본 연구는 소아암 환아 어머니들이 수용전념 치료(ACT)경험을 심층적으로 분석한 질적 사례연구이다, 기존 연구에서는 프로그램 효과성에 초점이 맞추어져 ACT의 핵심인 삶의 맥락에서 태도의 변화 내용을 상세하게 알기가 어려웠다. 이에 본 연구는 ACT의 주요 관점인 삶의 태도를 심층적으로 탐색하여 환아 어머니들의 변화 과정에서 도움이 되는 임상적 개입의 기초자료를 제공하고자 한다. 연구방법은 다섯 명의 참여자를 대상으로 ACT프로그램을 개별 치료적 접근로 주 1회 90분씩 총 6회기로 진행하고,. 분석 방법으로 Stake(1995)의 질적 사례연구 자료 분석과 해석방법을 사용하였다. 이를 통해 사례 내 분석에서 힘들고 지쳐가는 삶, 복잡한 마음을 그대로 경험하며 전념행동을 시도함, 고통ㄱ과 편안함이 공존하는 삶의 태도의 과정으로 분석되었고, 사례 간 분석에서 참여자들의 삶의 맥락에서 경험되는 유사점 및 차이점이 분석되었다. 이를 근거로 ACT 과정에서 경험되는 어머니들의 기대, 어려움, 시도해보기, 자기 성찰, 가치를 추구함에 대한 논의 및 환아 어머니들을 위한 실천적 개입 방안에 대해 제언하였다.
This study is a qualitative case study that contextualizes experiences through the Acceptance and Commitment Therapy (ACT) on the mothers of pediatric cancer patients. The previous study focused on program effectiveness. It was difficult to analyze the details of the change of attitude in the context of life with respect to ACT. The purpose of this study is to provide basic data for clinic intervention to improve the wellbeing of the mothers of pediatric cancer patients by analyzing their attitude of the changed life. Five mothers of pediatric cancer patients participated in the study for six sessions, 90 minutes a week for individual therapy. The method of data analysis used were those used by Stake(1995). Assessing the results of the case analysis, the subjects of the study were reported to have a difficult and stressful life as well as a changed outlook on life. Between the case analysis, similarities and differences of experiences were analyzed in the context of each participant. The results of this study discussed the mothers’ expectations, difficulties, effective practice, self-reflection, and seeking value through the ACT program and suggested implications for future clinical practices for mothers of pediatric cancer patients.
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