Yi Myungsun, Choi Eun Ok, Paik Seung Woon, Kim Keum Soon, Kwak Sangman, Lee Hwa Jin
College of Nursing, Seoul National University, 28 Yongon-dong, Jongno-gu, Seoul 110-799, Korea.
Taehan Kanho Hakhoe Chi. 2007 Aug;37(5):665-75. doi: 10.4040/jkan.2007.37.5.665.
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.
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.
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.
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.
本研究旨在探索韩国慢性乙型肝炎(CHB)患者的经历。具体目标是确定CHB患者面临的主要问题以及他们所采用的应对策略。
采用扎根理论方法。通过对韩国一家主要医院的12名CHB患者进行个人深度访谈来收集数据。
经过持续的比较分析,一个核心类别“依靠自身意志进行疾病管理”浮现出来。在应对疾病过程中确定的七种主要策略为:保持接纳和积极的态度;克制过度工作和贪欲;寻找信息;控制疾病信息;坚持不传播病毒性疾病的做法;戒酒和戒烟并保持健康的饮食习惯;以及使用替代疗法。采用这些策略所产生的结果被确定为负担、抑郁和无助、维持依从性的压力,以及采用替代疗法。
本研究结果表明,韩国大多数CHB患者在心理社会方面存在问题。因此,卫生专业人员不仅需要提供信息支持,还需要提供情感支持,以改善CHB患者的生活质量。