골관절염 여성노인의 불확실성: 통증, 자가간호역량, 건강보존과의 관련성
Uncertainty in Elderly Women with Osteoarthritis: Relationship to Pain, Self-care Agency and Health Conservation
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Purpose: The purpose of this study was to examine the relationship of uncertainty to pain, self-care agency and health conservation and to identify factors affecting uncertainty in elderly women with osteoarthritis. Methods:Participants, 156 women aged 65 years or older, were outpatients at A orthopedic clinic in D city and were diagnosedwith osteoarthritis. Data were collected using the Visual Analogue Scale (pain), Self-As-Carer Inventory(Geden & Taylor, 1988), Health Conservation Scale (Sung, 2005a) and Mishel Uncertainty in Illness Scale (Mishel,1988) and analyzed using t-test, one-way ANOVA, Pearson's correlation, and stepwise multiple regression. Results: Uncertainty was positively correlated with the degree of pain and negatively correlated with self-care agency and health conservation in elderly women with osteoarthritis. Health conservation was the strongest predictor(β=-.28) of uncertainty in elderly women with osteoarthritis, followed by assistance from spouse (β=-.25)and monthly allowance (β=-.24). These variables accounted for 29% of the total variance in uncertainty. Conclusion: Findings from the study suggest the need to develop and utilize nursing interventions targeting improvementsin health conservation to reduce uncertainty in elderly women with osteoarthritis.
Abstract
Purpose: The purpose of this study was to examine the relationship of uncertainty to pain, self-care agency and health conservation and to identify factors affecting uncertainty in elderly women with osteoarthritis. Methods:Participants, 156 women aged 65 years or older, were outpatients at A orthopedic clinic in D city and were diagnosedwith osteoarthritis. Data were collected using the Visual Analogue Scale (pain), Self-As-Carer Inventory(Geden & Taylor, 1988), Health Conservation Scale (Sung, 2005a) and Mishel Uncertainty in Illness Scale (Mishel,1988) and analyzed using t-test, one-way ANOVA, Pearson's correlation, and stepwise multiple regression. Results: Uncertainty was positively correlated with the degree of pain and negatively correlated with self-care agency and health conservation in elderly women with osteoarthritis. Health conservation was the strongest predictor(β=-.28) of uncertainty in elderly women with osteoarthritis, followed by assistance from spouse (β=-.25)and monthly allowance (β=-.24). These variables accounted for 29% of the total variance in uncertainty. Conclusion: Findings from the study suggest the need to develop and utilize nursing interventions targeting improvementsin health conservation to reduce uncertainty in elderly women with osteoarthritis.
참고문헌 (25)
- Baker, K., "Exercise for knee osteoarthritis", Current Opinion in Rheumatology, 12(5), pp.456~463 (2000)
- Cho, O. H., "Uncertainty, anxiety and coping with mastectomy for breast cancer", Journal of Korean Academy of Nursing, 30(4), pp.1006~1017 (2000)
- 정재원, "항암화학요법을 받는 부인암환자의 기능상태와 사회심리적 적응", 여성건강간호학회지, 11(1), pp.58~66 (2005), 여성건강간호학회
- Cook, C., "Osteoarthritis and the impact on quality of life health indicators", Rheumatology International, 27(4), pp.315~321 (2007)
- Geden, E., "Self-as carer: A preliminary evaluation", In Proceedings of seventh annual nursing research conference (1988), University of Missouri- Columbia School of Nursing
- 황진희, "라벤더향유를 이용한 온습포법이 무릎관절염 여성노인의 통증, 무릎유연성, 수면 및 우울에 미치는 효과", 근관절건강학회지, 18(2), pp.192~202 (2011), 대한근관절건강학회
- Hwang, M. H., "A study of perceived health status, social support and self care agency of the aged", Journal of Kyungpook Nursing Science, 4(1), pp.43~58 (2000)
- Kim, Y. J., "A study on uncertainty and general wellbeing of hemodialysis patients", 석사, pp.2009
- Lee, Y. J., "A correlational study on uncertainty, coping and depression of cancer patients", Journal of Korean Academy of Nursing, 31(2), pp.244~256 (2001)
- "Senior Survey 2011" (2012)[URL]
- Mishel, M. H., "Reconceptualization of the uncertainty in illness theory", The Journal of Nursing Scholarship, 22(4), pp.256~262 (1990)
- Moser, D. K., "Conceptualizing self-care in heart failure : A life course model of patient characteristics", The Journal of Cardiovascular Nursing, 23(3), pp.205~218 (2008)
- Mun, Y. S., "The correlation among uncertainty, self care agency and quality of life in elderly patients underwent percutaneous coronary intervention", 석사, pp.2012
- 남연희, "노인의 주관적인 건강상태에 영향을 미치는 요인에 관한 연구", 한국가족복지학, 16(4), pp.145~162 (2011), 한국가족복지학회
- Oh, H. -S., "Theory construction in nursing of uncertainty", Korean Journal of Adult Nursing, 13(2), pp.200~208 (2001)
- Oh, M. S., "The correlation between self-care agency and life satisfaction among elderly in Iksan city", 석사, pp.2009
- 오원옥, "노인의 건강보존정도에 영향을 미치는 요인", 기본간호학회지, 16(2), pp.134~143 (2009), 기본간호학회
- Park, S. Y., "Effects of self help program for pain, ADL, exercise selfefficacy and knowledge about arthritis in patients with osteoarthritis", The Journal of Rhumatology Health, 11(1), pp.31~41 (2004)
- Sohng, K. Y., "A study of pain, self-esteem, perceived health status and self-efficacy in patients with chronic arthritis", Journal of Korean Public Health Nursing, 15(1), pp.111~124 (2001)
- So, H. S., "Testing construct validity of Self-As-Carer Inventory and its predictors", Journal of Korean Academy of Adult Nursing, 4(2), pp.147~161 (1992)
- 서경석, "노인의 자아존중감, 생활만족도, 사회참여욕구가 사회참여활동에 미치는 영향", 사회연구, 13(2), pp.97~124 (2012), 한국사회조사연구소
- 성기월, "시설 노인의 건강보존에 관한 도구 개발", Journal of Korean Academy of Nursing, 35(1), pp.113~124 (2005), 한국간호과학회
- 성기월, "무료 양로？요양시설 노인의 건강보존정도", Journal of Korean Academy of Nursing, 35(8), pp.1379~1389 (2005), 한국간호과학회
- 염현이, "여성노인의 증상관리에 대한 부정적 신념과 관련요인이 자기효능감에 미치는 영향", 노인간호학회지, 15(1), pp.11~20 (2013), 노인간호학회
- Yoo, K. H., "A study on the relationship between uncertainty and pain in rheumatoid arthritis patients", Journal of Soonchunhyang Medical Science, 10(3), pp.2003~2008 (2004)