소아암 환아 가족을 위한 건강돌봄교사파견사업의성과에 관한 혼합연구

Abstract

The purpose of the present study was to evaluate the effect of the health care teacher dispatch project for families with pediatric cancer patients and identify the outcomes of the project in order to present practical implications. The present study used mixed methodology. In the quantitative research, the prior inspection had been carried out when dispatching a health care teacher for the very first time from February 2019. Regarding the post-inspection, it had been done after the concerned service (20 sessions) by the participant ended. And, regarding the quantitative data analysis method, a correspondence sample t-test (a matched pair t-test) had been carried out. The average of the pre-resilience of the children with cancer (N=34) was 96.79. And the average of the post-resilience was 108.68. The average of the pre-rearing stress of the protectors (N=58) was 43.90. And the average of the post-rearing stress appeared as being 42.14. For the qualitative approach, 6 children and 6 parents participated in the interviews. As a result of the qualitative research, the ‘increase in resilience of children with cancer’ and ‘reduction in rearing stress of protectors’, which were identically observed even in those of the quantitative research, were found. In addition, the multidimensional outcomes were shown as follows. First, children with cancer who participated in the health care teacher dispatch project had a ‘special meeting that energizes their lives of struggling against illness, thereby showing positive emotional improvement and positive self-understanding as outcomes related to personal intrinsic characteristics. Moreover, there were improvements in self-reliance and resource mobilization as outcomes related to the coping-pattern characteristics of the children, and improvements in relationship skills and sociality as outcomes related to their interpersonal characteristics. Second, the self-care and family-care time of their protectors was secured. In addition, the nurturing environment for the children and their sibling relationship were improved. Based on the findings, this study suggested practical implications. Therefore, this mixed method study has significance in that it identifies the effectiveness of the health care teacher dispatch project and suggests the direction of the project.