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Hemiplegic Experience after Stroke among Middle Aged Man

중년남성의 뇌졸중 후 편마비 경험

  • 오수용 (한양대학교 대학원 간호학과) ;
  • 이정섭 (한양대학교 간호학과)
  • Received : 2016.04.25
  • Accepted : 2016.05.12
  • Published : 2016.05.31

Abstract

This study is a qualitative one that used a phenomenological study method to provide basic data for nursing practice by understanding the essence and meaning of middle aged men's hemiplegic experience after stroke. At D hospital which is located in S city, 8 hemiplegic participants who were hospitalized between 24th November, 2014, and 6th December, 2014, participated in in-depth interviews. The experiences of the participants were categorized into 6 criteria, viz. 'Thorny path on a long journey', 'Broken brakes', 'Crossroads of the mind', 'Burden of head of household', 'Signpost that lights the darkness', and 'Route to a second life', and 16 theme clusters were included in these categories. As the sequelae and complications, such as physical pain, psychological conflict and role disorder, due to stoke in middle aged men, seriously affect their quality of life, this study attempted to understand the effect of these problems and provide new insight into nursing practice. Also, it is important to prevent the recurrence of stroke in the patients, facilitate their recovery, and help them to maintain healthy lives through the reestablishment of their role in the home and society, including through the resolution of their physical and psychological problems.

본 연구는 중년남성의 뇌졸중 후 편마비 경험의 의미 및 본질을 이해하여 간호실무에 기초자료를 제공하고자 현상학적 연구방법을 적용한 질적연구이다. 연구대상은 S시의 D병원에서 2014년 11월 24일부터 2014년 12월 6일까지 뇌졸중 후 편마비로 입원중인 중년남성 8명으로 심층면담을 하였다. 연구 결과 참여자의 경험은 '기나긴 여정의 가시밭길', '고장 난 브레이크', '마음의 갈림길', '짓눌리는 가장의 버거움', '어둠을 밝혀주는 이정표', '제2의 인생의 길' 의 6개의 범주와 이들 범주에 포함된 16개의 주제묶음으로 확인 할 수 있었다. 이는 중년기에 뇌졸중으로 인해 신체적 고통과 심리적 갈등, 역할장애 등 후유증과 합병증으로 삶의 질에 심각한 영향을 미치므로 본 연구결과를 바탕으로 중년기 뇌졸중 남성 환자들을 전반적으로 이해하고 간호 실무에 새로운 통찰력과 도움을 제공할 것으로 사료된다. 또한 뇌졸중 환자의 재발을 막고 회복을 도와 정신적, 신체적 건강문제뿐 아니라 가정이나 사회에서의 역할 재정립을 통해 건강한 삶을 유지하도록 중재할 필요가 있다.

