CAJ | 학술논문

目的：深入了解喉切除男性喉癌患者出院后3个月内的心路成长历程。方法运用质性研究中的现象学研究法，以目的抽样法抽取11例喉切除男性喉癌患者进行深度访谈，采用现场录音和笔录，并运用Giorgi现象学分析方法进行资料的处理与分析。结果通过资料分析得出心路历程的5个主题，即厌恶气管套管、急切早日发音、心理压力大、各种负性情绪涌现(如无助感、孤独感、自卑感、愧疚感)、面对现实与活在当下。结论喉切除男性喉癌患者出院短期内仍然存在诸多问题，临床医护人员应该予以重视并提供切实可行的支持和关心，帮助他们更好地回归社会。
목적：심입료해후절제남성후암환자출원후3개월내적심로성장역정。방법운용질성연구중적현상학연구법，이목적추양법추취11례후절제남성후암환자진행심도방담，채용현장록음화필록，병운용Giorgi현상학분석방법진행자료적처리여분석。결과통과자료분석득출심로역정적5개주제，즉염악기관투관、급절조일발음、심리압력대、각충부성정서용현(여무조감、고독감、자비감、괴구감)、면대현실여활재당하。결론후절제남성후암환자출원단기내잉연존재제다문제，림상의호인원응해여이중시병제공절실가행적지지화관심，방조타문경호지회귀사회。
Objective The purpose of this study was to acquire a deeper understanding for the short-term psychological experience after discharge for male patients after laryngectomy. Methods Phenomenological method and in-depth interviews were used. Eleven patients were recruited. The data were analyzed by Giorgi′s phenomenological procedures. Results After analyzing the data, five main themes were extracted: rejecting tracheal tube, desiring to speak early, sense of uncertainty about the future, emerging various negative emotions, heavy pressure caused by disease treatment, facing reality and living in the moment. Conclusions Patients with laryngectomy discharged in short term faced major problems, so clinical staff should give timely support and care to help them return to society in a better condition.