자기효능감과 가족요인이 성인 간질환자의 자기관리에 미치는 영향
Self Efficacy and Family Factors Effecting Self Management of Adult Epilepsy
0
조회
0
다운로드
7
인용
0
참고문헌
키워드
초록
간질은 만성 신경계 질환으로, 간질을 갖고 있는 사람들은 약물을 지속적으로 복용하며, 간질을 일으킬만한 스트레스 요인들을 생활 속에서 관리해 나가야 하는 자기관리가 절대적으로 필요하다. 본 연구에 사용한 개념적 틀은 Bandura(1986)의 인간의 행동을 결정짓는 것은 개인의 내적, 환경적, 그리고 행동적 요인들의 상호작용에 의한다는 상호작용(triadic reciprocality) 이론이다. 본 연구는 간질환자의 자기관리를 설명하는 내적변인에 자기효능감, 환경 변인으로 가족통정감과 가족강인성을 주요 연구변인으로 하였다. 다중회귀분석을 통한 연구결과, 자기효능감은 유의미한 정적 영향을 미치는 변인으로 가족통정감 및 가족강인성보다 간질환자의 자기관리를 보다 잘 예측하였다. 또한 자기효능감과 가족요인들이 함께 투입된 모델의 변량은 자기효능감이 단독으로 투입된 경우의 변량보다 간질환자의 자기관리를 보다 더 의미 있게 설명하였다. 본 연구는 간질환자의 자기관리에 있어 자기효능감의 중요한 역할과 함께 가족요인의 의미 있는 영향을 확인하였다. 이 연구는 간질환자의 자기관리에 있어 자기효능감의 강화와 함께 내적, 환경적, 행동적 변인들과의 관계에 대한 보다 정교한 검증과 분석으로 자기관리가 충실히 수행되는 상황에 대한 평가의 필요성을 제기하였다.
Abstract
Epilepsy is a chronic condition; individuals with epilepsy must learn various skills and techniques to control the frequency of their seizures, including taking medications on a regular basis, avoiding situations that cause seizures, and managing stress. The purpose of this study was to examine the self efficacy and family factors effecting self management of individuals with epilepsy. A total of 70 adults with epilepsy visiting the Epilepsy Center and Rose Club were recruited. The framework from Bandera’s (1986) “triadic reciprocality” theory. Self efficacy represented an internal personal factor, family coherence and family hardiness represented an environmental factor, and self-management of epilepsy represented the behavior factor. Using multiple regression analysis, self-efficacy was demonstrated to be a greater predictor of self-management for adults with epilepsy than family coherence and family hardiness. For further study, there is a need for more refined testing and analysis of the relationships between personal, environmental, and behavioral factors to evaluate the conditions under which self-management is enhanced.
참고문헌 (66)
- 기화, "만성질환 아동을 둔 가족의 심리적 적응에 관한 가족 탄력성 모형의 검증", 한국심리학회지: 건강, 9(1), pp.1~24 (2004), 한국건강심리학회
- 문성미, "간질환자의 사회심리적 적응과 자기효능․사회적 지지와의 관계연구", 석사, 간호학과, pp.1999
- 박영숙, "간질교육프로그램이 성인 간질환자의 자기효능과 자기관리에 미치는 효과", 대한간호학회지, 29(2), pp.405~417 (1998)
- 박영숙, "간질환자의 자기관리실태", 대한보건협회학술지, 25(2), pp.127~139 (1999)
- 변용찬, "간질인을 위한 사회복지정책의 현황과 방향", 대한간질학회 제 13차 학술대회 초록집, pp.81~107 (2008), 대한간질학회
- 송명숙, "혈액투석환자의 자기효능감과 삶의 질의 관계", 전인간호과학연구소 학술모음집, 1, pp.213~232 (2002)
- 송자경, "간질아동과 가족의 적응에 관한 연구 -가족통정감(family coherence)과 가족강인성(family hardiness)을 중심으로-", 박사, 사회복지학과, pp.2003
- 송자경, "간질아동 가족통정감(Family Coherence)과 아동의 사회적응에 관한 연구", 한국가족복지학, 15(15), pp.157~184 (2005), 한국가족사회복지학회
- 윤이화, "정신 지체 장애인 가족의 강인성과 적응", 정신간호학회지, 12(2), pp.107~115 (2003)
- 이선미, "스트레스, 자기효능감, 스트레스 대처전략 및 사회적 지지와 간질환자의 삶의 질 간의 관계", 석사, pp.2006
- 이지수, "신장이식환자의 사회적 지지, 스트레스, 자기 효능감, 삶의 질과의 관계연구", 석사, pp.1997
- 이영애, "만성신부전 환자가 인지한 가족적응에 관한 연구", 박사, pp.1995
- 인주영, "경련성질환아 어머니의 불확실성과 가족경도에 관한 연구", 석사, pp.1989
- 전미영, "가족사별후의 슬픔경험, 가족의 강인성 및 관리자원과의 관계", 대한간호학회지, 30(6), pp.1569~1579 (2000)
- 정충영, "SPSS를 활용한 통계분석 제 III판" (2000), 무역경영사
- 차하나, "만성신부전 환자가족의 적응에 관한 연구", 석사, pp.2001
- 최연실, "가족스트레스 모델의 경험적 검증: 청소년자녀가 있는 중년부부를 중심으로", 한국가족치료학회지, 5, pp.55~78 (1997)
- 황경태, "간질은 불치병이 아니다" (1996), 최신의학사
- Aird, R., "The importance of seizure inducing factors in the control of refractory forms of epilepsy", Epilepsia, 24, pp.567~583 (1983)
