혈액투석노인의 스트레스와 건강관련 삶의 질과의 관계에서 자아존중감의 조절효과
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참고문헌
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초록
Purpose: This study was conducted in order to investigate the relationship between stress in elderly patients on renal dialysis and health-related quality of life, especially the moderating effect of self-esteem. Methods: The structural equation model was tested by setting the stress of elderly patients on renal dialysis as a prediction variable, their health-related quality of life as an outcome variable and their self-esteem as a moderating variable. The participants were 443 patients from Seoul and Gyeonggi province who were over 65 years of age and on renal dialysis. Measurement tools were health-related quality of life, stress, and self-esteem scales. Statistical descriptive analysis, Pearson correlation coefficients, reliability analysis, Scheffétest and multiple regression analysis were used to analyze the data. Results: For these patients, stress had a significant negative correlation with health-related quality of life and self-esteem had a significant positive correlation. The level of self-esteem plays a moderating role in the relationship between stress and health-related quality of life among elderly renal dialysis patients. Conclusion: The results indicate that interventions that are effective in increasing self-esteem can help these patients cope with stress and increase their health-related quality of life.
Abstract
Purpose: This study was conducted in order to investigate the relationship between stress in elderly patients on renal dialysis and health-related quality of life, especially the moderating effect of self-esteem. Methods: The structural equation model was tested by setting the stress of elderly patients on renal dialysis as a prediction variable, their health-related quality of life as an outcome variable and their self-esteem as a moderating variable. The participants were 443 patients from Seoul and Gyeonggi province who were over 65 years of age and on renal dialysis. Measurement tools were health-related quality of life, stress, and self-esteem scales. Statistical descriptive analysis, Pearson correlation coefficients, reliability analysis, Scheffétest and multiple regression analysis were used to analyze the data. Results: For these patients, stress had a significant negative correlation with health-related quality of life and self-esteem had a significant positive correlation. The level of self-esteem plays a moderating role in the relationship between stress and health-related quality of life among elderly renal dialysis patients. Conclusion: The results indicate that interventions that are effective in increasing self-esteem can help these patients cope with stress and increase their health-related quality of life.
참고문헌 (28)
- Arntz, M, "The german social long-term care insurance: Structure and reform options", Forschungsinstitut zur Zukunft der Arbeit Institute for the Study of Labor, ~ (2007)
- Austin, J. K, "Stress, coping and depression in hemodialysis patients", Journal of Advanced Nursing, 33(2), pp.200~207 (2000)
- Bowling,A, "Measuring disease" (1995), Open University Press Buckingham.
- Brown,R.S, "Exercise for stress management in renal dialysis and renal transplantation patients", Dialysis and Transplantation, 13(2), pp.97~100 (1984)
- Choe,Y.A, "A survey on the depression, self-esteem and health behavior of the aged", Journal of Welfare for the Aged, 21, pp.27~47 (2003)
- 최미례, "스트레스와 우울의 관계에 대한 자아존중감의 중재효과와 매개효과", 한국심리학회지 임상, 22(2), pp.363~383 (2003), 한국임상심리학회
- Chun, C. J, "Comparison of self-esteem and quality of life in patients on hemodialysis and peritoneal dialysis", Journal of Korean Academy of Adult Nursing, 12(4), pp.706~716 (2000)
- Hwang,A.R, "Physiological response to stress", The Korean Nurse, 23(4), pp.38~48 (1984)
- Jeon,B.J, "A test of its measurability", Yonsei Nochong, 11, pp.109~129 (1974)
- Jin, D. C, "Changes in profile of elderly dialysis population in Korea", The 10th Korean Dialysis Physicians Association Autumn Symposium, pp.163~203 (2008)
- Jo, K. H, "The effect of anticipated variables on hemodialysis patent's quality of life", Journal of Korean Academy Nursing, 30(2), pp.413~424 (2000)
- Kim,G.S, "Analysis structural equation modeling" (2007), Hannarae Press
- Kim, J. H, "The factor affecting quality of life of hemodialysis patients", Journal of Korean Academy of Adult Nursing, 7(2), pp.299~312 (1995)
- Kim,J.H, "The effect of guided imagery applied to hemodialysis patients", 박사, pp.1995
- 김정엽, "노인의 생활스트레스, 자아존중감과 생활만족도와의 관계", 노인복지연구, 37(37), pp.111~130 (2007), 한국노인복지학회
- 김귀분, "노인의 자아존중감 영향 요인", 정신간호학회지, 17(1), pp.65~74 (2008), 정신간호학회
- Kim,M.R, "The relationship between housewives life Stress and depression tendency: The mediating moderating effects of self-esteem and social support", 박사, pp.2006
- Kim, S. Y, "Quality of life of Korean and Korean American older adults a comparison", Journal of Gerontological Nursing, 35(6), pp.28~34 (2009)
- 김욱, "경로당 이용 노인의 자아존중감과 영향요인연구", 노인복지연구, 32(32), pp.271~293 (2006), 한국노인복지학회
- Koh, S. B, "Reliability and validity on measurement instrument for health status assessment in occupational workers", Journal of Preventive Medicine and Public Health, 30(2), pp.251~266 (1997)
- "Future Population projection"[URL]
- "Social statistical survey"[URL]
- Min, H. J, "The influencing factors of quality of life in hemodialysis patients", The Korea Journal of Nephrology, 18(5), pp.714~732 (1999)
- 박봉길, "노인의 심리사회적 특성이 우울감과 자살생각에 미치는 조절효과에 관한 연구*", 한국노년학, 28(4), pp.969~989 (2008), 한국노년학회
- Park, S. O, "study on self-esteem and social support, health-promoting lifestyle of elderly", Journal of Korean Academy of Community Health Nursing, 14(1), pp.144~156 (2003)
- Rosenberg,M, "Society and adolescent self image" (1965), Princeton University Press
- 신경림, "재가 노인의 주관적 신체 증상, 일상생활수행능력 및 건강관련 삶의 질", Journal of Korean Academy of Nursing, 38(3), pp.437~444 (2008), 한국간호과학회
- Ware, J. E. Jr, "The MOS 36-item short-form health survey(SF-36): Conceptual framework and item selection", Medical Care, 30, pp.473~483 (1992)