘restructuring self and repaying favors’. Each stage indicated action-interaction strategies which were employed to bear up alone with double suffering during the illness process. Self-reflection, parental responsibility, and support from the public sector played important roles in overcoming the double suffering. Two types of consequences were identified: Transcended life and strained life suppressed by poverty and cancer.
Conclusion: The results provide insights into the psychosocial adjustment process for low income Korean with cancer and can be used in developing and implementing efficient home-care services for these people.
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KeyWords
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Poverty, Neoplasms, Social adjustment, Psychosocial aspect, Qualitative research
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원문 및 링크아웃 정보
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등재저널 정보
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