- Amir, M., "Self-efficacy and social support as mediators in the relation between disease severity and quality of life in patients with epilepsy", Epilepsia, 40(2), pp.216~224 (1999)
- Anderson, E., "Epilepsy-a family burden?", Clinical Psychology Forum, 25, pp.3~5 (1990)
- Antonovsky, A., "Unraveling the mystery of health" (1987), Jossey-Bass
- Antonovsky, A., "Family sense of coherence and family adaptation", Journal of Marriage and the Family, 50, pp.79~92 (1988)
- Bandura, A., "Social foundations of thought and action: A social cognitive theory" (1986), Prentice-Hall
- Bandura, A., "Self-efficacy: The exercise of control" (1997), Ressman
- Chesla, C. A., "Family and disease management in African-American patients with type 2 diabetes", Diabetes Care, 27(12), pp.2850~2855 (2004)
- Clark, P. C., "Effects of individual and family hardiness on care giver depression and fatigue", Research in Nursing & Health, 25, pp.37~48 (2002)
- Devinsky, O., "Quality of life in epilepsy : The clinician's view", Epilepsia, 34, pp.4~7 (1993)
- Devinsky, O. A., "Guide to understanding and living with epilepsy" (1994), F. A. Davis
- Dilorio, C., "Cognitive perceptual factors associated with antiepileptic medication compliance", Research in Nursing & Health, 14, pp.329~338 (1991)
- Dilorio, C., "The development and testing of an instrument to measure self-efficacy in individuals with epilepsy", Journal of Neuroscience Nursing, 24, pp.9~13 (1992)
- Dilorio, C., "Self-efficacy and social support in self-management of epilepsy", Western Journal of Nursing Research, 14, pp.292~307 (1992)
- Dilorio, C., "Epilepsy self-management : Partial replication and extension", Research in Nursing & Health, 17, pp.167~174 (1994)
- Dilorio, C., "Epilepsy self management : A test of a theoretical model", Nursing Research, 45(4), pp.211~217 (1996)
- Dilorio, C., "Self management in persons with epilepsy", Journal of Neuroscience Nursing, 27(6), pp.338~343 (1995)
- Ellis, N., "Epilepsy and the family : A review of current literature", Seizure, 9, pp.22~30 (2000)
- Faherty, B, Dilorio C. K., "The development and testing of an instrument to measure self management in persons with epilepsy", Paper presented at the Fifth Annual Southern Nursing Research Society Conference (1991), Richmond
- Fisher, L., "The family and disease management in Hispanic and European-American patients with type 2 diabetes", Diabetes Care, 23(3), pp.267~272 (2000)
- Flick, L. H., "Sense of coherence as a predictor of family functioning and child problems: Preliminary findings among homeless, substance women with children, In Stress, coping, and health in families: Sense of coherence and resiliency", pp.107~124 (1998), Sage
- Glasgow, R. E., "Social environment and regimen adherence among type II diabetic patients", Diabetes Care, 11, pp.377~386 (1988)
- Kaplan, R. M., "Specific efficacy expectations mediate exercise compliance in patients with COPD", Health Psychology, 3, pp.223~242 (1984)
- Kaplan, R. M., "Differential effects of social support and social network on physiological and social outcomes in men and women with type II diabetes melitus", Health Psychology, 6, pp.387~398 (1987)
- Kobasa, S. C., "Stressful life event, personality and health; an inquiry into hardiness", Journal of personality and social psychology, 37, pp.1~11 (1979)
