만성 심부전 환자의 국내 연구 동향 분석 : 연구 주제 및 관련 측정도구를 중심으로
Analysis of Domestic Research Trends in Patients with Chronic Heart Failure: Focusing on Research Topics and Related Measurement
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참고문헌
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초록
연구목적: 본 연구는 심부전 환자를 대상으로 실시된 국내 간호학분야 논문의 주요 연구주제 및관련 측정도구를 시기별로 분석하여 심부전 관련 간호연구의 방향을 제시 및 분석하고자 시도되었다. 연구방법: 분석 대상 논문은 연구초기부터 2017년 11월까지 분석하였으며, 최종 22편의 학회논문이 분석되었다. 논문 중심 키워드는 ‘심부전’, ‘간호’, ‘환자’로 검색하였다. 연구결과: 총 22편 중 2011년 이후에는 15편의 연구가 수행되었고, 연구 설계 유형은 서술적 조사연구가 13편(59.1%), 연구의 자료 수집방법으로는 설문지 방법이 15편(68.2%)으로 가장 많았다. 연구대상자의 특성은 외래환자가 18편 (81.8%), 대상자의 평균연령은 61세~65세가 11편(50%)로 가장 많았다. 주요 연구개념은 생리학적 영역인 질병과 관련 개념이 29편(42.1%)으로 가장 많았으며, 점차 증가하는 추이를 나타냈다. 또한 심리학적 영역에서는 자가간호행위가 24편(34.8%)으로 나타났다. 주요 측정도구는 자가간호, 기능적 상태, 삶의 질과 지식, 우울과 지지 순으로 나타났다. 결론: 본 연구의 결과를 바탕으로 향후 국내 환자 특성과 의료 환경을 반영하고, 환자에 심부전의 증상과 단계에 따른 간호중재 프로그램의 개발 및 연구가 필요하다. 또한, 기존에 진행하였던 개념이 아닌 다양한 개념을 적용한 연구방법 및 국내 환자의 특성에 맞는 도구개발을 제언한다.
Abstract
Purpose: This study attempted to analyze the direction of the heart failure related nursing research by analyzing the main research topics and relevant measurement in the domestic nursing research conducted in patients with heart failure. Methods: It analyzed the research papers were analyzed from the beginning until November 2017, and the final 22 papers were analyzed. The keywords of the papers were 'heart failure', 'nursing', and 'patient'. Results: Of the total 22 out of the total 22 subjects, 15 studies were conducted. The most common type of research design was descriptive research 13(59.1%), as the data collection method of the study, 15(68.2%) questionnaires were used .The characteristics of the study subjects were 18 outpatients (81.8%) and the average age was 61~65 years old and 11(50%). The main research concept was physiological related disease 29(42.1%), and it was gradually increasing. Also, in the psychological domain, self-care activities 24(34.8%) were found. The main measurement tools were self-care, functional status, quality of life and knowledge, depression and support. Conclusions: This study suggests the development and study of nursing intervention program according to symptom and stage of heart failure in patients. In addition, we propose a research method applying various concepts, rather than the existing concept, and development of a tool suited to the characteristics of domestic patients.
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