폐결핵 환자의 질병 지각, 자기효능감과 환자역할행위 이행과의 관계
Relationship of Illness Perception, Self-efficacy, and Sick-Role Behavior Compliance in Pulmonary Tuberculosis Patients
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본 연구는 폐결핵 환자의 질병 지각, 자기효능감 및 환자역할행위 이행간의 관계를 파악하기 위해 시도하였다. 자료 수집은 2015년 10월 15일부터 11월 15일까지 B광역시 소재 일개 종합병원에서 외래를 통해 항결핵제를 복용하고 있는 대상자 50명을 편의표집하였다. 연구 도구는 질병 지각 8문항, 자기 효능감 11문항, 환자역할 행위 이행 18문항으로 구성되었다. 수집된 자료는 SPSS/PC WIN 22.0 프로그램을 이용하여 분석하였다. 연구결과 질병 지각은 평균 45.5점, 자기효능감은 평균 907점, 환자역할행위 이행은 평균 70.98점으로 나타났다. 인구사회학적 특성에 따른 자기효능감, 환자역할행위 이행은 성별 및 종교에서 대상자의 질병 관련 특성에 따른 질병 지각은 항결핵제의 부작용 유무에 따라 유의한 차이가 있었다. 자기효능감과 환자역할행위 이행은 유의한 양의 상관관계를 나타냈다. 이상의 결과를 종합하였을 때 치료에 큰 영향을 주는 환자역할행위 이행을 높이기 위하여 질병 지각과 자기효능감을 수준을 향상시킬 수 있는 간호 중재들이 개발되어야 하겠다.
Abstract
A descriptive study was conducted to examine the relationship of illness perception, self-efficacy, and sick-role behavior compliance of patients who were diagnosed pulmonary tuberculosis. The study was conducted using a convenient sample from one hospitals in B city. Fifty patients completed a questionnaire which included questions on general characteristics, a illness perception, a self-efficacy and a sick-role behavior compliance. Data were analyzed by using descriptive statistics, t-test, ANOVA, Pearson Correlations coefficient. Illness perception is average 45.5 points, self-efficacy showed an average of 907 points, sick-role behavior compliance of patients is average 70.98 points. There was a statistically significant positive correlation between self-efficacy and sick-role behavior compliance. Taken together, the above results showed that a higher self-efficacy for patients with well implemented role behavior. Tuberculosis is required for the continued management more than six months duration of treatment, nursing interventions to improve self-efficacy and illness perception will be developed.
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