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Health-Illness Transition of Patients with Young-Onset Parkinson¡¯ s Disease

Journal of Korean Academy of Nursing 2013³â 43±Ç 5È£ p.636 ~ 648
KMID : 0806120130430050636
±è¼º·Ä ( Kim Sung-Reul ) - ÀüºÏ´ëÇб³ °£È£´ëÇÐ

À̼÷ÀÚ ( Lee Sook-Ja ) - °í·Á´ëÇб³ °£È£´ëÇÐ

Abstract

Purpose: The purpose of this study was to explore the health-illness transition of patients with Young-Onset Parkinson¡¯s Disease (YOPD).

Methods: From June to November 2011, 17 patients with YOPD who visited a neurologic clinic in a tertiary hospital
participated in the study. Data were collected through in-depth interviews and analyzed using the grounded theory of
Strauss and Corbin.

Results: The core category of the participants¡¯ health-illness transition emerged as ¡®reshaping identity following uncontrollable changes¡¯. The participants¡¯ health-illness transition process consisted of six phases in sequence: ego
withdrawal, loss of role, frustration, change of thought, modification of life tract, and second life. Although most participants
proceeded through the six phases chronologically, some returned to the frustration phase and then took up the remaining phases

Conclusion: The study results provide an in-depth understanding of health-illness transition experiences in the participants. These findings suggest a need to develop appropriate nursing intervention strategies according to the different phases in the health-illness transition of patients with YOPD.
KeyWords

Parkinson disease, Qualitative research, Transition
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