Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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The Daily Experiences of People with Chronic Schizophrenia

만성 정신분열병환자의 살아온 경험

  • Published : 2005.10.01
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Abstract

Purpose: This research investigated the daily experiences of patients' lives to develop a formal theory that explains the lives of schizophrenic patients. Method: A grounded theory method(Strauss & Corbin, 1998) guided the data collection and analysis. Thirteen patients who were diagnosed with schizophrenia in regional communities participated. Result: The experiences of chronic schizophrenic patients are defined as "escaping from a fallen mine" comparing their suffering to that of entrapped miners trying to free themselves from a collapsed mine tunnel with much difficulty and without hope. In observing participant's time lines of having lived with chronic schizophrenia, it advances with 'surrender', 'collapse', 'reaching out', 'rising', 'preparing to spring up', and 'starting anew'. Conclusion: The results of this study indicate that the experience of a chronic schizophrenic patient is like that of a miner caught under a fallen mine channel, who, without external help cannot escape the depths 'Of the mine, but at the same time must have conviction and hope of rescue and avert fear to cooperate with outside help. The result indicates that family members, doctors and nurses as well as an institute's persistent and active support is most critical for the patient's adjustment to social life.

Keywords

References

  1. Bostelman, S., Chllan, M, Rolincik, L. C, Gantt, M., Herink, M., King, J., Massey, M. K., Morehouse, D., Sopata, T., & Turner, J. (1994). A community project to Encourage compliance with mental treatment aftercare. Public Health Rep, 109(2), 153-157
  2. Chernomas, W. M., Clarke, D. E., & Chisholm, F. A. (2000). Perspectives of women living with schizophrenia. Psychiatr Ser. 51(12), 1517-1521 https://doi.org/10.1176/appi.ps.51.12.1517
  3. Davidson, L., & Strauss, J. S. (1992). Sense of self in recovery from severe mental illness. Br J Med Psycholo, 65, 131-145 https://doi.org/10.1111/j.2044-8341.1992.tb01693.x
  4. George, T. B. (2000). Defining care in the culture of the chronically mentally ill living in the community. J Transcult Nurs, 11(2), 102-110 https://doi.org/10.1177/104365960001100204
  5. Gibson, C. H. (1991). A concept analysis of empowerment. J adv Nurs, 16, 354-461 https://doi.org/10.1111/j.1365-2648.1991.tb01660.x
  6. Hamera, E.K., Peterson, K. A., Handley, S. M., Plumlee, A. A., & Frank-Ragan, E. (1991). Patient self-regulation and functioning schizophrenia. Hosp Community Psychiatry, 42(6), 630-631
  7. Hayne, Y., & Yonge, O. (1997). The lifeworld of the chronic mentally ill : analysis of written personal accounts. Arch Psychiatr Nurs, 11(6), 314-324 https://doi.org/10.1016/S0883-9417(97)80004-0
  8. Jin. S. T., Park, T. S., Kim, J. I., Youn, S. H., Sim, J. C, & Han, N. G. (1990). A Study on Relapse Factors in Schizophrenia. Inje Med, 11(4), 481-491
  9. Kim, J. S. (1999). Effectiveness of the Home Visit Education on the Knowledge, Practice &Symptoms of Home-Based Schizophrenics. J Korean Acad Psychiatr Ment Health Nurs, 8(1), 27-43
  10. Kim, S. A. (1999). Development of The Nursing Intervention Protocol for Home Health Care Clients with Mental Health Problems. J Korean Acad Psychiatr Ment Health Nurs., 8(2), 291-304
  11. Kim, S. W., Youn, J. S., Lee, M. S., & Lee, H. Y. (2000). The Analysis of Newspaper-Articles on Psychosis. J Korean Neuropsychiatr Assoc, 39(5), 838-848
  12. Kim. Y. J. (1995). Living with schizophrenia. Seoul : Korea medical Book publisher
  13. Kirkpatrick, H., Landeen. J., Woodside. H., & Byrne. C. (2001). How people with schizophrenia build their hope. J Psychosoci Nurs Ment Health Serv, 39(1), 46-53
  14. Korean Neuro-Psychiatric Association. (1998). Neuropsychiatry. Seoul : Hana medical Book publisher
  15. Lee, J. S., & Kim, S. J. (2002). A Study on the Effectiveness of Case Management for Rehabilitation of the Chronic Mentally Illness. J Korean Acad Psychiatr Ment Health Nurs, 11(2), 206-220
  16. Lee, P. S., & Han, K. S. (2001). Influencing Factors on Social Adaptation of Chronic Mental Illness. J Korean Acad Nurs, 31(2), 340-350
  17. Morris, M. (1996). Patients' perceptions of psychiatric home care. Arch Psychiatr Nurs, 10(3), 176-183 https://doi.org/10.1016/S0883-9417(96)80019-7
  18. Noh, C. H. (2002). Recovery Experience of Chronic Mentally III in Vocational Rehabilitation Program. J Korean Acad Psychiatr Ment Health Nurs, 11(1), 5-17
  19. Pickens, J. M. (1999). Living with serious mental illness : the desire for normalcy. Nurs Sci Q, 12(3), 233-239 https://doi.org/10.1177/08943189922107007
  20. Sayre, T. (2000). The patient's diagnosis : Explanatory models of mental illness. Quali Health Res, 10(1), 71-83 https://doi.org/10.1177/104973200129118255
  21. Sayre, T. (2001). Using personal account of mental illness as a teaching tool. J Nurs Edu, 40(2), 93-96
  22. Son, K. H., & Bae, J. I. (2000). Effectiveness of the Education for the Medication and Symptoms Management on the Psychiatric Patients Self-care Activity: Focused on Out-patients J Korean Acad Psychiatr Ment Health Nurs, 9(3), 357-367
  23. Straus, A., & J. Corbin. (1998). Basic of Qualitative Research. New Deli : SAGE Pub
  24. Strong, S. (1998). Meaningful work in supportive environments : experiences with the recovery process. Am J Occup Therapy, 52(1), 31-38 https://doi.org/10.5014/ajot.52.1.31
  25. The Korean Psychiatric and Mental Health Nursing Academic Society. (1998). Community-Based Mental Health Nursing Program for Rehabilitation of Long-term Psychiatric Patients. UNDP final report
  26. Unyoung Language Research institute. (1996). The Kumsung Korean Dictionary. Seoul : Kumsung
  27. Vazquez, M. (2001). Providing competent care for mentally ill persons : an evidence-based goal for ambulatory care nurse. Nurs Econ, 19(5), 228-233
  28. Yurkovich, E., Buehler, J. & Smyer, T. (1997). Loss of control and chronic Mentally ill in a rural Day-treatment center. Persp Psychiatr Care, 33(3), 33-39