혈액투석 환자의 가족지지, 자기효능감 및 피로가 삶의 질에 미치는 영향
The Effect of Family Support, Self-efficacy, and Fatigue on the Quality of Life in Hemodialysis Patients
1
조회
0
다운로드
10
인용
0
참고문헌
키워드
초록
Purpose: 본 연구는 혈액투석 환자의 가족지지와 자기효능감 및 피로가 삶의 질에 미치는 영향 정도를 알아보기 위한 서술적 상관관계 연구로서, 혈액투석 환자의 삶의 질을 향상시키기 위한 간호중재 프로그램의 기초자료를 제공하고자 시도되었다. Methods: 연구대상자는 M시에 소재한 400병상 이상 3개 종합병원과 1개 투석전문의원에서 말기 신질환 진단을 받고 혈액투석치료를 받고 있는 18세 이상의 환자 200명을 대상으로 하였으며, 자료 수집은 2013년 6월 3일부터 7월 2일까지 구조화된 설문지를 이용하였다. 수집된 자료는 SPSS/WIN 17.0 프로그램을 이용하여 분석하였고, 연구목적에 따라 실수와 백분율, 평균과 표준편차, t-test, ANOVA, Duncan, Pearson's Correlation coefficients, 다중회귀분석(Multiple regression)의 통계방법을 이용하였다. Result: 혈액투석 환자의 삶의 질에 영향을 미치는 영향요인으로 규명된 것은 가족지지(β=.155, t=2.18, p=.031), 피로(β=-.487, t=-7.73, p=.000), 월수입(β=.147, t=2.36, p=.019) 이 혈액투석 환자의 삶의 질에 가장 큰 영향을 미치는 요인임을 확인 할 수 있었다. 모형의 적합도 검증 결과 F=16.606, p<.000으로 회귀 모형은 적합하였으며, 이 모형의 설명력은 49.6%였다. Result: 결론적으로 혈액투석을 받는 말기 신 질환자의 삶의 질은 가족지지, 피로, 월수입이 영향을 미치는 것으로 나타났고, 가족지지가 높고 월수입이 많을수록 피로 정도가 낮을수록 삶의 질은 더 향상 되는 것으로 나타났다.
Abstract
Purpose: This study was attempted to provide the foundations for the nursing intervention program that could improve hemodialysis patient’s quality of life by examining influences of family support, self-efficacy and fatigue on quality of life among hemodialysis patients. Methods: We have surveyed 200 patients that aged 18 or older being diagnosed with end-stage renal disease (ESRD) and are receiving hemodialysis treatment in three general hospitals equipped more than 400 beds, one specialized dialysis clinics located in city M. Using the SPSS 17.0 windows program, gathered data were analyzed by number, percentage, mean, standard deviation, t-test, ANOVA, Duncan, Pearson’s correlation coefficients and multiple regression analysis. Results: We found the factors that had great influences on patient’s quality of life were family support (β=.155, t=2.18, p=.031), fatigue (β=-.487, t=-7.73, p<.001), and monthly income (β=.147, t=2.36, p=.019). Explanatory power of this model was 49.6%. Conclusion: The quality of life of the hemodialysis patients on hemodialysis is affected by family support, fatigue, and monthly income. The higher monthly income, family support and the less fatigue, the more likely they can improve their quality of life.
참고문헌 (29)
- Bandura, A, "Social foundations of thought and actin a social cognitive theory" (1986), Prentice-Hall
- Cohen, S. D, "Social support and chronic kidney disease : An update", Advances in Chronic Kidney Disease, 14(4), pp.335~344 (2007)
- 최은영, "혈액투석환자의 피로와 자기효능감, 가족지지 및 수면요인과의 관계", 성인간호학회지, 17(3), pp.435~443 (2005), 성인간호학회
- Cobb, S, "Social support as a moderator of life stress", Phychosomatic Medicine, 38(5), pp.300~304 (1976)
- Han, Y. M, "The relationship between perceived family support and self-care behaviors among early hemodialysis patients", master, pp.2005
- Jhhamb, M, "Fatigue in patients receiving maintenance dialysis : A review of definitions, measures, and contributing factors", American Journal of kidney Disease, 52(2), pp.353~365 (2008)
- Joshwa, B, "Fatigue and depression and sleep problems among hemodialysis patients in a tertiary care center", Saudi Journal of kidney Diseases and Transplantation, 23(4), pp.729~735 (2012)
- Kalantar-Zadeh, K, "Health related quality of life in patients with chronic kidney disease", International Urology and Nephrology, 37(2), pp.367~378 (2005)
- Kang, H. S, "(An)Experimental study of the effects of reinforcement education for rehabilitation on hemiplegia patients self-care activities", doctor, pp.1984
- Kim, I. Y, "A study on hemodialysis patients depression, activities of daily living and family support", master, pp.2012
- Kim, J. H, "Effect of guided imagery applied to hemodialysis patients", doctor, pp.1995
- Kim, Y. J, "The effect of self-efficacy and health promotion behavior on the quality of life in hemodialysis patients", master, pp.2006
- Kring, D. L, "Factors affecting quality of life in persons on hemodialysis", Nephrology Nursing Journal, 36(1), pp.15~55 (2009)
- 이현미, "혈액투석 환자의 수면장애 영향요인", 기본간호학회지, 16(2), pp.190~199 (2009), 기본간호학회
- Lee, S. S, "Influencing factors on quality of in elderly hemodilysis patients", master, pp.2011
- 민혜숙, "혈액투석 환자의 치료지시 이행정도와 생리적 지표와의 관계", Journal of Korean Academy of Nursing, 36(1), pp.64~73 (2006), 한국간호과학회
- Min, S. K, "Development of korean version of who quality of life scale abbreviated version(WHOQOLBREF)", Journal of the Korean Neuropsychiatric Association, 39(3), pp.571~579 (2000)
- 오숙희, "신장이식환자와 혈액투석환자의 삶의 질 비교", Journal of Korean Academy of Nursing, 36(8), pp.1145~1153 (2006), 한국간호과학회
- Parfrey, P. S, "Development of health questionnaire specific for end-stage renal disease", Nephron, 52, pp.20~28 (1989)
- Park, M. K, "The comparative perceived family support, self-efficacy and quality of life between hemodialysis and peritoneal dialysis patients", The Medical journal of Chosun University, 31(3), pp.54~63 (2006)
- Rambod, M, "Perceived social support and quality of life in iran hemodialysis patients", Journal of Nursing Scholarship, 42(3), pp.242~249 (2010)
- Rheu, H. R, "Social support and quality of hemodialysis patients", Korean Public Health Research, 31, pp.184~191 (2005)
- Sakkas, G. K, "Hemodialysis fatique: Just “simple” fatique or a syndrome on its own right", Frontiers in Physiology, 3, pp.1~4 (2012)
- Shin, I. O, "The effect of exercise programme on health status of patients on hemodialysis", Korean Nephrology Nurse Association, 17, pp.23~46 (2006)
- Tack, B. B, "Self reported fatigue I rheumatoid arthritis, A pilot study", Arthritis Care and Research, 3(3), pp.154~157 (1991)
- "Current Renal Replacement Therapy in Korea-Insan memorial dialysis registry" (2013)[URL]
- The WHOQOL group, "Development of the world health organization WHOQOL_BREF quality of life assessment", Psychological Medicine, 28, pp.551~558 (1998)
- Tsay, S. L, "Self-efficacy training for patients with end-stage renal disease", Journal of Advanced Nursing, 43(4), pp.370~375 (2003)
- "WHOQOL-BREF Quality of life assessment", Psychological Medicine, 28, pp.551~558 (1998)