일과성 허혈 발작 환자의 뇌졸중 지식, 재발염려, 가족지지가 건강증진 행위에 미치는 영향
Effects of Stroke Knowledge, Fear of Recurrence, and Family Support on Health-Promoting Behavior in Patients with Transient Ischemic Attacks
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초록
연구목적: 본 연구는 일과성 허혈 발작(TIA) 환자의 뇌졸중 지식, 재발염려, 가족지지가 건강증진 행위에 어떠한 영향을 미치는지 확인하고자 하였다. 연구방법: 본 연구는 서술적 상관관계 연구로 TIA로 진단받은 151명의 환자를 대상으로 선정하였다. 대상자들은 B광역시 대학병원의 신경과 외래에서 모집되었다. 자료수집은 2024년 2월 7일부터 3월 29일까지 수행되었다. 구조화된 설문지를 사용하여 자료를 수집하고, IBM SPSS/WIN 27.0 프로그램을 사용하여 분석하였다. 연구결과: 주요 변수의 평균 점수는 뇌졸중 지식의 경우 13.60±3.15점, 재발염려의 경우 24.34±5.57점, 가족지지의 경우 44.40±6.02점, 건강증진 행위의 경우 65.81±6.77점으로 나타났다. 가족지지(β=.33, p<.001), 재발염려(β=.28, p<.001), 연령(β=.19, p=.027)은 모두 TIA 환자의 건강증진 행위에 영향을 미치는 요인으로, 그중 설명력이 가장 큰 요인은 가족지지로 확인되었다. 이러한 영향요인은 TIA 환자의 건강증진 행위에 대해 33.0%(F=11.72, p<.001)의 설명력을 가졌다. 결론: 본 연구 결과는 TIA 환자를 대상으로 연령별 특성을 고려하고, 재발에 대한 강조와 가족지지에 초점을 둔 간호 중재가 뇌졸중 예방을 위한 건강증진 행위를 효과적으로 향상시킬 수 있을 것으로 생각된다.
Abstract
Purpose: This study aimed to assess stroke knowledge, fear of recurrence, family support, and health-promoting behavior in patients with transient ischemic attacks (TIA) and examine these factors have an effect on health-promoting behavior. Methods: A descriptive survey design was used and included 151 patients diagnosed with a TIA. Participants were recruited from a neurology outpatient clinic at a university hospital in metropolitan city B. Data were collected between February 7 and March 29, 2024, using structured questionnaires and analyzed with the IBM SPSS/WIN 27.0 program. Results: The average scores for the main variables were as follows: stroke knowledge (13.60±3.15), fear of recurrence (24.34±5.57), family support (44.40±6.02), and health-promoting behavior (65.81±6.77). Family support (β=.33, p<.001), fear of recurrence (β=.28, p<.001), and age (β=.19, p=.027) were significant predictors of health-promoting behavior, with family support showing the greatest influence. Together, these factors explained 33.0% of the variance in health-promoting behavior (F=11.72, p<.001). Conclusion: These findings highlight the importance of considering the characteristics of age, addressing fear of recurrence and enhancing family support to encourage health-promoting behaviors in patients with TIA. Strengthening these areas may contribute to effective stroke prevention strategies.
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