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KMID : 0806120110410020225
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대한간호학회지
2011 Volume.41 No. 2 p.225 ~ p.235
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Psychosocial Adjustment of Low-Income Koreans with Cancer
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Yi Myung-Sun
Park Eun-Young
Kim Dal-Sook
Tae Young-Sook
Chung Bok-Yae
So Hyang-Sook
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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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KEYWORD
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Poverty, Neoplasms, Social adjustment, Psychosocial aspect, Qualitative research
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