역류성 식도염 환자의 건강증진행위에 미치는 영향요인
Factors Affecting Health Promotion Behaviors in Patients with Reflux Esophagitis
0
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
본 연구는 건강증진모형을 이론적기틀로 하여 역류성 식도염 환자의 건강증진행위 및 이에 대한 영향요인을 파악하기 위한 서술적조사연구이다. C 대학병원 소화기내과 외래 환자 중 역류성식도염 진단을 받은 178명을 대상으로 설문조사를 실시하였다. SPSS WIN ver 20.0을 이용하여 기술통계, t-test, ANOVA, scheffe test, Pearson 상관관계, 다중회귀분석을 이용하여 분석한 결과 역류성 식도염 환자의 음주, BMI, 유익성, 내적통제위, 지각된 건강상태가 건강증진행위에 유의한 영향요인이었고, 설명력은 49%이었다. 본 연구는 재발이 잦은 역류성식도염을 완화시키기 위해서 음주, 식습관, 비만조절 등의 생활습관 변화가 필요하다는 선행연구에 대한 근거를 제시하였으며, 향후 이를 토대로 교육프로그램을 개발 및 적용하여 구체적인 효과평가를 위한 실험연구 수행을 제안한다.
Abstract
This descriptive survey aimed to investigate the health promotion behaviors of patients with reflux esophagitis and identify the factors influencing it using the health promotion model. The survey was conducted with 178 outpatients diagnosed with reflux esophagitis at C university hospital. Data were analyzed by descriptive statistics, t-test, ANOVA, Pearson’s correlation, and multiple regression using SPSS win ver 20. We found that alcohol consumption, BMI, perceived benefit, internal control level, and perceived health status of the patients are significant factors influencing health promotion behavior. The explanatory power was 49%. Therefore, this study is consistent with previous studies that elucidated that changing lifestyle behaviors and obesity control are necessary to alleviate reflux esophagitis. Based on these findings, we propose to develop and apply an educational program for evaluation.
참고문헌 (46)
- 김대현, "질병으로서의 흡연", Korean Journal of Family Medicine, 30(7), pp.494~502 (2009), 대한가정의학회
- N. Vakil, "The Montreal Definition and Classification of Gastroesophagealreflux disease : a Global, Evidence-based Consensus Paper", American Journal of Gastroenterology, 101(8), pp.1900~1920 (2006)
- 김서우, "Prevalence and risk factors for reflux esophagitis in patients with chronic obstructive pulmonary disease", The Korean Journal of Internal Medicine, 29(4), pp.466~473 (2014), 대한내과학회[DOI]
- 김재우, "경도-중등도의 역류성 식도염에서 저용량 오메프라졸과 표준 용량 라니티딘의 치료 효과", 대한소화기학회지, 43(3), pp.153~159 (2004), 대한소화기학회
- 이주용, "춘천 지역의 위식도 역류질환과 역류성 식도염의 특징 -건강 검진자 연구", 대한내과학회지, 74(4), pp.385~390 (2008), 대한내과학회
- S J Chung, "Metabolic syndrome and visceral obesity as risk factors for reflux oesophagitis: a cross-sectional case-control study of 7078 Koreans undergoing health check-ups", Gut, 57(10), pp.1360~1365 (2008), BMJ[DOI]
- 고재무, "건강검진자에서 역류성 식도염의 위험인자 및 Helicobacter pylori와의 연관성", Korean Journal of Health Promotion, 7(1), pp.60~67 (2007), 대한임상건강증진학회
- "Health and Welfare Forum" (2015)[URL]
- "Disease subclass statistics, K21(gastric-esophageal reflux disease) Health Care Big Data Open System" (2020)[URL]
- 양선영, "위식도역류질환 환자의 식이 위험요인 및 삶의 질", 대한내과학회지, 70(6), pp.627~635 (2006), 대한내과학회
- 조수현, "비만과 역류성 식도염과의 연관성-공단 건강검진자를 대상으로", Journal of Obesity & Metabolic Syndrome, 16(2), pp.58~64 (2007), 대한비만학회
- A. R. Gelhot, "Gastroesophageal Reflux Disease Diagnosis and Management", American Family Physician, 59(5), pp.1161~1169 (1999)
- H. J. Lee, "Factors Affection Intentions for Health Behaviors among Male Office Workers : an Analysis Based on the Theory of Planned Behavior", Korean Journal of Occupational Health Nursing, 11(1), pp.31~43 (2002)
- 김현영, "건강 검진자에서의 미란성 및 비미란성 위식도역류질환의 임상적 특성 및 위험인자", 대한내과학회지, 71(5), pp.491~500 (2006), 대한내과학회
- S. Y. Nam, "Obesity and Weight Gain as Risk Factors for Erosive Esophagitis in Men", Aliment Pharmacology & Therapeutics, 29(9), pp.1042~1052 (2009)
- Y. C. Jo, "Risk Factors of Reflux Esophagitis in General Health Screening People in Tongyeong", The DongGuk Journal of Medicine, 15(1), pp.134~141 (2008)
