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혈액투석 환자의 증상클러스터가 자기효능감에 미치는 영향

Factors of Symptom Cluster Associated with Self-Efficacy in Patients with Hemodialysis

문희|선춘자|손은재
간호과학연구소 (Research Institute of Nursing Science)|2023.02|Nursing and Health Issues(간호와 보건연구) (Nursing and Health Issues)|제28권 제1호|pp. 12-24|DOI https://doi.org/10.33527/nhi2023.28.1.12

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키워드

자기효능감대상자신장투석증상클러스터
주제분류간호학

초록

Purpose: This study was to identify the symptom clusters of patients with hemodialysis and to determine their effect on self-efficacy. Methods: Data were collected from 158 patients who were diagnosed with chronic renal failure and were undergoing hemodialysis in hemodialysis units. A questionnaire was used as a research tool, and the SPSS 27.0 program was used for statistical analysis. Results: Among the hemodialysis-related symptoms of the subjects, the most frequently complained of was ‘fatigue or lack of strength’, and ‘numbness and tingling in the feet’ were the most severe symptoms. Six symptom clusters were extracted: emotional, sensory-pain, uremic syndrome, skin, sex, and gastro-intestinal clusters. Factor affecting self-efficacy was identified as monthly income status (≥300) (=.20, p=.016)and sensory pain cluster (=−.24, p=.027). Conclusion: Nursing intervention for patients with hemodialysis requires a symptom cluster approach in which several symptoms appear simultaneously rather than an individual symptom approach. In particular, inter ventions for sensor y-pain clusters are needed to enhance their self-efficacy, and customized symptom management strategies should be provided by identifying common mechanisms and causes of symptoms in each cluster.

Abstract

Purpose: This study was to identify the symptom clusters of patients with hemodialysis and to determine their effect on self-efficacy. Methods: Data were collected from 158 patients who were diagnosed with chronic renal failure and were undergoing hemodialysis in hemodialysis units. A questionnaire was used as a research tool, and the SPSS 27.0 program was used for statistical analysis. Results: Among the hemodialysis-related symptoms of the subjects, the most frequently complained of was ‘fatigue or lack of strength’, and ‘numbness and tingling in the feet’ were the most severe symptoms. Six symptom clusters were extracted: emotional, sensory-pain, uremic syndrome, skin, sex, and gastro-intestinal clusters. Factor affecting self-efficacy was identified as monthly income status (≥300) (=.20, p=.016)and sensory pain cluster (=−.24, p=.027). Conclusion: Nursing intervention for patients with hemodialysis requires a symptom cluster approach in which several symptoms appear simultaneously rather than an individual symptom approach. In particular, inter ventions for sensor y-pain clusters are needed to enhance their self-efficacy, and customized symptom management strategies should be provided by identifying common mechanisms and causes of symptoms in each cluster.

참고문헌 (41)

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관련 논문AI추천

혈액투석 환자의 증상 클러스터와 영적 안녕이 삶의 질에 미치는 효과김경덕간호혁신연구소 · 간호와 혁신2020 · 제24권 제2호혈액투석 환자의 증상 클러스터와 삶의 질이명선, 차지은병원간호사회 · 임상간호연구2014 · 제20권 제1호혈액투석 환자의 삶의 질 영향요인-회복탄력성, 증상경험, 자가관리를 중심으로박용경, 서순림, 정현영한국보건정보통계학회 · 보건정보통계학회지2021 · 제46권 제4호혈액투석 환자의 증상 경험과 자가간호역량이 삶의 질에 미치는 영향심정하, 이하나병원간호사회 · 임상간호연구2023 · 제29권 제1호당뇨병성 신증 혈액투석 환자의 자가관리와 자기효능감이 혈액투석 관련 증상에 미치는 영향에 관한 융합연구전영희한국융합학회 · 한국융합학회논문지2019 · 제10권 제8호혈액투석환자의 피로와 수면장애, 스트레스, 자기효능감 및 우울 관계강승자, 김세자, 김재희, 서남숙병원간호사회 · 임상간호연구2013 · 제19권 제2호

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