본문 바로가기
KERD
논문KCI 등재

혈액투석 환자의 질병결과에 대한 인식이 우울, 건강상태에 미치는 영향

The Impact of Perceived Illness Consequences on Depression and Health Status in Patients with Hemodialysis

차지은
간호혁신연구소 (Research Institute of Nursing Innovation, Kyungpook National University)|2016.02|간호와 혁신 (Nursing and Innovation)|제20권 제1호|pp. 76-87

2

조회

0

다운로드

2

인용

0

참고문헌

키워드

인식우울건강투석말기신장질환
주제분류간호학

초록

.

Abstract

Purposes: The purpose of this study was to investigate perceived illness consequences by patients on hemodialysis and to examine the impact of perceived illness consequences on depression and health status. Methods: A secondary analysis using survey data was performed for 228 adult patients. To measure perceived illness consequences, depression and health status, Revised Illness Perception Questionnaire, Hospital Anxiety and Depression Scale, and Medical Outcomes Study Short Form-12 were utilized. Date were analyzed using descriptive statistics, t-tests, ANOVA, Pearson Correlation, and multiple regression. Results: Perceived illness consequences scored 3.88 out of 5 points on average. Perceived illness consequences were positively correlated with depression and negatively correlated with health status. According to the regression analysis, perceived illness consequences and monthly family income were discovered to account for 21.8% of the variance in depression, whereas perceived illness consequences, monthly family income, job, and age were found out to account for 27.5% of the variance in health status. Conclusion: The results of the study emphasize the importance of beliefs related to the experienced impact of illness for health outcome in hemodialysis patients. Health care providers should assess the patient's environmental context.

참고문헌 (30)

  1. Institute of Medicine (US), "Committee on Living Well with Chronic Disease: Public Health Action to Reduce Disability and Improve Functioning and Quality of Life. Living well with chronic illness: A call for public health action" (2012), National Academies Press
  2. Larsen, PD, "Chronic illness: Impact and interventions", pp.1~62 (2014), Jones & Bartlett Learning
  3. Kaptein AA, "Behavioural research in patients with end-stage renal disease: A review and research agenda", Patient Education and Counseling, 81(1), pp.23~29 (2010)[DOI]
  4. Jablonski A, "The illness trajectory of end-stage renal disease dialysis patients", Research and Theory for Nursing Practice, 18(1), pp.51~72 (2004)[DOI]
  5. Cukor D, "Psychosocial aspects of chronic disease: ESRD as a paradigmatic illness", Journal of the American Society of Nephrology, 18(12), pp.3042~3055 (2007)[DOI]
  6. Chilcot J, "Illness representations and concurrent depression symptoms in haemodialysis patients", Journal of Health Psychology, 16(7), pp.1127~1137 (2011)[DOI]
  7. Kimmel PL, "Depression in patients with end-stage renal disease treated with dialysis: Has the time to treat arrived?", Clinical Journal of the American Society of Nephrology, 1(3), pp.349~352 (2006)[DOI]
  8. Duarte PS, "Cognitive –behavioral group therapy is an effective treatment for major depression in hemodialysis patients", Kidney International, 76(4), pp.414~421 (2009)[DOI]
  9. Jung MS, "Introduction to Nursing", pp.21~54 (2015), Hyunmoonsa
  10. Tomey AM, "Nursing theorists and their work" (2006), Elsevier
  11. Kammerer J, "Adherence in patients on dialysis: Strategies for success", Nephrology Nursing Journal, 34(5), pp.479~486 (2007)
  12. Leventhal H, "Illness cognition: Using common sense to understand treatment adherence and affect cognition interactions", Cognitive Therapy and Research, 16(2), pp.143~163 (1992)[DOI]
  13. Moss-Morris R, "The revised illness perception questionnaire (IPQ-R)", Psychology and Health, 17(1), pp.1~16 (2002)[DOI]
  14. Heijmans M, "Assessing illness representations of chronic illness: Explorations of their disease-specific nature", Journal of Behavioral Medicine, 21(5), pp.485~503 (1998)
  15. Petrie K, "Why illness perceptions matter", Clinical Medicine, 6(6), pp.536~539 (2006)[DOI]
  16. Leventhal H, "Health psychology: The search for pathways between behavior and health", Annual Review Psychology, 59, pp.477~505 (2008)[DOI]
  17. Petrie KJ, "The role of illness perceptions in patients with medical conditions", Current Opinion in Psychiatry, 20(2), pp.163~167 (2007)[DOI]
  18. Cha JE, "Structural equation modeling of quality of life focused on the self-management process in patients with hemodialysis", pp.2014
  19. Zigmond AS, "The hospital anxiety and depression scale", Acta Psychiatr Scand, 67(6), pp.361~370 (1983)[DOI]
  20. Ware Jr JE, "A 12-Item Short-Form Health Survey: Construction of scales and preliminary tests of reliability and validity", Medical Care, 34(3), pp.220~233 (1996)[DOI]
  21. Fowler C, "Illness representations in patients with chronic kidney disease on maintenance hemodialysis", Nephrology Nursing Journal, 33(2), pp.179~186 (2006)
  22. Griva K, "Illness and treatment cognitions and health related quality of life in end stage renal disease", British Journal of Health Psychology, 14(1), pp.17~34 (2009)[DOI]
  23. Timmers L, "Illness perceptions in dialysis patients and their association with quality of life", Psychology and Health, 23(6), pp.679~690 (2008)[DOI]
  24. Jansen DL, "Perceived autonomy and self-esteem in Dutch dialysis patients: The importance of illness and treatment perceptions", Psychology and Health, 25(6), pp.733~749 (2010)[DOI]
  25. Curtin RB, "Self-management in patients with end stage renal disease : Exploring domains and dimensions", Nephrology Nursing Journal, 32(4), pp.389~398 (2005)
  26. Thomas-Hawkins C, "Self-Management of Chronic Kidney Disease: Patients shoulder the responsibility for day-to-day management of chronic illness. How can nurses support their autonomy?", The American Journal of Nursing, 105(10), pp.40~48 (2005)[DOI]
  27. Griva K, "An evaluation of illness, treatment perceptions, and depression in hospital-vs. home-based dialysis modalities", Journal of Psychosomatic Research, 69(4), pp.363~370 (2010)[DOI]
  28. Powe NR, "To have and have not: Health and health care disparities in chronic kidney disease", Kidney International, 64(2), pp.763~772 (2003)[DOI]
  29. Whittemore R, "Analysis of integration in nursing science and practice", Journal of Nursing Scholarship, 37(3), pp.261~267 (2005)[DOI]
  30. Whittemore R, "Chronic illness: The process of integration", Journal of Clinical Nursing, 17(7b), pp.177~187 (2008)[DOI]

