만성 B형 간염환자의 피로 영향요인
The Factors Influencing to Fatigue of Patients with Chronic Hepatitis B
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives: The purpose of this study was to investigate factors influencing to fatigue of patients with chronic hepatitis B. Methods: The subjects were consisted of 140 patients with chronic hepatitis B who visited the K University Hospital in Daegu, Korea from May to June. Data were collected by selfadministered questionnaires of symptom distress, anxiety, self efficacy and fatigue with Likert scale. Collected Data were analyzed with SPSS 18.0 program. Results: The reported scores for symptom, anxiety, self-efficacy and fatigue were 1.55±0.58, 1.94±0.53, 3.60±0.64, 2.98±1.84, respectively. A positive correlation existed between fatigue and symptom (r=0.57, p=0.029), anxiety (r=0.64, p=0.000). In contrast, there was a negative correlation between fatigue and self-efficacy (r=-0.57, p=0.000). The influencing factors for fatigue were anxiety, symptom, the level of education and self-efficacy (R2=0.53, p<0.001). Conclusions: The results of this study provide comprehensive understanding of the influencing factors on fatigue in patients with chronic hepatitis B. These findings show that development for programs and strategies for reducing anxiety and symptom and enhancing self-efficacy are need to control fatigue in chronic hepatitis B patients.
Abstract
Objectives: The purpose of this study was to investigate factors influencing to fatigue of patients with chronic hepatitis B. Methods: The subjects were consisted of 140 patients with chronic hepatitis B who visited the K University Hospital in Daegu, Korea from May to June. Data were collected by selfadministered questionnaires of symptom distress, anxiety, self efficacy and fatigue with Likert scale. Collected Data were analyzed with SPSS 18.0 program. Results: The reported scores for symptom, anxiety, self-efficacy and fatigue were 1.55±0.58, 1.94±0.53, 3.60±0.64, 2.98±1.84, respectively. A positive correlation existed between fatigue and symptom (r=0.57, p=0.029), anxiety (r=0.64, p=0.000). In contrast, there was a negative correlation between fatigue and self-efficacy (r=-0.57, p=0.000). The influencing factors for fatigue were anxiety, symptom, the level of education and self-efficacy (R2=0.53, p<0.001). Conclusions: The results of this study provide comprehensive understanding of the influencing factors on fatigue in patients with chronic hepatitis B. These findings show that development for programs and strategies for reducing anxiety and symptom and enhancing self-efficacy are need to control fatigue in chronic hepatitis B patients.
참고문헌 (30)
- "Statistics Korea"[URL]
- "Centers for Disease Control and Prevention"[URL]
- Lee KS, "Management of chronic hepatitis B", Korean J Hepatol, 13(4), pp.447~488 (2007)
- 이정은, "만성 B형 간염환자의 건강행위 수준 및 영향요인", 성인간호학회지, 23(1), pp.20~30 (2011), 성인간호학회
- Park YH, "만성 간 질환자의 피로와 일상생활 활동", 재활간호학회지, 8(2), pp.110~118 (2005), 한국재활간호학회
- 이명선, "한국 만성 B형 간염 환자들의 질병 경험", Journal of Korean Academy of Nursing, 37(5), pp.665~675 (2007), 한국간호과학회
- 김세현, "만성 간질환 환자에서 간질환 특이적 삶의 질 도구에 관한 한국어 번역 설문지의 타당성에 대한 조사", Clinical and Molecular Hepatology, 13(1), pp.44~50 (2007), 대한간학회
- 조명숙, "간세포암 환자의 증상군 분류와 타당도 검증", Journal of Korean Academy of Nursing, 39(5), pp.683~692 (2009), 한국간호과학회
- Karaivazoglou K, "Fatigue and depressive symptoms associated with chronic viral hepatitis patients. health-related quality of life (HRQOL)", Ann Hepatol, 9(4), pp.419~446 (2010)
- Wu H, "Sociocultural factors that potentially affect the institution of prevention and treatment strategies for prevention of hepatitis B in Chinese Canadians", Can J Gastroenterol, 23(1), pp.31~36 (2009)
- 양진향, "만성B형간염 환자의 자가관리이행에 대한 영향요인", 기본간호학회지, 18(4), pp.520~528 (2011), 기본간호학회
- Bandura A, "Self-efficacy toward a unifying theory of behavioral change", Psychol Rev, 84(2), pp.191~215 (1977)
- Han KS, "Stress appraisal, coping behavior, self efficacy, social support and fatigue regulation behaviors of the patient with chronic fatigue", J Korean Acad Psychiatric Ment Health Nurs, 14(2), pp.170~177 (2005)
- 김자옥, "만성 B형 간염 환자의 건강 관련 삶의 질과 영향요인", 성인간호학회지, 26(3), pp.287~299 (2014), 성인간호학회[DOI]
- 김금순, "만성 B형 간염환자의 삶의 질과 제요인", 기본간호학회지, 14(3), pp.331~339 (2007), 기본간호학회
- 방소연, "만성폐쇄성폐질환자의 피로 영향요인", Journal of Korean Academy of Nursing, 37(6), pp.855~862 (2007), 한국간호과학회
- 최진이, "암 환자의 피로 및 영향요인", Journal of Korean Academy of Nursing, 37(3), pp.365~372 (2007), 한국간호과학회
- 김지숙, "만성 간 질환자의 피로, 우울 및 수면장애", Journal of korean biological nursing science, 14(1), pp.1~7 (2012), 기초간호학회
- 강현철, "간호학 연구에서 효과크기의 사용에 대한 고찰", Journal of Korean Academy of Nursing, 45(5), pp.641~649 (2015), 한국간호과학회
- McCorkle R, "Development of a symptom distress scale", Cancer Nurs, 1(5), pp.373~378 (1978)
- Spielgerger C, "Anxiety current trends in theory and research", pp.481~493 (1972), Academic Press
- Kim JT, "A study based on the standardization of the STAI for Korea", New Med J, 21(11), pp.69~75 (1978)
- Sherer M, "The self-efficacy scale: construction and validation", Psychol Rep, 51, pp.663~671 (1982)
- Hong HY, "Relationship of Perfectionism, Self-Efficacy and Depression", 석사, pp.1995
- Piper BF, "The revised Piper Fatigue Scale: psychometric evaluation in women with breast cancer", Oncol Nurs Forum, 25(40), pp.677~684 (1998)
- Lee, EH, "Construct validity of the revised Piper Fatigue Scale in Korean women with breast cancer", J Korean Acad Nurs, 29(2), pp.485~493 (1999)
- Martin LM, "The impact of liver disease on health-related quality of life: a review of the literature", Curr Gastroenterol Rep, 4(1), pp.79~83 (2002)
- 함정희, "항암요법을 받는 간암환자의 불안, 오심, 구토에 대한 발반사마사지 효과- 간동맥화학전술 중심으로 -", 임상간호연구, 8(2), pp.147~167 (2003), 병원간호사회
- 김근면, "만성 통증을 가진 노인의 피로에 영향을 미치는 요인", 정신간호학회지, 20(1), pp.61~70 (2011), 정신간호학회
- 김은희, "일 대학 간호대학생의 임상실습 스트레스, 피로, 임상실습 만족도 및 자기효능감의 관계", 보건정보통계학회지, 40(1), pp.24~36 (2015), 한국보건정보통계학회
