천식 환자의 질병관리 경험: 근거이론접근.

Purpose: The aim of this study was to develop a situation-specific theory to explain the disease management experience of patients with asthma. Methods: Twenty participants with asthma were selected using the theoretical sampling method. The data were acquired through in-depth interviews conducted f...

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Publicado en:Journal of Korean Academy of Nursing Vol. 50; no. 5; pp. 714 - 728
Autores principales: 김보혜, 김옥수
Formato: research tables/charts Journal Article
Publicado: Korean Society of Nursing Science Oct2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2020
      vid: 50
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      pub: Korean Society of Nursing Science
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        10.4040/jkan.20139
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        atl: 천식 환자의 질병관리 경험: 근거이론접근.
      aug:
        au:
          김보혜
          김옥수
        affil: 이화여자대학교 간호대학
      sug:
        subj:
          Asthma
          Self-Management
          Life Experiences
          Patient Attitudes
          Models, Theoretical
          Human
          Male
          Female
          Adult
          Middle Age
          Aged
          Interviews
          Grounded Theory
          Disease Progression Prevention and Control
          Coalition
          Coping
          Health Behavior
          Risk Taking Behavior
          Qualitative Studies
          Nursing Interventions
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Purpose: The aim of this study was to develop a situation-specific theory to explain the disease management experience of patients with asthma. Methods: Twenty participants with asthma were selected using the theoretical sampling method. The data were acquired through in-depth interviews conducted from June to October 2018 and analyzed using the grounded theory approach of Strauss and Corbin. Results: In total, 69 concepts, 30 subcategories, and 13 categories were generated to explain the disease management experience of patients with asthma. The core category of the disease management experience of patients with asthma was 'management of the disease to prevent aggravation of symptoms over the lifetime'. The disease management process of asthma patients included three steps: the 'cognition phase', the 'adjustment phase', and the 'maintenance phase'. However, some patients remained in the 'stagnation phase' of disease management, which represents the result of the continual pursuit of risky health behavior. There were three types of disease management experiences among patients with asthma: 'self-managing', 'partially self-managing', and 'avoidant'. Conclusion: This study shows that patients with asthma must lead their disease management process to prevent exacerbation of their symptoms. It is imperative to develop nursing strategies and establish policies for effective disease management of patients with asthma based on their individual disease management processes and types.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: Korean
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