관련 논문AI추천

혈액투석환자의 피로, 우울, 생리적 지표와 건강관련 삶의 질 간의 관계서순림, 윤민영간호혁신연구소 · 간호와 혁신2012 · 제16권 제1호혈액투석환자의 의미중심대처와 우울, 건강상태 간의 관계차지은, 한달롱한국보건정보통계학회 · 보건정보통계학회지2016 · 제41권 제2호투석 환자에서 연령에 따른 우울, 불안 및 긍정사고의 차이김향, 노기원, 오강섭, 이규백, 이재은, 임세원, 하주원대한불안의학회 · 대한불안의학회지2013 · 제9권 제1호혈액투석 노인 환자의 질병수용, 우울, 사회적 지지가 건강 관련 삶의 질에 미치는 영향: 서술적 조사연구김정민, 이은하한국노인간호학회 · 노인간호학회지2025 · 제27권 제1호장기 혈액투석환자의 신체적, 심리적, 사회적 요인이 질병 부담감에 미치는 영향차지은한국보건정보통계학회 · 보건정보통계학회지2018 · 제43권 제3호혈액투석 환자의 건강상태 예측요인: 2년 종단연구차지은병원간호사회 · 임상간호연구2016 · 제22권 제3호

이 간행물의 다른 논문 (7건)

간호대학생의 대학생활 적응 영향요인김현영, 홍해숙pp. 1-12간호대학생의 우울 수준별 스트레스, 수면, 건강관련 삶의 질 비교김용숙, 권경희pp. 13-23국민건강보험공단 요양직의 직무스트레스, 사회적 지지, 전문직 정체성, 자아효능감이 사기에 미치는 영향최연정, 최연희, 김나영pp. 24-35노인스마트폰 사용과 정신건강, 건강실천행위의 관계류한주, 김민정, 이한솔, 김영빈, 문미경, 손다정, 최은혜pp. 36-47노인요양시설의 구조적 특성이 요양서비스결과에 미치는 영향최연희, 장미경, 권연숙pp. 48-55
원문 보기