혈액투석 환자의 자기관리증진 프로그램 효과
Effect of Self-management Promotion Program for Hemodialysis Patients
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초록
Purpose: This study was conducted to verify the effects of a self-management promotion program for hemodialysis patients on self-efficacy, knowledge about hemodialysis, self-care compliance, dysfunctional cognition about sleep, and insomnia. Methods: 49 hemodialysis patients in this study participated in a non-equivalent control group pre-post test design. The experimental group attended a 10-session self-management promotion program for hemodialysis patients. The study measurements such as self-efficacy, knowledge about self-care, compliance with self-care, dysfunctional cognition about sleep, and insomnia severity index were used to evaluate the program's effect. Data were analyzed by frequency, percentage, standard deviation, χ2 -test, Fisher's exact test, and independent two-sample t-test using the IBM SPSS Statistics 21.0 program. Results: Self-efficacy (t=3.68, p=.001), knowledge about self-care (t=2.96, p=.005), compliance with self-care (t=2.76, p=.008), dysfunctional cognition about sleep (t=-4.25, p<.001), and insomnia (t=-5.91, p<.001) were significantly different in the experimental group compared to the control group. Conclusion: The self-management promotion program effectively improved self-efficacy, knowledge about self-care, compliance with self-care, and decreased dysfunctional cognition and insomnia in hemodialysis patients. Therefore, this self-management promotion program can increase self-care behavior and reduce insomnia for hemodialysis patients.
Abstract
Purpose: This study was conducted to verify the effects of a self-management promotion program for hemodialysis patients on self-efficacy, knowledge about hemodialysis, self-care compliance, dysfunctional cognition about sleep, and insomnia. Methods: 49 hemodialysis patients in this study participated in a non-equivalent control group pre-post test design. The experimental group attended a 10-session self-management promotion program for hemodialysis patients. The study measurements such as self-efficacy, knowledge about self-care, compliance with self-care, dysfunctional cognition about sleep, and insomnia severity index were used to evaluate the program's effect. Data were analyzed by frequency, percentage, standard deviation, χ2 -test, Fisher's exact test, and independent two-sample t-test using the IBM SPSS Statistics 21.0 program. Results: Self-efficacy (t=3.68, p=.001), knowledge about self-care (t=2.96, p=.005), compliance with self-care (t=2.76, p=.008), dysfunctional cognition about sleep (t=-4.25, p<.001), and insomnia (t=-5.91, p<.001) were significantly different in the experimental group compared to the control group. Conclusion: The self-management promotion program effectively improved self-efficacy, knowledge about self-care, compliance with self-care, and decreased dysfunctional cognition and insomnia in hemodialysis patients. Therefore, this self-management promotion program can increase self-care behavior and reduce insomnia for hemodialysis patients.
참고문헌 (29)
- "Korean Society of Nephrology. Current renal replacement therapy in Korea: Insan memorial dialysis registry" (2021)[URL]
- Chiaranai C, "The lived experience of patients receiving hemodialysis treatment for end-stage renal disease : a qualitative study", Journal of Nursing Research, 24(2), pp.101~108 (2016)[DOI]
