만성 폐쇄성 폐질환 환자의 증상경험, 자기효능감, 우울과 약물복용 이행 간의 관계
Symptom Experience, Self-Efficacy, Depression, and Medication Adherence in Patients with Chronic Obstructive Pulmonary Disease
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Purpose: 본 연구는 만성 폐쇄성 폐질환 환자의 증상경험, 자기 효능감, 우울과 약물복용 이행 간의 관계를 확인하기 위한 서술적 상관관계 연구이다. Methods: 연구 대상자는 만성 폐쇄성 폐질환을 진단받고 서울 1개 대학병원에서 외래 추적관찰 중인 환자 100명을 대상으로 하였다. 수집된 자료는 SPSS 21 통계 프로그램을 이용하여 각각 기술통계, t-test, one-way ANOVA, Tukey HSD 사후검증, Spearman correlation coefficient를 이용하여 분석하였다. Results: 증상경험은 자기 효능감과 부적 상관관계, 우울과 정적 상관관계가 있는 것으로 나타났다. 자기 효능감은 우울과 부적 상관관계, 약물복용 이행과 정적 상관관계가 있으며, 우울은 약물복용 이행과 부적 상관관계가 있었다. Conclusion: 이상의 연구 결과를 통해, 만성 폐쇄성 폐질환 환자의 증상경험이 클수록 우울이 높고 자기효능감이 낮은 것으로 나타났고, 자기효능감이 높을수록 우울이 낮고 약물복용 이행이 높으며, 우울이 높을수록 약물복용 이행이 낮은 것으로 나타났다. 따라서 만성 폐쇄성 폐질환 환자의 약물복용 이행 증진을 위해 자기 효능감 및 우울 정도를 사정하고 이에 대한 중재를 제공하는 것이 필요하다고 사료된다.
Abstract
Purpose: This study was done to investigate the correlation among symptom experience, self-efficacy, depression, and medication adherence in patients with chronic obstructive pulmonary disease (COPD). Methods: Participants were 100 patients with COPD recruited in one general hospital in Seoul. A structured questionnaire was used to measure the study variables. Data were analyzed using descriptive statistics, t-test, ANOVA, and Spearman correlation coefficient. Results: Symptom experience and depression were positively correlated (r=.41, p<.001), symptom experience and self-efficacy were negatively correlated (r=-.21, p=.035). Depression was negatively correlated with self-efficacy (r=-.60, p<.001) and medication adherence (r=-.48, p<.001). Self-efficacy and medication adherence were positively correlated(r=.76 p<.001). Conclusion: Findings from this study indicate that depression and self-efficacy are important variables related to medication adherence in patients with chronic obstructive pulmonary disease. Therefore, depression and self-efficacy should be assessed, and customized nursing interventions should be provided in order to increase medication adherence.
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