위식도 역류질환 환자의 질병 관련 지식이 건강증진행위에 미치는 영향
Influence of Disease Knowledge on Health Promoting Behavior in Patients with Gastroesophageal Reflux Disease
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: This study aimed to identify the levels of disease-related knowledge and health-promoting behavior and the factors influencing this behavior in patients with gastroesophageal reflux disease. Methods: The subjects were 131 outpatients with gastroesophageal reflux disease for over 18 years, visiting a tertiary hospital from March to April 2018. The data were collected using a structured self-reporting questionnaire on gastroesophageal reflux disease-related knowledge and health-promoting behavior. Statistical analyses were conducted using descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation analysis, and hierarchical multiple regression using the IBM SPSS Statistics 23.0 program. Results: The average scores for gastroesophageal reflux disease-related knowledge and health-promoting behavior were 9.98±3.77 and 2.32±0.42, respectively. The results indi-cated a positive correlation between disease-related knowledge and health-promoting behavior (r=.29, p<.001). The significant variables related to health-promoting behavior were added to the model using hierarchical multiple regression. Education (β=.33), smoking habits (β=.23), and disease-related knowledge (β=.19) were the key influencing factors, which explained 25% of the variance in health-promoting behavior. Disease-related knowledge alone accounted for 2.6% of health-promoting behaviors. Conclusion: The prevalence rates of gastroesophageal reflux disease-related knowledge and health-promoting behavior were generally low in our study population. Gastroesophageal reflux disease-related knowledge has an impact on health-promoting behavior. The results emphasize the need to equip patients with disease-related knowledge to encourage health-promoting behavior.
Abstract
Purpose: This study aimed to identify the levels of disease-related knowledge and health-promoting behavior and the factors influencing this behavior in patients with gastroesophageal reflux disease. Methods: The subjects were 131 outpatients with gastroesophageal reflux disease for over 18 years, visiting a tertiary hospital from March to April 2018. The data were collected using a structured self-reporting questionnaire on gastroesophageal reflux disease-related knowledge and health-promoting behavior. Statistical analyses were conducted using descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation analysis, and hierarchical multiple regression using the IBM SPSS Statistics 23.0 program. Results: The average scores for gastroesophageal reflux disease-related knowledge and health-promoting behavior were 9.98±3.77 and 2.32±0.42, respectively. The results indi-cated a positive correlation between disease-related knowledge and health-promoting behavior (r=.29, p<.001). The significant variables related to health-promoting behavior were added to the model using hierarchical multiple regression. Education (β=.33), smoking habits (β=.23), and disease-related knowledge (β=.19) were the key influencing factors, which explained 25% of the variance in health-promoting behavior. Disease-related knowledge alone accounted for 2.6% of health-promoting behaviors. Conclusion: The prevalence rates of gastroesophageal reflux disease-related knowledge and health-promoting behavior were generally low in our study population. Gastroesophageal reflux disease-related knowledge has an impact on health-promoting behavior. The results emphasize the need to equip patients with disease-related knowledge to encourage health-promoting behavior.
참고문헌 (38)
- J Dent, "Epidemiology of gastro-oesophageal reflux disease: a systematic review", Gut, 54(5), pp.710~717 (2005), BMJ[DOI]
- Hashem B El-Serag, "Update on the epidemiology of gastro-oesophageal reflux disease: a systematic review", Gut, 63(6), pp.871~880 (2014), BMJ[DOI]
- G EISEN, "The epidemiology of gastroesophageal reflux disease: what we know and what we need to know", The American Journal of Gastroenterology, 96(8), pp.S16~S18 (2001), Ovid Technologies (Wolters Kluwer Health)[DOI]
- "Health insurance statistics: incidence of frequent illnesses by disease classification" (2018)[URL]
- 정혜경, "위식도역류질환 임상진료지침 개정안 2012", 대한소화기학회지, 60(4), pp.195~218 (2012), 대한소화기학회
- P. Malfertheiner, "Clinical manifestations and complications of gastroesophageal reflux disease (GERD)", International Journal of Clinical Practice, 59(3), pp.346~355 (2005), Wiley[DOI]
- 최주영, "수면장애와 동반된 위식도역류질환에 관한 연구", 대한내과학회지, 81(5), pp.602~610 (2011), 대한내과학회
- Boudewijn F. Kessing, "Effects of Anxiety and Depression in Patients With Gastroesophageal Reflux Disease", Clinical Gastroenterology and Hepatology, 13(6), pp.1089~1095.e1 (2015), Elsevier BV[DOI]
