KMID : 0806120190490030349
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´ëÇÑ°£È£ÇÐȸÁö 2019 Volume.49 No. 3 p.349 ~ p.360
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Experiences of Ego Integrity Recovery in Elderly Cancer Patients: Grounded Theory Approach
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Choi Han-Gyo
Yeom Hye-A
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Abstract
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Purpose: This study was conducted to derive a substantive theory on lived experiences of elderly cancer patients.
Methods: The data were collected from February to March 2018 through in-depth personal interviews with 14 elderly cancer patients. The collected data were analyzed based on Corbin and Strauss¡¯s grounded theory.
Results: The core category was ¡°the journey to find balance in daily lives as a cancer patient by recovering disturbed ego integrity.¡± The core phenomenon was ¡°shattered by suffering from cancer,¡± and the causal conditions were ¡°physical change¡± and ¡°limitations in daily life.¡± The contextual conditions were ¡°decreased self-esteem,¡± ¡°feelings of guilt toward the family,¡± and the sense of ¡°economic burden.¡± The participants¡¯ action and interaction strategies were ¡°maintaining or avoiding social relations,¡± ¡°seeking meaning of the illness,¡± ¡°falling into despair,¡± and ¡°strengthening the willingness to battle the cancer.¡± The intervening conditions were ¡°support from health care providers and family,¡± ¡°dissatisfaction with health care providers,¡± ¡°spiritual help from religion,¡± and ¡°the improvement or worsening of health conditions.¡± The consequences were ¡°having a new insight for life,¡± ¡°living positively along with cancer illness,¡± and ¡°the loss of willingness to live.¡± A summary of the series of processes includes the ¡°crisis stage,¡± ¡°reorganizing stage,¡± and the ¡°ego integration stage.¡±
Conclusion: This study explored the holistic process of ego integrity impairment and the recovery experience of elderly cancer patients. This study is expected to be used as a basis for the development of nursing interventions that can support patients when coping with all stages of their cancer illness trajectory.
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KEYWORD
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Aged, Neoplasms, Qualitative Research, Grounded Theory
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