관상동맥중재술을 받고 재입원한 환자의 불확실성, 환자역할행위 및 삶의 질의 관계
Relationship between Uncertainty, Sick Role Behaviors, and Quality of Life of Rehospitalized Patients underwent Percutaneous Coronary Intervention
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초록
목적: 이 연구는 순환기내과 병동에서 관상동맥중재술을 시행후 재입원한 환자의 불확실성, 환자역할행위 및 삶의 질의 관계를 조사하기 위해 실시되었다. 방법: 참가자는 120명 이었다. 데이터는 설문지를 사용하여 수집하였고 t-test, ANOVA 와 Pearson's Correlation Coefficient 및 Schéffe를 사용하여 분석하였다. 결과: 불확실성에 대한 평균은 3.45±1.08이었다. 대상자의 환자역할행위의 평균은 3.68±.79로 나타났다. 삶의 질의 평균은 3.52±.64이었다. 불확실성은 환자역활행위와 유의한 음의 상관관계가 있었고(t=-.27, p=.002), 불확실성은 삶의 질과 유의한 음의 상관관계가 잇었으며(t=-.35, p<.001), 환자역할행위는 삶의 질과 유의한 양의 상관관계가 있었다(t=.62, p<.001). 결론: 이러한 결과는 삶의 질을 향상시키기 위해 불확실성의 수준을 감소시키고, 환자역할행위의 긍정적 행동을 증가시킬 필요가 있음을 나타낸다.
Abstract
Purpose: This study was conducted to investigate the relationship between uncertainty in illness and the future,sick role behavior with what diet, weight control, no smoking, abstinence, doctor visits, medications, etc, andquality of life of rehospitalized patients after percutaneous coronary intervention in a cardiology ward. Methods:A total of 120 patients participated in the study. Data were collected using a questionnaire and analyzed usingt-test, ANOVA, Scheffè test, and Pearson's Correlation Coefficient. Results: The mean score for uncertainty was3.45±1.08. Sick role behavior of the patients showed a moderate value with a mean of 3.68±0.79. The meanscore for quality of life was 3.52±0.64. Uncertainty in illness and the future was significantly correlated to sickrole behavior with that diet, weight control, no smoking, abstinence, doctor visits, medications, etc (r=-.27,p =.002), and quality of life (r=-.35, p<.001), and sick role behaviors were significantly correlated to qualityof life (r=.62, p<.001). Conclusion: The results implicate that there is a need to decrease the levels ofuncertainty and reinforce positive behaviors by patients in order to improve their quality of life.
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