국내 폐결핵 환자의 건강관리와 관련된 요인
Factors Related to the Health Management in Patients with Pulmonary Tuberculosis in Korea
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초록
본 연구는 국내 폐결핵 환자의 건강관리와 관련된 요인을 규명하고자 수행하였다. 2015년 6월 22일부터 7월 24일까지 서울에 소재한 종합병원에 내원한 폐결핵 환자 176명을 대상으로 설문 및 면접조사를 하였다. 연구방법은 건강정보의 인지와 관련된 요인은 Independent t-test와 ANOVA로 분석하였다. 건강행위 실천과 관련된 상관관계는 Pearson correlation coefficient로 분석하였다. 대상자의 건강관리에 영향을 미치는 요인들의 설명력을 파악하기 위해 Stepwise multiple regression을 하였다. 연구결과는 다음과 같다. 첫째, 폐결핵 환자의 건강정보는 불예측성과 유의한 음의 상관관계를 보였고(r=-0.287, p<0.01), 불예측성과 스트레스는 유의한 양의 상관관계를 나타내었다(r=0.594, P<0.01), 둘째, 다중회귀분석 결과 폐결핵 환자의 건강행위 실천의 영향요인은 연령(R2=0.048, p=0.000), 불예측성(R2=0.092, p=0.000), 건강정보(R2=0.061, p=0.004)인 것으로 나타났다. 따라서 폐결핵 환자들의 건강행위 실천을 증진시키기 위해 건강정보를 높이고 불확실성을 낮춰 줄 수 있는 의학중재가 필요하다.
Abstract
This study was performed to identify the factors related to health management in patients with tuberculosis. Data was surveyed using interview and questionnaires by 176 patients who visited a general hospital located in Seoul from June 22 to July 24, 2015. For study method, factors related to the recognition of health information were analyzed using independent t-test and ANOVA. Explanatory power of factors influencing on health management of subjects was conducted by stepwise multiple regression. The results were as follows. Firstly, there was significantly negative correlation between health information and unpredictability(r=--0.287, p<0.01), and positive correlation between uncertainty and stress(r=0.594, p<0.01). Secondly, as a result of multiple regression analysis, the practice of health behaviors in patients with pulmonary tuberculosis was significantly influenced by age(R2=0.048, p=0.000), unpredictability(R2=0.092, p=0.000), health information(R2=0.061, p=0.004). In conclusion, strategies for enhancing health information and reducing uncertainty are needed to promote the practice of health behaviors in patients with pulmonary tuberculosis.
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