코일색전술을 시행받은 비파열성 뇌동맥류 환자의 자기효능감과 자가간호행위
Self-Efficacy and Self-Care Behavior in Patients with Unruptured Intracranial Aneurysm after Treatment with Coil Embolization
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연구배경: 본 연구는 코일색전술을 시행받은 비파열성 뇌동맥류 환자의 자기효능감과 자가간호행위의 정도를 확인하고 자가간호행위에 미치는 영향요인을 규명하여 뇌동맥류 환자의 자가간호행위를 증진을 위한 간호중재를 개발하는데 근거 자료로 제공하고자 하였다. 방법: 서울시 일 상급종합병원 비파열성 뇌동맥류를 진단받고 코일색전술을 시행한 후 경과 관찰 중인 환자 143명을대상으로 자기효능감과 자가간호행위를 조사하였다. 결과: 대상자의 자기효능감은 평균 3.49±0.55점(5점 만점) 이었고, 자가간호행위는 평균 3.69±0.66점(5점 만점)이었다. 자기효능감이 높을수록 자가간호행위를 잘 하는 것으로 나타났다(r=0.37, P=0.001). 자가간호행위에 미치는 영향요인은 자기효능감으로 나타났으며 설명력은 13.3%였다(F=22.86, P<0.001). 결론: 비파열성 뇌동맥류 환자의 자가간호행위 증진을 위해서는 자기효능감을 높이는 중재가 필요함을 확인할 수 있었다.
Abstract
Background: This study aimed to identify the self-efficacy and self-care behaviors in patients with an unruptured intracranial aneurysm who have undergone coil embolization. Methods: A cross-sectional study was conducted to 143 patients who were diagnosed with unruptured intracranial aneurysm and visited the outpatient department of radiology for follow-up management after performing coil embolization at a tertiary hospital, Seoul. The self-efficacy and self-care behaviors were measured using self-reported questionnaire. The collected data were analyzed with independent t-test, one-way analysis of variance, Pearson's correlation using the SPSS/win 26.0 statistical programs (IBM Corp, Armonk, NY, USA). Results: The mean score of self-efficacy in patients with an unruptured intracranial aneurysm was 3.49±0.55 out of 5. The mean score of self-care behaviors was 3.69±0.66 out of 5. The self-efficacy exhibited statistically significant differences depending on the size and number of the cerebral aneurysms and the presence of such aneurysms remaining after treatment. There was a positive correlation between self-efficacy and self-care behaviors (r=0.37, P=0.001). Regression analysis revealed that the patient's self-care behaviors of the patients was explained by self-efficacy (β=0.37, P<0.001) and these variables explained 13.3% of the variance in self-care behaviors (F=22.86, P<0.001). Conclusions: In order to increase self-care behaviors, it is necessary to develop self-efficacy interventions so that an unruptured intracranial aneurysm who have undergone coil embolization can effectively cope with various difficulties during treatment course
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