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와파린 복용 환자의 약물지식, 환자역할행위와 삶의 질과의 관계

A Study on the Relationship between Drug Related Knowledge, Sick Role Behavior and Quality of Life of Patients Taking Warfarin

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주제분류간호학

초록

본 연구는 외래에서 와파린치료를 받는 환자들의 약물지식, 환자역할행위와 삶의 질 간의 관계를 조사하기 위해 수행되었다. 방법: 본 연구의 대상자는 122명이었다. 자료는 질문지를 사용하여 수집하였다. 자료는 t-test, ANOVA 와 Pearson's correlation으로 분석하였다. 결과: 투약기간은 평균 28.80±32.99개월이었다. 혈액응고수치를 기억하는 대상자는 78.7%이었다. 약물지식은 13점 만점에 평균 11.32점이었다. 환자역할행위는 68점 만점에 평균 49.83점이었다. 삶의 질 점수는 총점 175점 만점에 평균 104.43점이었다. 약물지식은 환자역할행위와 유의한 상관관계가 있었다(r=0.39, p<.001). 그러나 환자역할행위와 삶의 질은 유의한 상관관계가 없었다. 또한 약물지식과 삶의 질도 유의한 상관관계가 없었다. 결론: 따라서, 환자역할행위를 올리기 위해서는 약물지식을 강화하는 것이 필요하다. 또한 본 연구에서 삶의 질이 낮았는데 본 연구의 도구를 사용하여 반복 연구할 것을 제언한다.

Abstract

Purpose: This study was conducted to investigate the relationship between drug-related knowledge, sick role behavior and quality of life of patients on wafarin therapy in an outpatient unit. Methods: The participants were 122 patients. Data were collected using a questionnaire and analyzed using t-test, ANOVA and Pearson correlation. Results: The Duration of wafarin averaged 28.80±32.99 months, and 78.7% of participants remembered their blood coagulation value. The mean score for drug-related knowledge was 11.32 points out of a possible 13 points. Sick role behavior of the patients showed a moderate value with a mean of 49.83 points out of 68 points. The mean score for quality of life was rather low at 104.43 out of 175. Drug-related knowledge was significantly correlated to sick role behavior (r=0.39, p<.001), but the relationship between sick role behavior and quality of life was not significant. Also drug-related knowledge was not significantly correlated with quality of life. Conclusion: The results indicate that there is a need to enhance the level of drug-related knowledge in order to increase positive behavior as part of the sick role of these patients and thus improve quality of life.

참고문헌 (17)

  1. Almeida, G. Q., "Quality of life analysis of patients in chronic use of oral anticoagulant : An observational study", Health and Quality of Life Outcomes, 9, pp.91~96 (2011)
  2. Choi, J. S., "The study of implementation of treatment in diabetes", 석사, pp.1984
  3. Corbi, I. S., "Health related quality of life of patients undergoing oral anticoagulation therapy", Revista Latino-Americanade Enfermagem, 19(4), pp.865~873 (2011)
  4. Davis, N. J., "Impact of adherence, knowledge, and quality of life on anticoagulation control", The Annals of Pharmacotherapy, 39(4), pp.632~636 (2005)
  5. Hickey, K., "Anticoagulation management in clinical practice: Preventing stroke in patients with atrial fibrillation", Heart and Lung, 41(2), pp.146~156 (2012)[DOI]
  6. Jang, S. R., "A Study on the relationship between drugrelated knowledge and sick role behavior of patients under anticoagulant therapy", 석사, pp.2007
  7. 정혜선, "심장재활 교육프로그램이 심근 경색증 환자의 질병관련 지식과 건강행위 이행에 미치는 효과", Journal of Korean Academy of Nursing, 32(1), pp.50~61 (2002), 한국간호과학회
  8. Jeon, N. H., "A study on the diabetes knowledge, self-care behavior and quality of life in diabetes mellitus", 석사, pp.2009
  9. Ku, M. O., "Structural Model of Diabetes self-care behaviors and metabolic control in Diabetes", 석사, pp.1992
  10. Kim, O. Y., "Prediction model of diabetes self-care behaviors: A model based on stress-coping", 석사, pp.1997
  11. Lowe, C. J., "Effects of self medication programme on knowledge of drug treatment in elderly patients", British Medical Journal, 310(6989), pp.1229~1231 (1995)
  12. Mueser, K. T., "Coping with negative symptoms of schizophrenia : Patient and family perspectives", Schizophrenia Bulletin, 23(2), pp.329~339 (1997)
  13. Noh, Y. J., "An analytical study of the quality of life of the middle-aged in seoul", 박사, pp.1988
  14. Park, B. N., "Knowledge, anxiety and implementation of patient role behavior in ischemic heart disease patients", 석사, pp.2009
  15. Samsa, G., "A new instrument for measuring anticoagulation-related quality of life: Development and preliminary validation", Health and Quality of Life Outcomes, 2(22), pp.1~11 (2004)[DOI]
  16. Smith, M. B., "Warfarin knowledge in patients with atrial fibrillation: Implications for safety, efficacy, and education strategies", Cardiology, 116(1), pp.61~69 (2010)[DOI]
  17. White, H. D., "Comparison of outcomes among patients randomized to warfarin therapy according to anticoagulant control: Results from SPORTIF III and V", Archives of Internal Medicine, 167(3), pp.239~245 (2007)

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