화병의 경과 및 회복요인에 관한 질적분석

다국어 초록 (Multilingual Abstract)

Objective : The objective of this study is to describe the progress of Hwa-byung and the influence factors in Hwa-byung.
Method : Data were collected from semi-structured interviews. We studied the progress and recovery of Hwa-byung with the lived experiences of 8 middle aged women suffered from Hwa-byung. To analyse the data collected, a Consensual Qualitative Research(CQR) methodology was used.
Result : 8 participants who thought themselves Hwa-byung were actually 6 Hwa-byung patients and 2 non Hwa-byung patients. 4 years later, Among 6 Hwa-byung patients 4 patients recovered, 1 patient persisted, last one patient is circular Hwa-byung. Over time, The symptoms of Hwa-byung were reduced substantially. But patients recognizes their disease continuously persisted. Also, they thought the symptoms increasing. t is observed that environmental chages, physical changes, cognitive changes, emotional chages and changes of attitude toward others in the recovery period. ecovery factors is the reduction of stimuli, social support, exercise, treatment, control of rumination and some cognitive changes. Patients thought a direct correlation between Hwa-byung symptoms and hypertension. And They looked on Hwa-byung as cause of various diseases.
Conclusion : To recover Hwa-byung, It is necessary that patients have changes of environment, cognition and emotion and need to have self management in everyday life. In addition, Doctor should correct the misconception about symptoms that thought too much.

목차 (Table of Contents)

• Ⅰ. 서론 1
• Ⅱ.연구방법 3
• 1. 연구설계 3
• 2. 연구대상 3
• 3. 연구도구 4
• 1) 반구조화된 면담질문지 4
• 2) 설문검사 6
• 4. 연구절차 7
• 1) 1:1 심층면담 7
• 2) 설문검사 7
• 3) 자료 분석 8
• Ⅲ. 연구결과 12
• 1. 연구 대상자의 특성 12
• 2. 화병에 대한 인식 14
• 1) 화병에 대한 병식 14
• 2) 화병 회복에 대한 인식 15
• 3. 화병 회복 시기의 변화 16
• 1) 환경의 변화 16
• 2) 신체 증상의 변화 17
• 3) 인지적 변화 18
• 4) 정서적 변화 19
• 5) 관계의 변화 21
• 4. 화병과 직접적인 연관성을 가지는 요인 23
• 1) 화병 회복 요인 23
• 2) 화병 악화 요인 27
• 5. 화병과 함께 발생한 질병 28
• 6. 대표적 사례 31
• 1) 화병지속군 31
• 2) 화병회복군 32
• 3) 화병발전군 33
• 4) 순환성 화병 34
• 7. 시기별 변화 35
• 1) SCID와 화병설문지를 통한 화병의 변화 35
• 2) 대표적 사례의 시기별 지표 변화 38
• Ⅳ. 고찰 46
• 1. 화병에 대한 인식 46
• 2. 화병회복시기에 나타나는 변화 47
• 3. 화병회복요인 53
• 4. 화병과 병발한 질환 55
• 5. 설문검사 경과에 관한 고찰 56
• 6. 화병회복과정의 특징 57
• 7. 본 연구의 의의 58
• 8. 본 연구의 한계점 58
• Ⅴ. 결론 60
• 참고문헌 62
• Abstract 66