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김효빈 ( ) - 진주보건대학 간호과
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Abstract
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Purpose : This research is aimed at developing a substantive theory related to the experience of adjustmented hemodialysis patients by identifying and analyzing the nature process and types of adjustmentt experienced by them. For this purpose this study takes a grounded theory approach
Method : Data were collected from April, 2002 through September 2002 through in-depth interviews and close observations of eleven hemodialysis patients who have experienced adjustment. With their consent the interviews were recorded by audio tapes and later transcribed. Observation memos were also prepared on the subjects' behavior during the interviews. Data collection continued until saturated.
The data were analyzed into concepts subcategories and categories with the open coding process. The axial coding was done to identify the relationships of the concepts and categories. And the selective coding was done to develop a core category which is the central phenomenon of the hemodialysis patients who experienced adjustment.
Result : This process resulted in 88 concepts which may be grouped into 24 subcategories and 6 core categories The 6 categories in fact depict the process of changes the patients experience from the sense of crisis self-control new life meaning support system coping ability and quality of life improvement.
And its core is self-control which encompasses the dynamic stages from recognition change attempts belief solidification and empowerment
Conclusion : The results of the research offer the following implications. First research on adjustment is a formative stage in nursing it os imperative for nursing researchers to develop them which may be more relevant to nursing
Second, it is important to develop nursing intervention techniques that may be most effective in adjustment of hemodialysis patients and at the same time for each stage of changes taking place in adjustmented hemodialysis patients.
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KeyWords
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혈액투석환자, 적응과정, Homodialysis patient, Adjustment process, Grounded Theory
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원문 및 링크아웃 정보
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등재저널 정보
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