정신분열병 환자의 삶의 체험 -Parse의 연구방법론

Abstract

This study was designed to contribute to psychiatric nursing practice and research by understanding process of the lived experience of schizophrenic patients after diagnosis. The subject includes four patients who had been hospitalized more than twice and receive treatments at the time of this study. Data was collected from November 2001 to July 2002 through consistent interviews with the concept of the patient as a person. Using Parse's research methodology, the dialogical engagement of I-You was used between the researcher and the subjects. The tape-recorded interviews were analyzed through the process of the extraction-synthesis and heuristic interpretation. The findings are as follows: The lived experience of schizophrenic patients includes (1) they wish to live a different life from their past; (2) they seek meaning through relationships with family and God despite social stigma; (3) they seek to pursue successful interpersonal relations and a normal life through limited-freedom experiences in the course of relapses, paradoxical ambivalent feelings toward family members and significant others; (4) they change their perspective of life and meaning; and (5) they wish to have a positive sense of reality and hope for a better future life. Using Parse's Human Becoming research methodology, the structure of the lived experience of schizophrenic patients in this study is interpreted as: Powering of schizophrenic patients unfold in the valuing of enabling-limiting. Originating of schizophrenic patients manifest in the languaging of connection-separating. Transforming of schizophrenic patients is a way of revealing-concealing imaging. The result of the study shows that the personal experience of the schizophrenic patients can be stated; i) making choices and finding the meaning of life through interactions within human-universe-environment context in spite of their desperate situations of past personal frustrations and social stigma, ii) attempting to support themselves and transform negative life into positive one by their own will. This is the human becoming process.