간이식 환자를 돌보는 간호사의 간이식 후 당뇨에 대한 지식과 태도
Knowledge and Attitude of Nurses toward Post-Liver Transplantation Diabetes Mellitus
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연구배경: 간이식 후 당뇨는 심혈관질환의 이환율과 사망률, 이식장기손실과 관련이 있으며, 적절한 혈당 조절이 요구된다. 이에 간이식 환자 관리의 중요 역할을 수행하는 간호사를 대상으로 간이식 후 당뇨에 대한 지식과 태도를 파악하고자 한다. 방법: 2019년 3월 15일부터 3월 31일까지 일 상급종합병원에서 근무하는 간호사 104명을 대상으로 간이식 후 당뇨지식 도구와 DAS-3를 이용하여 자료를 수집하였다. 결과: 간이식 후 당뇨 지식은 23점 만점에 16.28±3.60점이었으며, 태도는 155점 만점 115.62±7.57점이었다. 간이식 후 당뇨 지식은 교육 수준(t=-2.06, P=0.041), 현 근무 병동(F=10.55, P<0.001), 간이식 후 당뇨 환자 경험(t=3.50, P<0.001), 간이식 후 당뇨 교육(t=2.16, P=0.033)에 따라 유의한 차이가 있었다. 간호사의 간이식 후 당뇨 지식이 높을수록 태도가 긍정적인 것으로 나타났다(r=0.21, P=0.027). 결론: 본 연구를 통해 간호사를 위한 간이식 후 당뇨 교육프로그램 개발이 요구되며, 자발적 참여와 혈당 조절 가치에 대한 긍정적 태도를 높일 수 있는 전략 개발이 동반되어야 한다.
Abstract
Background: Post-liver transplantation diabetes mellitus (PLTDM) is common and occurs in approximately 5-7% of patients. There is a trend toward an increase in mortality with PLTDM. Therefore, it is important that nurses carefully monitor and treat for hyperglycemia. The purpose of this study is to examine nurses’ knowledge and attitude toward PLTDM, with a specific focus on nurses who care for liver transplant patients. Methods: Data were collected from 104 nurses working at a tertiary hospital in Seoul from March 15, 2019 to March 31, 2019. Knowledge and attitude toward PLTDM was measured using PLTDM knowledge and attitude tool. Results: The average age of the participants was 30.3 years, with 52.9% of the participants (n=55) having between 1 to 3 years of clinical experience. Knowledge and attitude toward PLTDM scored 16.28±3.60 out of 25 and 115.62±7.57 out of 155, respectively. There was a significant positive correlation between PLTDM knowledge and attitude (r=0.21, P=0.027). Conclusions: Study findings suggest a need for an educational program specialized in PLTDM specifically in regards to identifying risk factors as this demonstrated the lowest score in PLTDM knowledge. Further, when designing the educational program, a strategy is called for in order to encourage nurses to voluntarily participate in the program.
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