일 대학병원에 입원한 만성질환자의 우울 증상과 인구사회학적 위험요인
Depressive Symptoms and Sociodemographic Risk Factors among Chronic Disease Inpatients at University Medical Centers
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연구배경: 본 연구는 일 대학병원 의료원에 입원한 만성질환자 중 사회복지팀에서 실시한 환자건강질문지(PHQ-9) 에 응답한 환자를 대상으로 우울 증상 유병률을 파악하고우울 증상에 영향을 미치는 위험요인을 파악하는데 목적이있다. 방법: 환자건강질문지(PHQ-9) 데이터는 한림대학교의료원 산하 6개 병원에서 2015년에 수집되었다. 연구 대상자는18세 이상 성인 만성질환자 517명이었고, 기술통계분석, 카이제곱검정, 단순 로지스틱 회귀분석, 다중 로지스틱 회귀분석 등의 방법을 사용하여 자료를 분석하였다. 결과: 만성질환을 앓고 있는 입원환자의 우울 증상 유병률은 31.7%로 나타났다. 단순 및 다중 로지스틱 회귀분석결과, 결혼 상태, 종교, 직업이 우울 증상을 예측하는 주요위험요인이었다. 구체적으로 미혼/사별/이혼/별거 집단이기혼 집단에 비하여 우울 증상이 더 높게 나타났다. 응답자중에서 종교가 있는 경우, 직업이 없는 경우에도 우울 증상의 위험성이 높아지는 것으로 나타났다. 결론: 본 연구 결과는 만성질환 입원환자에 대한 체계적인 우울 증상 관리의 중요성을 강조한다.
Abstract
Background: The purpose of this study was to examine the prevalence of and the sociodemographic risk factors for depressive symptoms among inpatients with chronic diseases who completed the Patient Health Questionnaire-9 (PHQ-9) conducted by a social work department at university medical centers. Methods: In 2015, PHQ-9 data were collected from six medical centers affiliated with Hallym University Medical Center. The sample comprised 517 inpatients aged 18 years or over with chronic diseases. Descriptive statistics, chi-square test, simple logistic regression, and multiple logistic regression were used for data analyses. Results: The prevalence of depressive symptoms among inpatients with chronic diseases was 31.7 percent. The results of the simple and multiple logistic regressions showed that the single/widowed/divorced/separated group was at higher risk for depressive symptoms than married inpatients. Having a religion or being unemployed also increased the risk of depressive symptoms among the respondents. Conclusions: Findings of this study emphasize the importance of systematic depressive symptom management for inpatients with chronic diseases.
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