- H. M. Yoon., "Factors Affecting Health Promotion Behavior Among Stomach Cancer Patients", Master, pp.2008
- Y. O. Han., "Family Supported Health Promotion Behavior among Patients with Gastrointestinal Tract Cancer", Master, pp.2010
- S. H. Hwang., "Health Promotion Behavior in Colorectal Cancer Patients and General Adults", Master, pp.2012
- 이양구, "체육활동 참여 대학생들의 자기관리와 건강증진 생활양식과의 관계", 한국융합학회논문지, 9(1), pp.161~169 (2018), 한국융합학회[DOI]
- N. J. Pender, "Health Promotion in Nursing Practice" (1987), Appleton & Lange
- A. Tanahill, "Epidemiology and Health Promotion" (1992), Health Promotion Disciplines and Diversity
- N. J. Pender., "Expressing Health through Lifestyle Patten", Nursing Science Quarterly, 3(3), pp.115~122 (1990)
- B. Y. Park., "Factors Influencing the Health Promotion Behaviors among Middle-aged Women", Master, pp.2008
- Y. M. Paek., "Prediction Model on Health Promotion Behaviors in Male Office Workers", Doctoral, pp.2005
- 유승석, "건강진단검사 수진자에서 식도질환의 유병률", 대한소화기학회지, 50(5), pp.306~312 (2007), 대한소화기학회
- SUSAN NOBLE WALKER, "The Health-Promoting Lifestyle Profile", Nursing Research, 36(2), pp.76???81~ (1987), Ovid Technologies (Wolters Kluwer Health)[DOI]
- 김현수, "역류성 식도질환 환자의 생활습관 및 식습관 조사연구", 한국임상약학회지, 24(4), pp.248~254 (2014), 한국임상약학회
- J. S. Moon., "Study of Instrument Development for Health Belief of Korean Adults", Doctoral, pp.1990
- K. A. Wallston, "Development of the Multidimensional Health Locus of Control Scales", Health Education Monographs, 6(1), pp.160~171 (1978)
- M. P. Lawtone, "A Research and Service Oriented Multilevel Assessment Instrument", Journal of Gerontology, 37(1), pp.91~99 (1982)
- Y. I. Cho, "The Relationship between the Perceived Self-esteem, Health Status, and Quality of Life of Patients with Diabetes Mellitus", Bulletin of Dongnam Health College, 22(2), pp.47~60 (2004)
- N. Shaheen, "The Epidemiology of Gastroesophageal Reflux Disease", The American Journal of the Medical Sciences, 326(5), pp.264~273 (2003)
- C. H. Park., "Endoscopically Proved Reflux Esophagitis and Its Risk Factor in Elderly Patients", Master, pp.2002
- 최문선, "노인 환자에서의 위식도역류질환의 임상 양상의 차이", Annals of geriatric medicine and research, 12(4), pp.222~226 (2008), 대한노인병학회
- T. W. Lee., "Analysis of Variables Affecting Health Promoting Behavior : Focusing on Adult Men and Women in Seoul", Master, pp.1989
- K. H. Choi., "Factors Influencing Health Promoting Behavior", Master, pp.2010
- 김영복, "성인 여성의 체질량지수(BMI)에 따른 건강증진행위 및 건강신념 비교", 한국발육발달학회지, 11(3), pp.45~55 (2003), 한국발육발달학회
- S. R. Choi., "The Role of Diet and Lifestyle Measures in the Pathogenesis and Treatment of Gastroesophageal Reflux Disease", Americal Journal of Gastroenterology, 95, pp.2692~2696 (2001)
- K. J. Kang, "The Relationship among Sick Role Behavior Compliance, Health Belief and Health Locus of Control in Patients with Diabetes Mellitus", The Comprehensive Nursing Science, 1, pp.41~58 (2002)
- 이연희, "대사증후군 직장 중년남성의 건강증진행위에 미치는 영향요인", 석사, 간호학과 간호학전공, pp.2014
- 장명웅, "역류성 식도염 유발 생쥐의 半夏瀉心湯 투여 효과에 대한 실험 연구", 대한한방내과학회지, 34(4), pp.362~374 (2013), 대한한방내과학회
- Pok Ja Oh, "A Structural Model for Health Promotion and Quality of Life in People with Cancer", The Journal of Nurses Academic Society, 26(3), pp.632~ (1996), Korean Society of Nursing Science[DOI]
- B. S. Wallston, "Locus of Control and Health : a Review of the Literature", Health Education Monographs, 6(1), pp.107~117 (1978)
- Y. H. Shon., "Predictive Model for Health Promotion Behavior of Korean Patients on Hemodialysis", Master, pp.2001
- H. M. Seo., "Construction of Health Promoting Behaviors Model in Elderly", Doctoral, pp.2001
