신장이식환자에 대한 개별교육프로그램이 자가간호 지식과 자가간호수행에 미치는 영향
The Effects of an Individual Educational Program on Self-care Knowledge and Self-care Behavior in Kidney Transplantation Patients
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초록
목적: 본 연구의 목적은 신장이식 환자에 대한 개별 환자교육프로그램이 자가간호에 대한 지 식과 자가간호수행에 미치는 영향을 확인해보기 위함이다. 방법: 본 연구는 단일군 전후실험설계로 대상자는 서울에 위치한 일 대학병원의 장기이식센터 외래에 등록된 환자를 임의표출 하였다. 실험군에 참여한 42명의 대상자는 연구자가 실시하는 교육프로그램에 개별적으로 2회, 1회 60분의 교육에 참여하였다. 교육프로그램은 중재 전 자가간호 지식 수준과 자가간호 수행정도를 측정하고 환자개개인의 검사결과를 참조하여 자가간호 지식과 수행 수준이 낮은 영역을 강조하여 환자에 따라 개별교육을 실시하였다. 자료수집 기간은 2010년 6월 1일부터 2011년 1월 30일까지였고 교육중재는 2010년 8월 1일부터 11월 30일 사이에 시행되었다. 결과: 연구결과는 교육프로그램 제공 후 자가간호에 대한 지식정도가 유의하게 증가되었으며(t=-4.10, p=.000), 자가간호 수행도 유의하게 증가하였다(t=6.07, p=.000) 결론: 이런 결과로 비추어볼 때 본 개별교육 프로그램은 신장이식환자의 거부반응 및 합병증 발생을 예방하고 삶의 질을 높이기 위한 자가간호 이행을 증진시킬 수 있는 교육프로그램으로 임상에서 신장이식환자에게 주기적으로 교육프로그램을 적용할 것을 제안한다.
Abstract
Purpose: The purpose of this study was to identify the effects of an individual educational program on self-care knowledge and self-care behavior in kidney transplantation patients. Methods: The kidney transplantation patients were recruited from a transplantation center, at a university hospital located in Korea. Data were collected from June 1, 2010 to January 31, 2011. The research design was a nonequivalent one group pre-post test. Forty-two subjects were participated two times individually in an educational program given by the researcher. Results:After the intervention, the participants showed a significant increase in self-care knowledge(t=-4.10, p=.000) and self-care behavior (t=-6.07, p=.000) than before the intervention. Conclusion: This results suggest that the program developed in this study can be considered an effective nursing intervention for health promotion, prevention of complication and self-care behavior in kidney transplantation patients.
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