- Shou-Wu Lee, "Comparison of presentation and impact on quality of life of gastroesophageal reflux disease between young and old adults in a Chinese population", World Journal of Gastroenterology, 17(41), pp.4614~ (2011), Baishideng Publishing Group Inc.[DOI]
- 김영선, "Sex and Gender Differences in Gastroesophageal Reflux Disease", Journal of Neurogastroenterology and Motility (JNM), 22(4), pp.575~588 (2016), 대한소화기 기능성질환∙운동학회[DOI]
- Roopa Vemulapalli, "Diet and Lifestyle Modifications in the Management of Gastroesophageal Reflux Disease", Nutrition in Clinical Practice, 23(3), pp.293~298 (2008), Wiley[DOI]
- Y. Y. Lee, "Disruption of the gastroesophageal junction by central obesity and waist belt: role of raised intra-abdominal pressure", Diseases of the Esophagus, 28(4), pp.318~325 (2015), Oxford University Press (OUP)[DOI]
- David R. Mitchell, "Abdominal Compression by Waist Belt Aggravates Gastroesophageal Reflux, Primarily by Impairing Esophageal Clearance", Gastroenterology, 152(8), pp.1881~1888 (2017), Elsevier BV[DOI]
- Jae Hoon Yang, "Recurrence of gastroesophageal reflux disease correlated with a short dinner-to-bedtime interval", Journal of Gastroenterology and Hepatology, 29(4), pp.730~735 (2014), Wiley[DOI]
- Lee SY, "Biopsychosocial understanding of gastroesophageal reflux disease and quality of life", Journal of Neurogastroenterology and Motility, 7(2), pp.367~374 (2001)
- 김범진, "기능성 위장관질환에 있어서 식이 및 영양요법: 위식도역류질환", 대한내과학회지, 90(2), pp.93~97 (2016), 대한내과학회
- Jin-Yong Kang, "Lifestyle measures and reflux", Alimentary Pharmacology & Therapeutics, 14(8), pp.1103~1103 (2000), Wiley[DOI]
- William J. Salyers, "Lifestyle Modification Counseling in Patients With Gastroesophageal Reflux Disease", Gastroenterology Nursing, 30(4), pp.302~304 (2007), Ovid Technologies (Wolters Kluwer Health)[DOI]
- 정인두, "The Degree of Disease Knowledge in Patients with Gastroesophageal Reflux Disease: A Multi-center Prospective Study in Korea", Journal of Neurogastroenterology and Motility (JNM), 23(3), pp.385~391 (2017), 대한소화기 기능성질환∙운동학회[DOI]
- Jorgen Urnes, "Disease knowledge after an educational program in patients with GERD – a randomized controlled trial", BMC Health Services Research, 8(1) (2008), Springer Science and Business Media LLC[DOI]
- DeVault KR, "Updated guidelines for the diagnosis and treatment of gastroesophageal reflux disease", The American Journal of Gastroenterology, 100(1), pp.190~200 (2005)
- E. Yuen, "Prevalence, knowledge and care patterns for gastro-oesophageal reflux disease in United States minority populations", Alimentary Pharmacology & Therapeutics, pp.no~no (2010), Wiley[DOI]
- Kim NJ, "Health practices of the elderly and related variables", The Korean Gerontological Society, 20(2), pp.169~182 (2000)
- Kristen N. Finley, "Assessing the impact of life-style modification education on knowledge and behavior changes in gastroesophageal reflux disease patients on proton pump inhibitors", Journal of the American Pharmacists Association, 49(4), pp.544~548 (2009), Elsevier BV[DOI]
- Oh SG, "The effect of physicians' advice on various lifestyles in patients with reflux esophagitis", 석사, pp.2005
- 유연주, "말초동맥질환자의 건강증진행위에 영향을 미치는 요인", Korean Journal of Health Promotion, 16(1), pp.37~47 (2016), 대한임상건강증진학회[DOI]
- 이정은, "만성 B형 간염환자의 건강행위 수준 및 영향요인", 성인간호학회지, 23(1), pp.20~30 (2011), 한국성인간호학회
- Yeo JH, "Factors affecting health-promoting behavior in patients with reflux esophagitis", 석사, pp.2017
- "he health promoting lifestyle profile II. Omaha: College of Nursing University of Nebraska Medical Center" (1995)[URL]
- Pandolfino JE, "Esophagogastric junction morphology predicts susceptibility to exercise-induced reflux", The American Journal of Gastroenterology, 99(8), pp.1430~1436 (2004)
- 남승주, "위식도역류 질환의 식도 외 증상", 대한내과학회지, 91(3), pp.257~263 (2016), 대한내과학회[DOI]
- Shim CS, "The diagnosis and treatment of GERD for family doctors", Journal of the Korean Academy of Family Medicine, 22(5), pp.611~618 (2001)
- Bashir Ahmad Khan, "Effect of bed head elevation during sleep in symptomatic patients of nocturnal gastroesophageal reflux", Journal of Gastroenterology and Hepatology, 27(6), pp.1078~1082 (2012), Wiley[DOI]
- 유주화, "당뇨인의 인슐린주사관련 자가간호행위 수행 및 관련요인 분석", Diabetes and Metabolism Journal, 27(2), pp.153~164 (2003), 대한당뇨병학회
- 김은주, "뇌졸중환자의 신체적, 정신적, 사회적 요인이 건강증진행위에 미치는 효과", 한국산학기술학회논문지, 16(12), pp.8525~8534 (2015), 한국산학기술학회[DOI]
- Pender N, "Health promotion in nursing practice" (1996), Appleton & Lange
- 조영채, "종합건강검진 수검자들의 대사증후군 유병률 및 관련요인", 한국산학기술학회논문지, 13(11), pp.5317~5325 (2012), 한국산학기술학회[DOI]
- Kiang Liu, "Healthy Lifestyle Through Young Adulthood and the Presence of Low Cardiovascular Disease Risk Profile in Middle Age", Circulation, 125(8), pp.996~1004 (2012), Ovid Technologies (Wolters Kluwer Health)[DOI]