Keywords

References

  1. Clinical Research Center for Stroke, Clinical practice guidelines for stroke, http://www.stroke-crc.or.kr/. revision, 2015.
  2. Statistics Korea. 2014 The cause of death statistics, http://kostat.go.kr.
  3. National Health Statistics, Public Health Nutrition Survey 2010, http://stat.mohw.go.kr/
  4. Y. Ko, J. H. Park, W. J. Kim, M. H. Yang, O. K. Kwon, C. W. Oh, C. O. Jung, N. J. Paik, M. K. Han, H. J .Bae, "The Long-term incidence of Recurrent Stroke: Single Hospital based Cohort Study", Journal of Korean Neurology Assoc, 27(2), pp.110-115, 2009.
  5. C. Jung, W. N. Kim, M. J. Kim, S. M. Choi, K. Y. Lee, M. Y. Park, J. S. Hah & Y. J. Byun, "The risk factors of recurrent ischemic stroke", Yeungnam Univ J Med, 10(1), pp.423-431. 1993. DOI: http://dx.doi.org/10.12701/yujm.1993.10.2.423
  6. S. G. Bae, S. K Lee, C. H. Han"Influencing and Mediating Factors in Stroke: Based on 2007-2012 Korea National Health and Nutrition Examination Survey", Journal of the Korea Academia-Industrial cooperation Society, 16(1), pp.418-428, 2015. DOI: http://dx.doi.org/10.5762/KAIS.2015.16.1.418
  7. M. J. Reeves, C. D. Bushnell, G. Howard, J. W. Gargano, P. W. Duncan, G. Lynch, A. Khatiwoda, L. Lisabeth, Sex differences in stroke : epidemiology clinical presentation, medical care, and outcomes," The Lancet Neurology, 7(10), pp.915-926, 2008. DOI: http://dx.doi.org/10.1016/S1474-4422(08)70193-5
  8. Y. K. Jung, "Risk factors and clinical characteristics in young adult stroke", Unpublished master's thesis, Yonsei University, Seoul. (2001).
  9. H. G. Ha, "Quality of life in relations to the characteristics of the stroke : National Health and Nutrition examination survey 2005". Unpublished master's thesis, Yonsei University, Seoul. 2007.
  10. H. Y. Jeong, "The effect of risk factors on stress in adult stroke patients", Unpublished aster's thesis, Chonnam National University, Gwangju. 2009.
  11. B. S. Choi, "Phenomenological perspective and discovery of meaning in mid-aged men's experience of the change of body". Unpublished master's thesis, Ewha Womans University, Seoul. 1998.
  12. S. Y. Lee, M. L. Heo, "A Study on Factors Affecting Middle-aged Men's Suicidal Ideation", Journal of the Korea Academia-Industrial cooperation Society, 16(7), pp.4777-4785, 2015. DOI: http://dx.doi.org/10.5762/KAIS.2015.16.7.4777
  13. H. K. Suh, "Influencial factors on adolescent, middle, and old generation's awareness of supporting the older adults", Unpublished master's thesis, Hallym University, Chuncheon, 2003.
  14. S. O. Shin, S. U, Ryu, " A study on the factors in Quality of Life of Patients with Acute Cerebral Infarction One Year after Diagnosis", Journal of the Korea Academia-Industrial cooperation Society, 16(1), pp.274-282, 2014. DOI: http://dx.doi.org/10.5762/KAIS.2014.15.1.274
  15. H. K. Park, U. W. Rah, I. Y. Lee, H. W. Moon, J. R. Cho, "Social issues of young adult stroke patients", Journal of Korean Academy of Rehabilitation Medicine, 25(3), pp.418-425, 2001.
  16. Y. A. Lee, "Patients lived experience in rehabilitating from stroke", Korean Academic Society of Rehabilitation Nursing, 4(1), pp.20-30. 2001.
  17. Teasell, R. W. McRae, M, P. & Finestone, H. M. "Social issue in the rehabilitation of younger stroke patients", Archives of Physical Medicine and Rehabilitation, 81, pp.205-209, 2000. DOI: http://dx.doi.org/10.1053/apmr.2000.0810205
  18. Young, J., Murray, J., & Forster, A., "Review of long term problems after disabling stroke", Reviews in Clinical Gerontology, 13(1), 55-65, 2003. DOI: http://dx.doi.org/10.1017/S0959259803013157
  19. L. S. Kim, "The hope of the stroke patients' ", Journal of Korean Academy of Nursing, 35(1), pp. 53-56, 1996.
  20. S. Y. Nam, "A study of CVA patients' experience of the illness", Journal of Korean Academy of Nursing, 28(2), pp.479-489. 1998. https://doi.org/10.4040/jkan.1998.28.2.479
  21. J. H. Lee, "Frustration of stroke patients'", Unpublished master's thesis, Kyung Hee University, Seoul. 2001.
  22. K. S. Choi, S. A. Chi, & M. Y. Ham, "An ethnography Study of the experience of Stroke Recovery", The Chung-Ang Journal of Nursing, 7(1), pp.1-7, 2003.
  23. J. Y. Ha, H. S. Park, S. J. Lee, J .H. Jeon, H. Y. Jo,.Y. J. Jee, "The Recovery Experience of Young Adults and Middle Aged Stroke Patients", J Korean Acad Adult Nurs, 22(3), pp.342-351, 2010.
  24. H. J. Yi, M. S, Lee, "Adjustment of Middle-aged People with Hemiplegia after a Stroke", J Korean Acad Nurs, 36(.5), pp.792-802, 2006. https://doi.org/10.4040/jkan.2006.36.5.792
  25. H. L. Kang, S. Y. Lee, M. S. Sung, "A Study on the Recovery Process of Stroke in the Middle-aged Men Patients", Qualitative Research, 10(2), 2009.
  26. B. H. Kim, K. J .Kim, I. S. Park, K. J .Lee, J. K. Kim, J. J. Hong, M. W. Lee, Y. H. Kim, I. Y. Yoo, H. Y. Lee, "A Comparison of Phenomenological Research Methodology", Journal of Korean Academy nursing, 29(6), pp.1208-1220, 1999. https://doi.org/10.4040/jkan.1999.29.6.1208
  27. M. H. Kim, H. N. Kim, Y. M. Shin, H. M. Oh, J. S. Lee, "Violence Experiences of Community Mental Health Nurse", Journal of the Korea Academia-Industrial cooperation Society, 16(12), pp.8626-8636, 2015. DOI: http://dx.doi.org/10.5762/KAIS.2015.16.12.8626
  28. M. O. Kim, J. M. Choi, S. W. Kang, "A Phenomenological Study on the Lived Experiences of Middle-aged People with Disabilities after a Stroke", Korean Journal of Social Welfare, 65(1), pp.33-58, 2013.
  29. S. O. Shin, E. K. Roh, "A Influencing Factors in Korea Adults Stroke," Journal of the Korea Academia-Industrial cooperation Society, 14(12), pp.6227-6236, 2013. DOI: http://dx.doi.org/10.5762/KAIS.2013.14.12.6227