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복막투석환자의 우울, 자기효능감, 치료순응도의 관련성 연구

Relationship between Depression, Self-efficacy and Treatment Adherence in Peritoneal Dialysis Patients

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주제분류학제간연구

초록

본 연구의 목적은 복막투석환자의 우울, 자기효능감, 치료순응도 정도를 파악하고 이들 변수간의 관계를 파악하기 위함이다. 본 연구는 B광역시의 대학병원을 내원하는 복막투석환자 139명을 대상으로 설문조사한 자료를 SPSS 25.0 프로그램을 이용하여 분석하였다. 본 연구에서 자기효능감은 약물복용, 수분제한, 치료식이의 치료순응도와 정적 상관관계가 있으며 우울은 약물복용, 치료식이의 치료순응도와 부적 상관관계가 있었다. 따라서 복막투석환자의 치료순응도를 강화시키기 위한 간호전략은 자기효능감의 증진과 우울의 완화에 중점을 두어야 할 필요가 있다.

Abstract

Purpose: The purpose of this study was to identify the relationships beween depression, self-efficacy and, treatment adherence in peritoneal dialysis patients. Method: Participants were 139 in a hospital located B city Korea. The data were examined using descriptive statistics, t-test, ANOVA, and Pearson’s correlation with SPSS 25.0. Results: Self-efficacy had positive correlation with medication(r=.28 p=.001), fluid restriction(r=.23, p=.008), dietary restriction(r=.38, p<.001) in adherence. Depression had a negative correlation with medication(r=-.17 p=.046), dietary restriction(r=-.17, p=.043) Conclusion: Nursing starategies to strengthen the treatment adherence of patients with peritoneal dialysis need to focus on enhacing self-efficacy and alleviating depression.

참고문헌 (35)

