혈액투석 환자의 음식갈망, 환자활성화 및 가족지지가 식이 자가관리에 미치는 영향
Effects of Food Craving, Patient Activation, and Family Support on Dietary Self-Care in Hemodialysis Patients
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
목적: 본 연구는 혈액투석 환자의 음식갈망, 환자활성화 및 가족지지가 식이 자가관리에 미치는 영향을 확인하여 혈액투석 환자의 식이 자가관리를 향상시키기 위한 간호중재 개발의 기초자료를 제공하고자 시행한 서술적 조사연구이다. 방법: 자료수집 기간은 2022년 10월 26일부터 11월 12일까지이며, 외래에서 정기적으로 혈액투석을 시행하고 있는 환자 132명을 조사하였다. 자료분석은 SPSS 27.0 프로그램을 이용하여 빈도와 백분율, 평균과 표준편차, 독립표본 t-검정, 일원배치분산분석, Scheffé test, 피어슨 상관 계수, 다중회귀분석을 시행하였다. 결과: 대상자의 음식갈망 정도는 평균 39.55±7.42점, 환자활성화 정도는 평균 77.37±10.50점, 가족지지 정도는 평균 63.62±11.72점, 식이 자가관리 정도는 평균 38.21±5.54점이었다. 대상자의 식이 자가관리에 영향을 미치는 요인은 연령(β=.36, p<.001), 가족지지(β=.36, p<.001), 환자활성화(β=.20, p=.007)였으며, 이들 변수의 식이 자가관리에 대한 전체 설명력은 34.0%였다(F=18.20, p<.001). 결론: 본 연구결과를 바탕으로 혈액투석 환자의 식이 자가관리를 향상시키기 위한 프로그램 개발시 연령의 특성을 고려하고, 가족지지와 환자활성화 수준을 향상시킬 수 있는 방안을 고려할 필요가 있다.
Abstract
Purpose: This study aimed to identify the effect of food craving, patient activation, and family support on dietary self-care performance in hemodialysis patients. The study will provide baseline data for developing nursing interventions to improve hemodialysis patients' dietary self-care. Methods: The data was collected from 132 patients who regularly underwent outpatient hemodialysis between October 26 and November 12, 2022. Frequency and percentage, mean and standard deviation, independent t-test, one-way ANOVA, Scheffé test, Pearson's correlation coefficient, and multiple regression analysis were used to analyze the data, and all analyses were performed using SPSS 27.0. Results: The average scores of the main variables were 39.55±7.42 for food craving, 77.37±10.50 for patient activation, 63.62±11.72 for family support, and 38.21±5.54 for dietary self-care. The factors affecting the dietary self-care were age (β=.36, p<.001), family support (β=.36, p<.001), and patient activation (β=.20 p=.007). The total explanatory power of all variables was 34.0% (F=18.20, p<.001). Conclusion: Based on these results, it is necessary to consider the characteristics of age and improve the level of family support and patient activation when developing programs to improve dietary self-care in hemodialysis patients.
