혈액투석 환자의 가족 지지, 의료인 지지와 환자역할행위이행 및 생리적 지표의 관계
Relationships among Family Support, Medical Staff Support, Sick Role Behavior and Physiological Indicators in Hemodialysis Patients
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연구배경: 혈액투석 환자들의 가족 지지와 의료인 지지는환자역할행위이행과 관계가 있으며, 환자역할행위이행은투석 간 체중 증가, 혈중 칼륨 및 인의 조절과 같은 생리적지표와 관련이 있을 것이다. 방법: 본 연구는 조사 연구로 139명의 혈액투석 환자를 대상으로 하였고, 연구 도구는 인구사회학적 특성 및 질병 관련 특성, 사회적 지지(가족 지지, 의료인 지지), 환자역할행위이행, 생리적 지표(투석 간 체중 증가, 혈중 칼륨, 혈중 인) 였다. 결과: 가족 지지와 의료인 지지의 정도는 3.85점으로 거의동일하였으며, 환자역할이행은 3.96점이었다. 가족 지지(r=0.449, P<0.001)와 의료인 지지(r=0.421, P<0.001)는 환자역할행위이행과 정상관관계가 있었으며, 환자역할행위이행은 투석 간 체중 증가(r=-0.218, P=0.010)와 혈중 인(r=-0.170, P=0.045)과 역상관관계가 있었다. 결론: 가족 지지와 의료인 지지가 높을수록 환자역할행위이행 정도가 높았으며, 환자역할행위이행 정도가 높을수록생리적 지표인 투석 간 체중 증가와 혈중 인은 낮았다. 이에환자역할행위이행과 생리적 지표를 향상시키기 위해서는가족 지지와 의료인 지지를 통해 강화된 중재 프로그램의개발과 적용이 필요하다.
Abstract
Background: Family support and medical staff support of hemodialysis patients are related to sick-role behavior, and sick-role behavior is related to physiological indicators such as interdialytic weight gain and control of potassium and phosphorus in the blood. Methods: The subjects were 139 hemodialysis patients. Data were collected on demographic and disease- related characteristics, social support (family support and medical staff support), sick-role behavior, and physiological indicators (interdialytic weight gain, blood potassium, and blood phosphorus). Results: Degrees of family support and medical staff support were both nearly 3.85 points, and sick-role behavior was 3.96 points. Family support (r=0.449, P<0.001) and medical staff support (r=0.421, P<0.001) were positively correlated with sick-role behavior, and sick-role behavior was inversely correlated with interdialytic weight gain (r=-0.218, P=0.010) and blood phosphorus (r=-0.170, P=0.045). Conclusions: The higher the degree of family support and medical staff support, the higher the degree of sick-role behavior. In addition, the higher the level of sick-role behavior, the lower the physiological indicators of interdialytic weight gain and blood phosphorus. Therefore, in order to improve sick-role behavior and physiological indicators, it is necessary to develop and apply an enhanced intervention program through family support and medical staff support.
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