Shin Jeong Ha, Lee Shin-Young
Department of Nursing, Chunnam Techno University, Gokseong-gun, Republic of Korea.
Department of Nursing, Chosun University, Gwangju, Republic of Korea.
Asia Pac J Oncol Nurs. 2021 Dec 25;9(3):161-166. doi: 10.1016/j.apjon.2021.12.010. eCollection 2022 Mar.
South Korea has a high incidence of thyroid cancer. This study aimed to describe and understand the nature of the experience of Korean patients with thyroid cancer undergoing radioactive iodine treatment after total thyroidectomy through an in-depth investigation of their experience.
Individual interviews using open questions were conducted with 22 participants living in South Korea. All were audio-recorded and transcribed verbatim. This study used the phenomenological analysis method proposed by Colaizzi to determine the essential subjects verified according to the four reliability criteria proposed by Guba and Lincoln.
Three categories, 6 theme clusters, and 13 themes emerged from the study. The three categories identified were "broken life," "solitude in a crowd," and "positive changes in values." The six theme clusters were "anxiety about death," "an imperfect being," "feeling social isolation," "struggling alone," "an active attitude toward life," and "life support." The themes that emerged the most were related to physical and psychological difficulties. Of the 13 themes, four themes were related to family-oriented values and culture.
This study suggests that nursing interventions are required to reduce the physical and psychological symptoms of Korean patients with thyroid cancer. It is necessary to build a support system with the patient's family members to consider family-oriented values and culture.
韩国甲状腺癌发病率较高。本研究旨在通过对韩国甲状腺癌患者全甲状腺切除术后接受放射性碘治疗的经历进行深入调查，描述并了解其经历的本质。
对居住在韩国的22名参与者进行了使用开放式问题的个人访谈。所有访谈均进行了录音并逐字转录。本研究采用了科拉齐提出的现象学分析方法，以根据古巴和林肯提出的四个可靠性标准确定经过验证的基本主题。
该研究产生了三个类别、6个主题集群和13个主题。确定的三个类别为“破碎的生活”、“人群中的孤独”和“价值观的积极变化”。六个主题集群为“对死亡的焦虑”、“不完美的存在”、“感到社会孤立”、“独自挣扎”、“对生活的积极态度”和“生活支持”。出现最多的主题与身体和心理困难有关。在13个主题中，有四个主题与以家庭为导向的价值观和文化有关。
本研究表明，需要采取护理干预措施来减轻韩国甲状腺癌患者的身体和心理症状。有必要与患者家属建立一个支持系统，以考虑以家庭为导向的价值观和文化。
