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Original Articles
Illness Experience of People with Chronic Hepatitis B in Korea
Myungsun Yi, Eun Ok Choi, Seung Woon Paik, Keum Soon Kim, Sangman Kwak, Hwa Jin Lee
Journal of Korean Academy of Nursing 2007;37(5):665-675.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.5.665
AbstractAbstract PDF
Purpose

The purpose of this study was to explore the experiences of people with chronic hepatitis B (CHB) in Korea. The specific aim was to identify major problems that people with CHB face and strategies that they are dealing with.

Methods

A grounded theory method was utilized. The data were collected by individual in-depth interviews from 12 CHB patients from one of the major hospitals in Korea.

Results

After constant comparative analysis, a core category emerged as “illness management with self-reliance and will.” Seven major strategies that were identified in dealing with the illness were maintaining receptive and positive attitudes; restraining excessive work and greed; searching for information; controlling illness information; adhering to practices for not spreading the viral disease; abstaining from alcohol and smoking and maintaining healthy eating habits; nd using alternative therapies. The outcomes that result from employing these strategies were identified as burden, depression and helplessness, stress for maintaining compliance, and dispirited interpersonal relationships.

Conclusion

The results of this study suggest that most people with CHB in Korea have problems in psychosocial area. Thus health professionals need to provide not only informational support but also emotional one to improve quality of life of the people with CHB.

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A Conversational Analysis about Patient's Discomfort between a Patient with Cancer and a Nurse
Hwa Jin Lee
Journal of Korean Academy of Nursing 2007;37(1):145-155.   Published online February 28, 2007
DOI: https://doi.org/10.4040/jkan.2007.37.1.145
AbstractAbstract PDF
Purpose

The purpose of this study was to describe and to analyze real communication about a patient's discomfort between a patient with cancer and a nurse.

Method

A dialogue analysis method was utilized. Fifteen patients and 4 nurses who participated in this research gave permission to be videotaped. The data was collected from January, 3 to February 28, 2006.

Results

The communication process consisted of 4 functional stages: ‘introduction stage’, ‘assessment stage’, ‘intervention stage’ and ‘final stage’. After trying to analyze pattern reconstruction in the ‘assessment stage’ and ‘intervention stage’, sequential patterns were identified. In the assessment stage, if the nurse lead the communication, the sequential pattern was ‘assessment question-answer’ and if the patient lead the communication, it was ‘complaint-response’. In the intervention stage, the sequential pattern was ‘nursing intervention-acceptance’.

Conclusion

This research suggests conversation patterns between patients with cancer and nurses. Therefore, this study will provide insight for nurses in cancer units by better understanding communication behaviors

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Adjustment of Middle-aged People with Hemiplegia after a Stroke
Hwa Jin Lee, Myungsun Yi
Journal of Korean Academy of Nursing 2006;36(5):792-802.   Published online August 28, 2006
DOI: https://doi.org/10.4040/jkan.2006.36.5.792
AbstractAbstract PDF
Purpose

The purpose of this study was to understand the adjustment process of middle-aged people in Korea with hemiplegia after a stroke.

Method

For this study, the grounded theory method was utilized.

Results

After constant comparative analysis, the core category emerged as ‘rebuilding the body which was ruined’. In addition, the causal conditions were ‘restriction of physical function’, and ‘loss of roles’. The adjustment process consisted of the ‘facing reality phase’, ‘overcoming depression phase’, ‘overcoming physical limits phase’ and ‘reestablishing roles phase’. The main strategies in the facing reality phase were ‘holding on to a glimmer of hope’, ‘getting away from the harsh reality’ and ‘facing up to the reality’. The main strategies in the overcoming depression phase were ‘soothing oneself’, ‘Self-introspection’ and ‘restoring self-esteem’. In addition, the main strategies in the self-initiative overcoming physical limits phase was ‘discovering personal strategies and striving to recover’. The main strategies in the reestablishing roles phase were ‘reestablishing a parents’ role’, ‘reestablishing a spouse's role’ and ‘reestablishing social roles’.

Conclusion

In conclusion, even though many middle aged stroke patients remained in the depression phase, most of them who overcame depression strived to conquer physical limits on their own initiative.

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