참고문헌 (28)
- "Chronic kidney Disease evidence-based guideline for chronic kidney disease in primary care" (2022)[URL]
- "Trends in epidemiologic characteristics of end-stage renal disease from 2022 KORDS (Korean Renal Data System)" (2023)[URL]
- Curtin RB, "Selfmanagement, knowledge, and functioning and well-being of patients on hemodialysis", Nephrology Nursing Journal, 31(4), pp.378~386 (2004)
- Park HM, "Effects of empowerment education program for hemodialysis patients on self-efficacy, self-care agency, self-care activities and physiologic parameters", Korean Journal of Rehabilitation Nursing, 13(2), pp.151~160 (2010)
- Pelchat ML, "Of human bondage : Food craving, obsession, compulsion, and addiction", Physiology and Behavior, 76(3), pp.347~352 (2002)[DOI]
- Kang SH, "Development of the food craving scale for patients with hemodialysis", pp.2022
- Kim JY, "The mediating effects of food craving on the relationship between stress and obesity in elderly", Korean Journal of Stress Research, 26(3), pp.215~222 (2018)[DOI]
- Hibbard JH, "Development of the patient activation measure(PAM) : Conceptualizing and measuring activation in patients and consumers", Health Services Research, 39(4 Pt 1), pp.1005~1026 (2004)[DOI]
- Hibbard JH, "Do increases in patient activation result in improved self-management behaviors?", Health Services Research, 42(4), pp.1443~1463 (2007)[DOI]
- Kutner NG, "Improving compliance in dialysis patients: Does anything work?", Seminars in Dialysis, 14(5), pp.324~327 (2001)[DOI]
- Chae YR, "Relationships among family support, medical staff support, sick role behavior and physiological indicators in hemodialysis patients", Korean Journal of Health Promotion, 20(1), pp.24~32 (2020)[DOI]
- Kim YS, "The experience of fluid management in hemodialysis patients", Journal of Korean Academy of Nursing, 45(5), pp.773~782 (2015)[DOI]
- Lambert K, "An integrative review of the methodology and findings regarding dietary adherence in end stage kidney disease", BMC Nephrology, 18, pp.318~ (2017)[DOI]
- Mellon L, "Factors influencing adherence among Irish haemodialysis patients", Patient Education and Counseling, 92(1), pp.88~93 (2013)[DOI]
- Lee EJ, "Socioecological factors affecting fluid restriction adherence among Korean patients receiving hemodialysis : A qualitative study", Journal of Transcultural Nursing, 32(3), pp.239~247 (2021)[DOI]
- Kang HS, "Experimental study of the effects of reinforcement education for rehabilitation on hemiplegia patients' self-care activities", pp.1984
- Chung YS, "A study on the perception about family support and therapeutic compiance among the patients undergoing hemodialysis", master, pp.1991
- Blackburn SL, "Dietary compliance of chronic hemodialysis patients", Journal of the American Dietetic Association, 70(1), pp.31~37 (1977)[DOI]
- Lee JJ, "Association of diet-related quality of life with dietary regimen practice, health-related quality of life, and gastrointestinal symptoms in end-stage renal disease patients with hemodialysis", Journal of Nutrition and Health, 46(2), pp.137~146 (2013)[DOI]
- Lim SM, "A study on the self-management and physiological measurements of patients on hemodialysis according to their age", Journal of Korean Clinical Nursing Research, 24(3), pp.363~370 (2018)[DOI]
- Yang EK, "Hemodialysis patients' experience of adapting to dietary therapy", Korean Journal of Adult Nursing, 28(3), pp.323~333 (2016)[DOI]
- Van Bulck L, "Patient and treatment characteristics associated with patient activation in patients undergoing hemodialysis : A cross-sectional study", BMC Nephrology, 19, pp.126~ (2018)[DOI]
- Lightfoot CJ, "Patient activation : The cornerstone of effective self-management in chronic kidney disease?", Kidney and Dialysis, 2(1), pp.91~105 (2022)[DOI]
- Kang SH, "Family characteristics, family support, family function and compliance of patient role behavior in longterm hemodialysis patients", Korean Journal of Rehabilitation Nursing, 22(1), pp.58~66 (2019)[DOI]
- Kim HR, "Self-care performance, depression and family support in hemodialysis patients", Journal of the Korea Academia-Industrial cooperation Society, 23(8), pp.628~636 (2022)[DOI]
- Choi EY, "Factors affecting self-care performance in hemodialysis patients : Based on the theory of unpleasant symptoms", Journal of the Korea Convergence Society, 10(6), pp.381~391 (2019)[DOI]
- Hussein WF, "Integrating patient activation into dialysis care", American Journal of Kidney Diseases, 79(1), pp.105~112 (2022)[DOI]
- Komatsu S, "Food craving and its relationship with restriction and liking in Japanese females", Foods, 3(2), pp.208~216 (2014)[DOI]