개별식이교육 프로그램이 혈액투석 환자의 식이요법에 대한 지식과 식이자가간호 이행에 미치는 효과
Effects of Individualized Diet Education Program on the Dietary Knowledge and Self-Care Compliance among Hemodialysis Patients
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목적 : 본 연구는 개별식이교육이 혈액투석환자의 식이에 대한 지식과 식이자가간호이행에 미치는 영향을 확인하고자 한다. 방법: 이 연구는 비동등성 대조군 전후설계의 유사실험연구이다. 실험군 50명과 대조군 50명으로 선정하였다. 실험군에게 2주에 한번씩 12주 동안 개별식이교육프로그램을 적용하였다. 결과: 실험군은 대조군에 비해 식이지식이 유의하게 증가되었다. 식이자가간호이행에서는 실험군의 경우 사전보다 사후에 향상되었으나, 실험군과 대조군간의 차이는 없었다. 결과: 이 연구에서 개별식이교육은 기존의 일률적인 교육에 있어 식이지식에 있어서 효과적인 것으로 나타났다. 따라서 개별식이교육프로그램은 간호중재로서 중요하며, 간호사는 혈액투석환자들을 위해 개별식이교육을 시행하여야 할 것이다.
Abstract
Purpose: The purpose of this study was to explore the effect of individualized diet education program on dietary knowledge and self-care compliance among hemodialysis patients. Methods: The design of the study was quasi-experimental nonequivalent control group pre-post test design. Fifty patients were assigned to an experimental group and fifty patients were assigned to a control group. Individualized diet education program was applied to the experimental group once every two weeks for twelve weeks. Results: Dietary knowledge increased significantly in the experimental group when compared to the control group. Dietary self-care compliance improved significantly in the post-test of the experimental group, however, the difference was not significant. Conclusion: The individualized dietary education program was effective in improving dietary knowledge. The individualized diet education program needs to be incorporated as an important nursing intervention. Nurses should provide individualized diet education program for hemodialysis patients.
참고문헌 (20)
- "Current renal replacement therapy inKorea" (2016)[URL]
- Richard CJ, "Self-care management in adults undergoing hemodialysis", NephrologyNursing Journal, 33(4), pp.387~394 (2006)
- Kutner NG, "Improving compliance in dialysis patients : Does anything work?", Seminars in Dialysis, 14(5), pp.324~327 (2001)
- Shu-Chuan Jennifer Yeh, "Coping Strategies and Stressors in Patients With Hemodialysis", Psychosomatic Medicine, 69(2), pp.182~190 (2007), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Cho MK, "Effect of health contract intervention based on King's goal attainment theory on self care behavior and physiological indices of hemodialysis patients", pp.2008
- 박의정, "여성 말기신부전 환자의 혈액투석 적응경험", 성인간호학회지, 27(5), pp.496~504 (2015), 성인간호학회[DOI]
- 안경주, "혈액투석환자에서 문자메시지(SMS), 이메일 및 전화를 이용한 자가간호 프로그램이 자가간호 이행과 영양 상태에 미치는 효과", Journal of korean biological nursing science, 11(2), pp.157~166 (2009), 기초간호학회
- SohngKY, "Evaluation of nutritional deficit status in hemodialysis patients based on usual dietary Intake, anthropometric and biochemical parameters", The Korean Journal of Fundamentals of Nursing, 3(1), pp.68~80 (1996)
- Russell CL, "Motivational interviewing in dialysis adherence study(MIDAS)", NephrologyNursing Journal, 38(3), pp.229~236 (2011)
- Tony Barnett, "Fluid compliance among patients having haemodialysis: can an educational programme make a difference?", Journal of Advanced Nursing, 61(3), pp.300~306 (2008), Wiley-Blackwell[DOI]
- JangGY, "The effect of diet education programonHemoglobin A1c and interdialytic weight gain in diabetic hemodialysis patient", pp.2008
- 김소연, "혈액투석환자를 위한 동영상 식사교육 프로그램의 적용 효과", 임상간호연구, 20(1), pp.134~145 (2014), 병원간호사회
- Lee JY, "A study on effectiveness of dietary self-efficacy, dietary knowledge and social support for exercise-diet compliance of patients on hemodialysis", pp.2007
- Levin LS, "Self-care in health", Annual Review of Public Health, 4, pp.181~201 (1983)
- Song MR, "A study on the correlation between self-efficacy and self-care in hemodialysis patients", Journal of KoreanAcademy ofNursing, 29(3), pp.563~575 (1999)
- 조영문, "혈액투석 환자의 환자역할행위 이행에 대한 예측변인", 성인간호학회지, 23(3), pp.235~243 (2011), 성인간호학회
- 심미경, "신장이식환자에 대한 개별교육프로그램이 자가간호 지식과 자가간호수행에 미치는 영향", 동서간호학연구지, 18(1), pp.9~17 (2012), 동서간호학연구소[DOI]
- Jo YJ, "Depression, self care compliance and physiological indices of hemodialysis patients", Keimyung Nursing Science, 15(1), pp.115~122 (2011)
- Kim HJ, "Effects of nutrition education on dietary behaviors and nutritional status in hemodialysis patients", pp.2011
- 이진주, "혈액투석을 실행중인 말기 신부전 환자의 식사관련 삶의 질 (Diet-Related Quality of Life)과 식사요법 실천도, 건강관련 삶의 질 및 위장관 증상과의 관련성 연구", Journal of Nutrition and Health, 46(2), pp.137~146 (2013), 한국영양학회[DOI]