- Joshi U, "Assessment of quality of life in patients undergoing hemodialysis using WHOQOL-BREF questionnaire : a multicenter study", International Journal of Nephrology & Renovascular Disease, 10, pp.195~203 (2017)[DOI]
- Li H, "Factors associated with self-management by people undergoing hemodialysis : a descriptive study", International Journal of Nursing Studies, 51(2), pp.208~216 (2014)[DOI]
- Kauric-Klein Z, "Self-efficacy and blood pressure self-care behaviors in patients on chronic hemodialysis", Western Journal of Nursing Research, 39(7), pp.886~905 (2017)[DOI]
- Bandura A, "Self-efficacy : toward a unifying theory of behavioral change", Psychological Review, 84(2), pp.191~215 (1977)[DOI]
- Bandura A, "Social foundations of thought and action", pp.23~28 (1986)
- Mahmoud S, "Association between health locus of control, self-care and self-efficacy in patients with end stage renal disease undergoing hemodialysis", Life Science Journal, 12(11), pp.58~72 (2015)
- 김현정, "장기혈액투석 환자를 위한 주기적 개별교육 프로그램 적용 효과", 성인간호학회지, 27(5), pp.572~582 (2015), 한국성인간호학회[DOI]
- 이수진, "개별교육프로그램이 역할불이행 혈액투석환자의 투석관련 지식, 이행 및 생리적 지표에 미치는 효과", 임상간호연구, 15(3), pp.5~16 (2009), 병원간호사회
- Fonseca NT, "A systematic review of sleep disorders in patients with chronic kidney disease undergoing hemodialysis", The Journal of Physical Therapy Science, 28(7), pp.2164~2170 (2016)[DOI]
- Tomita T, "Insomnia in patients on hemodialysis for a short versus long duration", Neuropsychiatric Disease & Treatment, 12, pp.2293~2298 (2016)[DOI]
- Liaveri PG, "Quality of sleep in renal transplant recipients and patients on hemodialysis", Journal of Psychosomatic Research, 93, pp.96~101 (2017)[DOI]
- Morin CM, "Cognitive-behavioral approaches to the treatment of insomnia", The Journal of Clinical Psychiatry, 64(S16), pp.33~40 (2004)
- Perlis ML, "Cognitive behavioral treatment of insomnia: a session-by-session guide", pp.185~ (2013), Koonja
- Widjaja JA, "The effect of acupuncture treatment for insomnia in chronic hemodialysis patients", Journal of Physics : conference Series, 884(1), pp.1~6 (2017)[DOI]
- 이은자, "향기요법이 혈액투석 환자의 수면장애, 수면 만족도, 피로에 미치는 효과", 성인간호학회지, 23(6), pp.615~623 (2011), 한국성인간호학회
- 김지현, "만성 일차성 불면증 환자에게 적용한 인지행동중재의 효과: 메타분석", 한국산학기술학회논문지, 17(9), pp.407~421 (2016), 한국산학기술학회[DOI]
- Song MR, "The development and test of self-efficacy promotion program on self-care of hemodialysis patients", Journal of Korean Academy of Nursing, 30(4), pp.1066~1077 (2000)[DOI]
- 박효미, "능력증강 교육프로그램이 혈액투석환자의 자기효능감, 자가간호역량, 자가간호행위 및 생리적 지표에 미치는 효과", 재활간호학회지, 13(2), pp.151~160 (2010), 한국재활간호학회
- 김침은, "개별식이교육 프로그램이 혈액투석 환자의 식이요법에 대한 지식과 식이자가간호 이행에 미치는 효과", 임상간호연구, 22(3), pp.257~264 (2016), 병원간호사회
- Morin CM, "Insomnia : psychological assessment and management", pp.238~ (1993), Guilford Press
- Kim JH, "Effect of guided imagery applied to hemodialysis patients", pp.1995
- Song ES, "Study on the knowledge about hemodialysis and compliance of patient role behavior in hemodialysis patients", master, pp.2002
- Morin CM, "Dysfunctional beliefs and attitudes about sleep(DBAS) : Validation of a brief version(DBAS-16)", Sleep, 30(11), pp.1547~1554 (2007)[DOI]
- 유은승, "한국판 수면에 대한 역기능적 신념 및 태도 척도에 대한 타당화 연구", Korean Journal of Clinical Psychology, 28(1), pp.309~320 (2009), 한국임상심리학회[DOI]
- 조용원, "Validation of a Korean Version of the Insomnia Severity Index", Journal of Clinical Neurology, 10(3), pp.210~215 (2014), 대한신경과학회[DOI]
- Kim MS, "Effects of the self-help group program for quality of life in women with breast cancer", Asian Oncology Nursing, 3(1), pp.45~55 (2003)
- Song MR, "Development and effects of cognitive behavioral therapy for insomnia on patients with restless legs syndrome", pp.2018