- Kobasa, S. C., "Hardiness and health : A prospective study", Journal of Personality and Social Psychology, 42, pp.168~172 (1982)
- Kugoh, T., "Psychological aspects of families with epileptic patients : A study using General Health Questionaire", The Japanese Journal of Psychiatry and Neurology, 43, pp.550~551 (1989)
- Kugoh, T., "Psychological aspects of patients with epilepsy and their family members", Epilepsia, 32, pp.43~55 (1991)
- Legion, V., "Health education for self-management by people with epilepsy", Journal of Neuroscience Nursing, 23, pp.300~305 (1991)
- Leske, J. S., "Impact of family demands and family strengths and capabilities on family well-being and adaptation after critical injury", American Journal of Critical Care, 7(5), pp.383~392 (1998)
- Maciejewski, P. K., "Self-efficacy as a mediator between stressful life events and depressive symptoms : Differences based on history of prior depression", British Journal of Psychiatry, 176, pp.373~378 (2000)
- McCubbin, M. A., "Family Hardiness Index, In Family assessment inventories for research and practice" (1986), University of Wisconsin
- McCubbin, H. I., "Typologies of resilient families : Emerging roles of social class and ethnicity", Family Relations, 37, pp.247~254 (1988)
- McCubbin, H. I., "Family coping with health crisis. The resiliency model of family stress, adjustment, and adaptation, In Families, health, and illness", pp.21~64 (1993), C. V. Mosby
- Mittan, R., "Medical and psychological consequences of inadequate patient education", National Epilepsy Library Accession, ~ (1982)
- Niederhofer, H., "Family coherence and ADHD", Psychol-Rep, 91(1), pp.123~126 (2002)
- Olsen, S. F., "Support, communication, and hardiness in families with children with disabilities", Journal of Family Nursing, 5, pp.275~291 (1999)
- Robinson, R. G., "Nortriptyline versus fluoxetine in the treatment of depression and in short-term recovery after stroke : A placebo-controlled, double-bine study", American Journal of Psychiatry, 157(3), pp.351~359 (2000)
- Saburi, G. L., "Perceived family reactions and quality of life of adults with epilepsy", Journal of Neuroscience Nursing, 38(3), pp.156~165 (2006)
- Sagy, S., "Coping resources of maltreated children in the family : A salutogenic approach", Child Abuse and Neglect, 25, pp.1463~1480 (2001)
- Sander, J. W., "Some aspects of prognosis in the epilepsies : A Review", Epilepsia, 34, pp.1007~1016 (1993)
- Svavarsdottir, E. K., "Well-being of parents of young children with asthma", Research in Nursing and Health, 23, pp.346~358 (2000)
- Synder, M., "Stressors, coping mechanisms, and perceived health in persons with epilepsy", International Disability Studies, 12, pp.100~103 (1991)
- Takaki, S., "Monitoring drug noncompliance in epileptic patients : Assessing phenobarbital plasma levels", Therapeutic Drug Monitoring, 7, pp.87~91 (1985)
- Tedman, S., "Development of a scale to measure core beliefs and perceived self efficacy in adult with epilepsy", Seizure, 4, pp.221~231 (1995)
- Temkin, N. R., "Stress as a risk factor for seizures among adults with epilepsy", Epilepsia, 25(4), pp.450~456 (1984)
- Walsh, F., "Strengthening family resilience" (1998), Guilford
- Wolff, A. C., "Stress, social support, and sense of coherence", Western Journal of Nursing Research, 21(2), pp.182~197 (1999)
