말초동맥질환자의 건강증진행위에 영향을 미치는 요인
Factors Influencing Health Promoting Behavior among Peripheral Arterial Disease Patients
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연구배경: 본 연구는 말초동맥질환자를 대상으로 질병인식과 질병 관련 지식, 건강증진행위 정도를 조사하고, 건강증진행위에 영향을 주는 요인을 규명하여 말초동맥질환자의 건강증진행위를 도모하기 위한 교육중재를 개발하고 시행하는데 기초자료로 제공하고자 시도된 서술적 조사연구이다. 방법: 본 연구의 대상자는 서울시 세브란스병원의 심장내과에서 입원 혹은 통원 치료를 받고 있는 말초동맥질환자 128명으로 대상자의 일반적 특성, 질병 관련 특성, 말초동맥질환에 대한 인식과 지식, 건강증진행위에 대해 구조화된 설문지를 통해 2014년 10월부터 12월까지 자료를 수집하였다. 결과: 말초동맥질환자 128명 중 말초동맥질환 진단에 대한 자각이 있는 대상자는 70명(54.7%)으로 조사되었다. 말초동맥질환에 대한 인식과 지식, 건강증진행위 간의 상관관계를 조사한 결과 말초동맥질환에 대한 지식은 건강증진행위와 관련성이 있었다(r＝0.205, P＝0.020). 특히 말초동맥질환에 대한 지식과 건강증진행위 중 건강책임성(r＝ 0.353, P＜0.001)과 운동(r＝0.230, P＝0.009)이 유의한 상관관계가 있는 것으로 나타났다. 건강증진행위에 영향을 미치는 요인을 분석한 결과 말초동맥질환에 대한 지식이 예측요인으로 조사되었다(R2＝0.212, P＝0.032). 결론: 본 연구를 통해 말초동맥질환에 대한 인식과 지식, 건강증진행위 수준을 파악하였으며 말초동맥질환에 대한지식이 건강증진행위에 미치는 영향을 확인하였다. 따라서말초동맥질환자의 질병에 대한 인식을 높이고 건강증진행위를 향상시키기 위한 효과적인 교육중재프로그램의 개발을 제언한다.
Abstract
Background: The purpose of this study was to examine illness perception, knowledge about the disease and health promoting behaviors, and to identify factors influencing health promoting behaviors among Peripheral Arterial Disease (PAD) patients. Methods: The participants were 128 PAD patients who had been treated as an outpatient or an inpatient at the department of cardiology in a tertiary hospital in Seoul, Korea. Data were collected from October to December 2014, regarding general characteristics, disease related characteristics, illness perception and knowledge on PAD, health promoting behaviors by using a structured questionnaire. Results: The number of subjects who had an awareness of PAD diagnosis was 70 (54.7%) among 128. In this study, knowledge on PAD was significantly correlated with health promoting behaviors (r＝0.205, P＝0.020). Especially, knowledge on PAD had a significant correlation with health responsibility (r＝0.353, P＜0.001) and exercise (r＝0.230, P＝0.009). In the regression analysis, knowledge on PAD was a factor that influences the health promoting behavior in this study subjects (R2＝0.212, P＝0.032). Conclusions: We could determine the degree of perception, knowledge, and health promoting behaviors among participants and the influence of PAD-related knowledge on health promoting behaviors. Conclusively, the results of this study support the development of education intervention to ameliorate disease perception and PAD related knowledge in order to improve health promoting behaviors among PAD patients.
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