  1. Current Status of Renal Replacement Therapy in Korea –Insan Memorial Dialysis Registry 2019, "The Korean Society of Nephrology", ~ (2020)
  2. 이영기, "혈액투석", 대한내과학회지, 86(2), pp.131~137 (2014), 대한내과학회[DOI]
  3. O. Iyasere, "Quality of life with conservative care compared with assisted peritoneal dialysis and haemodialysis", Clinical kidney journal, 12(2), pp.262~268 (2019)[DOI]
  4. Hee-Yeon Jung, "Better Quality of Life of Peritoneal Dialysis compared to Hemodialysis over a Two-year Period after Dialysis Initiation", Scientific Reports, 9(1) (2019), Springer Science and Business Media LLC[DOI]
  5. Marta Dąbrowska-Bender, "The impact on quality of life of dialysis patients with renal insufficiency", Patient Preference and Adherence, Volume 12, pp.577~583 (2018), Informa UK Limited[DOI]
  6. Bernard G. Jaar, "Comparing the Risk for Death with Peritoneal Dialysis and Hemodialysis in a National Cohort of Patients with Chronic Kidney Disease", Annals of Internal Medicine, 143(3), pp.174~ (2005), American College of Physicians[DOI]
  7. 문정화, "투석방법에 따른 자가관리 지식, 자가관리, 생리적 지표와 증상경험", 기본간호학회지, 25(3), pp.220~230 (2018), 기본간호학회[DOI]
  8. Wanicha Pungchompoo, "Effectiveness of a self‐management retraining program improving the quality of life of people receiving continuous ambulatory peritoneal dialysis", Nursing & Health Sciences, 22(2), pp.406~415 (2020), Wiley[DOI]
  9. Kris Denhaerynck, "Prevalence and Consequences of Nonadherence to Hemodialysis Regimens", American Journal of Critical Care, 16(3), pp.222~235 (2007), AACN Publishing[DOI]
  10. Y. Kim, "The End-Stage Renal Disease Adherence Questionnaire(ESRD-AQ) : testing the psychometric properties in patients receiving in-center hemodialysis", Nephrology nursing journal : journal of the American Nephrology Nurses'Association, 37(4), pp.377~ (2010)
  11. 이현정, "복막투석환자의 식이적응경험: 현상학적 연구", 한국산학기술학회논문지, 21(11), pp.364~374 (2020), 한국산학기술학회[DOI]
  12. 김정민, "단일 기관에서 장기 치료한 복막투석과 혈액투석 환자의 치료 경과 비교", 대한내과학회지, 92(1), pp.45~52 (2017), 대한내과학회[DOI]
  13. Seon-Mi Kim, "Comparison of hemodialysis and peritoneal dialysis patients’ dietary behaviors", BMC Nephrology, 21(1) (2020), Springer Science and Business Media LLC[DOI]
  14. Rute Aguiar, "Health‐related quality of life in peritoneal dialysis patients: A narrative review", Seminars in Dialysis, 32(5), pp.452~462 (2019), Wiley[DOI]
  15. M. M. Mok, "A longitudinal study on the prevalence and risk factors for depression and anxiety, quality of life, and clinical outcomes in incident peritoneal dialysis patients", Peritoneal Dialysis International, 39(1), pp.74~82 (2019)[DOI]
  16. Cheuk-Chun Szeto, "Depression and Physical Frailty Have Additive Effect on the Nutritional Status and Clinical Outcome of Chinese Peritoneal Dialysis", Kidney and Blood Pressure Research, 43(3), pp.914~923 (2018), S. Karger AG[DOI]
  17. Jianxiong Lin, "The negative impact of depressive symptoms on patient and technique survival in peritoneal dialysis: a prospective cohort study", International Urology and Nephrology, 52(12), pp.2393~2401 (2020), Springer Science and Business Media LLC[DOI]
  18. C. Jarupaktranonth, "Depression and Medication Adherence in Continuous Ambulatory Peritoneal Dialysis Patients", Srinagarind Medical Journal, 35(5), pp.584~590 (2020)
  19. Albert Bandura, "Self-efficacy: Toward a unifying theory of behavioral change.", Psychological Review, 84(2), pp.191~215 (1977), American Psychological Association (APA)[DOI]
  20. Z. L. Yu, "Evaluation of adherence and depression among patients on peritoneal dialysis", Singapore Med J, 53(7), pp.474~480 (2012)
  21. Franz Faul, "G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences", Behavior Research Methods, 39(2), pp.175~191 (2007), Springer Science and Business Media LLC[DOI]
  22. 김영미, "한국어판 말기신부전 환자의 치료순응도 측정 도구의 타당도와 신뢰도 검증", 임상간호연구, 18(2), pp.307~316 (2012), 병원간호사회
  23. A. T. Beck, "Beck depression inventory(BDI)", Arch Gen Psychiatry, 4(6), pp.561~571 (1961)
  24. Y. Lee, "A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales", Korean J Clin Psychol, 10, pp.98~113 (1991)
  25. J. H. Kim., "An effect of guided imagery applied to hemodialysis patients", doctor, pp.1995
  26. M. H. Park., "Effects of a Self-efficacy Promoting Program on the Self-Care Behaviors and Physio-Psychological Function in Patients with Continuous Ambulatory Peritoneal Dialysis", Doctoral, pp.2004
  27. Karam Sh. Naalweh, "Treatment adherence and perception in patients on maintenance hemodialysis: a cross – sectional study from Palestine", BMC Nephrology, 18(1) (2017), Springer Science and Business Media LLC[DOI]
  28. Robbert W. Schouten, "General distress and symptoms of anxiety and depression: A factor analysis in two cohorts of dialysis patients", General Hospital Psychiatry, 65, pp.91~99 (2020), Elsevier BV[DOI]
  29. 권금순, "혈액투석 환자의 Type D 성격과 삶의 질 간의 관계에서 우울 및 사회적 지지의 매개 효과", 성인간호학회지, 31(4), pp.439~448 (2019), 한국성인간호학회[DOI]
  30. 김영혜, "복막투석환자의 복막염 발생 영향요인", 기본간호학회지, 15(2), pp.206~212 (2008), 기본간호학회
  31. 이영희, "혈액투석 환자의 가족지지, 자기효능감 및 피로가 삶의 질에 미치는 영향", 동서간호학연구지, 21(1), pp.1~9 (2015), 동서간호학연구소[DOI]
  32. L. S. Wright, "Quality of Life and Self-Efficacy in Three Dialysis Modalities : Incenter Hemodialysis, Home Hemodialysis, and Home Peritoneal Dialysis", Nephrology Nursing Journal, 42(5) (2015)
  33. Z. M. A. Aziz, "Depression and Self-efficacy among Hemodialysis Patients", International Journal of Novel Research in Healthcare and Nursing, 6(2), pp.535~546 (2019)
  34. 전현미, "혈액투석 환자의 역할행위이행 영향요인", 기본간호학회지, 26(1), pp.23~31 (2019), 기본간호학회[DOI]
  35. L. Parker Gregg, "Pharmacologic and psychological interventions for depression treatment in patients with kidney disease", Current Opinion in Nephrology & Hypertension, 29(5), pp.457~464 (2020), Ovid Technologies (Wolters Kluwer Health)[DOI]

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