혈액투석 환자의 사회적 지지와 건강정보 이해능력이 환자역할행위 이행에 미치는 영향
The Effect of Social Support and Health Literacy on Sick Role behavior in Hemodialysis Patients
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초록
본 연구는 혈액투석 환자의 사회적 지지, 건강정보 이해능력, 환자역할행위 이행의 정도와 환자역할행위 이행에 미치는 영향을 파악하기 위한 서술적 조사연구이다. J시에 위치한 투석실 4곳에서 정기적인 혈액투석을 받는 외래환자 149명을 대상으로 조사하였다. 자료는 기술통계, t-test, one-way ANOVA, Pearson correlation, multiple linear regression으로 분석하였다. 혈액투석 환자역할행위 이행에 미치는 영향은 사회적 지지(β=.37, p<.001), 건강정보 이해능력(β=.16, p=.035), 종교(기타)(β=-.25, p=.001)가 유의한 것으로 나타났으며, 본 연구에 적용한 분석모델의 설명력은 22%로 나타났다. 이러한 결과로 보아 환자역할행위 이행의 증진을 위해 사회적 지지와 건강정보 이해능력을 높여줄 수 있는 구체적인 전략과 효과적인 중재방안 모색이 필요하다.
Abstract
This was a descriptive study to investigate the effect of social support and health literacy on sick role behaviors in hemodialysis patients. A total of 149 outpatients receiving regular hemodialysis at four dialysis centers located in J city were surveyed. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficient, and multiple linear regression. Factors including social support (β=.37, p<.001), health literacy (β=.16, p=.035), and religion (others) (β=-.25, p=.001) had an effect on sick role behavior. The explanatory power of model in this study was 22.0%. Therefore, the improvement of sick role behavior in patients undergoing hemodialysis requires specific strategies and interventions that are effective in increasing the social support and health literacy.
참고문헌 (31)
- "Current Renal Replacement Therapy in Korea-Insan Memorial Dialysis Registry 2018" (2019)[URL]
- "Social supports and quality of life of hemodialysis", 31(2), pp.184~191 (2005)
- Kianoosh Kaveh, "Compliance in Hemodialysis Patients: Multidimensional Measures in Search of a Gold Standard", American Journal of Kidney Diseases, 37(2), pp.244~266 (2001), Elsevier BV[DOI]
- Lyndsay S. Baines, "Non-Compliance in Patients Receiving Haemodialysis: An In-Depth Review", Nephron, 85(1), pp.1~7 (2000), S. Karger AG[DOI]
- 노성배, "혈액투석환자의 사회적지지, 회복탄력성이 환자역할행위 이행에 미치는 영향", 한국융합학회논문지, 10(5), pp.385~395 (2019), 한국융합학회[DOI]
- Kris Denhaerynck, "Prevalence and Consequences of Nonadherence to Hemodialysis Regimens", American Journal of Critical Care, 16(3), pp.222~235 (2007), AACN Publishing[DOI]
- Y. J. JO, "Depression, self care compliance and physiological indices of hemodialysis patients", Keimyung Journal of Nursing Science, 15(1), pp.115~122 (2011)
- A. E. Figueiredo, "Evaluation of physical symptoms in patients on peritoneal dialysis", International Journal of Nephrology, pp.305424~ (2012)[DOI]
- 신재신, "만성질환 입원노인환자의 자아존중감과 가족지지가 무력감에 미치는 영향", 성인간호학회지, 16(3), pp.470~481 (2004), 한국성인간호학회
- Y. S. Choi., "A study on the relationship between perceived social support, and compliance with sick role behavior in elderly hemodialysis patients", Master, pp.2008
- Scott D. Cohen, "Social Support and Chronic Kidney Disease: An Update", Advances in Chronic Kidney Disease, 14(4), pp.335~344 (2007), Elsevier BV[DOI]
- D. Nutbeam, "Health promotion glossary", Health Promotion International, 13(4), pp.349~364 (1998)
- Health literacy : A prescription to end confusion, "L. N. Bohlman", Institute of Medicine, 31~32 (2004)
- 조영문, "혈액투석 환자의 건강정보이해능력에 따른 질병불확실성, 주관적 건강상태및 환자역할행위 이행과의 관계", 성인간호학회지, 30(4), pp.437~446 (2018), 한국성인간호학회[DOI]
- J. A. Wright, "Development and results of a kidney disease knowledge survey given to patients with CKD", Am J kideny Dis, 57(3), pp.387~395 (2010)
- O. S. Kim., "A study on the correlation between perceived social support and the q uality of life of hemodialysis patients", Master, pp.1993
- K. H. Kim., "A study on the influencing factors to the quality of life of the hemodialysis patients", Master, pp.1996
- T. W. Lee, "Development of the short form of the korean health literacy scale for the elderly", Research in Nursing & Health, 36, pp.524~534 (2013)
- 이태화, "한국 노인의 건강 문해(Health Literacy)실태와 영향 요인 -인구사회학적 특성을 중심으로-", 한국노년학, 28(4), pp.847~863 (2008), 한국노년학회
- K. Y. Hong., "A study of the relationships among dialysis related knowledge, self efficacy and compliance of patient role behavior in hemodialysis patients", Master, pp.1999
- E. S. Song., "Study on the knowledge about hemodialysis and compliance of patient role behavior in hemodialysis patients", Master, pp.2002
- S. B. Gwon., "Influence of family and health care professional support on self-care behavior of diabetic nephropathy hemodialysis patients", Master, pp.2019
- M. Y. Kim., "The effect of family support and social psychological adjustment on the quality of life of hemodialysis patients", Master, pp.2018
- 차지은, "혈액투석환자의 사회적 지지 경로분석 :자기조절모형에 기반하여", 임상간호연구, 21(1), pp.116~126 (2015), 병원간호사회
- A. Cristóvão., "Fluid and dietary restriction’s efficacy on chronic kidney disease patients in hemodialysis", Revista Brasileria de Enfermagem, 68(6), pp.1154~1162 (2015)
- C. Y. Lee., "Health literacy and participation in care of geriatric patients with heart failure", Master, pp.2017
- 신경민, "노인 심부전 환자의 건강 문해력에 따른 심부전 지식과 자가 간호", 임상간호연구, 22(1), pp.28~37 (2016), 병원간호사회
- Shoou-Yih D Lee, "Health literacy, social support, and health: a research agenda", Social Science & Medicine, 58(7), pp.1309~1321 (2004), Elsevier BV[DOI]
- Barbara Billek-Sawhney, "Literacy and the Older Adult", Topics in Geriatric Rehabilitation, 21(4), pp.275~281 (2005), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Y. L. Kim., "A study on the symptom cluster of hemodialysis patients, knowledge about hemodialysis, compliance of patients sick role behavior, and biochemical index", Master, pp.2019
- Claire Louise Durose, "Knowledge of dietary restrictions and the medical consequences of noncompliance by patients on hemodialysis are not predictive of dietary compliance", Journal of the American Dietetic Association, 104(1), pp.35~41 (2004), Elsevier BV[DOI]