당뇨아동 부모의 삶의 질에 영향을 미치는 요인
Factors Affecting the Quality of Life of Parents who have Children with Diabetes
0
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
본 연구는 당뇨아동 부모의 삶의 질, 부담감 및 우울정도를 살펴보고, 당뇨아동 부모의 삶의 질에 영향을 미치는 요인을 규명하여, 당뇨아동 부모의 삶의 질 향상과 적응을 돕기 위하여 시도되었다. 연구 대상자는 B시D대학교의료원 당뇨 클리닉에 내원 중인 18세 이하의당뇨아동 부모 108명이었으며, 연구도구는 삶의 질을측정하기 위해서 한국판 세계보건기구 삶의 질 간편형척도를 사용하였고, 부담감을 측정하기 위해서는 Suh와 Oh가 개발한 가족부담감 측정도구를 사용하였으며,우울을 측정하기 위해서는 Beck이 개발한 우울척도를사용하였다. 수집된 자료는 SAS 9.2, IBM/SPSS 21.0통계프로그램을 이용하여 빈도와 백분율, 평균과 표준편차, t-test, ANOVA, Pearson's correlation, stepwisemultiple regression으로 분석하였다. 연구결과는 다음과 같다. 아동을 돌보면서 가장 힘든 점은 식이요법이었으며, 부모의 삶의 질은 5점 만점에 3.31점,부담감은 5점 만점에 2.48점이었다. 당뇨아동 부모의약 33.3%가 경한 우울 이상을 경험하고 있었고, 12%는 중등도 이상의 우울을 나타내었다. 당뇨아동 부모의삶의 질에 영향을 미치는 요인은 우울, 부담감, 수입 및교육수준이었으며 가장 강력한 인자는 우울이었다. 부모의 심리사회적 문제는 당뇨아동의 우울증상과 관리및 예후에 부정적인 영향을 미치므로 당뇨아동을 관리하는 간호사는 당뇨부모의 정서적 문제에도 관심을 기울여 조기에 이들의 정서적 문제에 대한 사정과 관리에필요한 간호중재프로그램을 개발할 필요가 있으며, 대상자의 교육 및 경제수준을 고려한 개별화된 간호중재가 필요할 것이다.
Abstract
Purpose: This study attempts to examine the quality of life, sense of burden and the level ofdepression of the parents who have children with diabetes, clarify factors affecting the quality oflife of those parents, and assist them in improving quality of life. Methods: 108 parents having diabetic children aged 18 years or below, who are visiting theDiabetic Clinic, D University Medical Center in B City, were sampled for the current study. Thedata collected were analyzed by means of frequency, percentage, average, standard deviation, ttest,ANOVA, Pearson's correlation and stepwise multiple regression with the aid of SAS 9.2 andIBM/SPSS 21.0. Results: The worst part of caring for the children was found to be dietary therapy. The qualityof life of the parents registered 3.31 points on a 5-point scale, sense of burden pointed to 2.48on a 5-point scale. Approximately 33.3%of the parents were in a mild depressive state and 12%were experiencing moderate depression. The factors that affected the quality of life of the parentswith diabetic children included depression, sense of burden, income and the level of education. Conclusion: The nurses in charge of caring for children with diabetes need to develop a nursingintervention program required in the assessment and management of their emotional aspects atthe early stage by paying attention to the parents who have children with diabetes.
참고문헌 (25)
- Ahn KS, "Study on the perceived burden and quality of life in family caregivers with chronic liver disease patient", pp.2005
- Chei MA, "The study on the quality of life for the mothers of hospitalized chronic pediatirc patients", Child Health Nursing Research, 6, pp.249~261 (2000)
- Fidika A, "Quality of life among parents of children with phenylketonuria (PKU)", Health Qual Life Outcomes, (11), pp.1~9 (2013)
- Grey M, "Coping and psychological adjustment in mothers of young children with type 1 diabetes", Child Health Care, 38, pp.91~106 (2009)
- 김은숙, "뇌성마비 환아 어머니의 사회적 지지와 부담감", 재활간호학회지, 12(1), pp.39~46 (2009), 한국재활간호학회
- Kim JY, "Effects of the depression, anxiety, stress, family support, and social support of parents of child cancer patients on their life quality", pp.2011
- 김노은, "간질아동 어머니의 삶의 질 영향요인", 정신보건과 사회사업, 37(37), pp.5~34 (2011), 한국정신보건사회복지학회
- 김진희, "희귀난치성 환아의 건강관련 삶의 질과 간호제공자의 건강관련 삶의 질과의 관련성", 한국모자보건학회지, 17(1), pp.15~26 (2013), 한국모자보건학회
- 권인수, "아토피피부염 환아 부모의 가정관리와 삶의 질", Child Health Nursing Research, 15(4), pp.401~408 (2009), 한국아동간호학회
- Lee YH, "A study of the reliability and validity of the BDI, SDS, and MMPI-D scales", Korean Journal of Clinical Psychology, (10), pp.98~113 (1991)
- Lee SH, "Perceived stress and quality of life in the parents of children with cancer", Korean J Psychosomatic Medicine, 11, pp.159~169 (2003)
- Min SK, "Development of Korean version of WHO quality of life scale abbreviated version (WHOQOL-BREF)", J Korean Neuropsychiatr Assoc, 39, pp.571~579 (2000)
- Patton SR, "Pediatric parenting stress and its relation to depressive symptoms and fear of hypoglycemia in parents of young children with type 1 diabetes mellitus", J Clin Psychol Med Settings, 18, pp.345~352 (2011)
- Rolland JS, "Facilitating family resilience with childhood illness and disability", Current Opinion in Pediatrics, 18, pp.527~538 (2006)
- Shin CH, "Type 1 diabetes mellitus", J Korean Pediatr Soc, 45, pp.1181~1191 (2002)
- Silverstein J, "Care of children and adolescents with type 1 diabetes: a statement of the American Diabetes Association", Diabetes Care, 28, pp.186~212 (2005)
- Song GS, "Study on the burden and quality of Life of family caregivers to diabetes", pp.2005
- Son HS, "A study on quality of life index of mothers with cerebral palsy children", pp.2005
- Streisand R, "Parental anxiety and depression associated with caring for a child newly diagnosed with type 1 diabetes: opportunities for education and counseling", Patient Educ Couns, 73, pp.333~338 (2008)
- Suh MH, "A study of well-being in caregivers caring for chronically ill family members", of Korean Academy of Nursing, 23, pp.467~486 (1993)
- Sullivan-Bolyai S, "Mothers' experiences raising young children with type 1 diabetes", J Spec Pediatr Nurs, 7, pp.93~103 (2002)
- The Committee for Public Health Statistics, "Incidence of type 1 diabetes mellitus in Korea 1995-2000: program and abstract", the 51st annual fall meeting of Korean Pediatric Society (2001), The Korean Pediatric Society
- Whittemore R, "Psychological experience of parents of children with type 1 diabetes : a systematic mixed-studies review", Diabetes Educ, 38, pp.562~579 (2012)
- Wiedebusch S, "Quality of life, psychosocial strains and coping in parents of children with haemophilia", Haemophilia, 14, pp.1014~1022 (2008)
- Yang HY, "Family caregivers burden and quality of life according to the level of CVA patient’s self-care", pp.2002