루푸스 환자의 스트레스와 치료지시이행의 관계에 미치는 극복력의 매개효과
Mediating Effects of Resilience on the Relationship between Stress and Therapeutic Compliance in Patients with Systemic Lupus Erythematosus
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Purpose: This study was conducted to explore the mediating effect of resilience in the relationship between stress and therapeutic compliance in patients with systemic lupus erythematosus. Methods: The subject (N=145) was a systemic lupus erythematosus patient who visited the D Hospital in B city. Data collection was conducted from January 2016 to August 2016. Twenty-five resilience measurement tools, 20 stress measurement tools, 39 therapeutic compliance measurement tools used to measure resilience, stress and therapeutic compliance levels. The collected data were analyzed using descriptive analysis, Pearson correlation, 3-step regression analysis of Baron and Kenny, and Sobel test in SPSS/WIN 21.0. Results: There was a significant negative correlation between stress and therapeutic compliance, a significant negative correlation between stress and resilience, and significant positive correlation between resilience and therapeutic compliance. Resilience showed a direct effect on therapeutic compliance through stress as a mediating variable. Conclusion: It is necessary to develop appropriate resilience enhancement program to improve therapeutic compliance with systemic lupus erythematosus.
Abstract
Purpose: This study was conducted to explore the mediating effect of resilience in the relationship between stress and therapeutic compliance in patients with systemic lupus erythematosus. Methods: The subject (N=145) was a systemic lupus erythematosus patient who visited the D Hospital in B city. Data collection was conducted from January 2016 to August 2016. Twenty-five resilience measurement tools, 20 stress measurement tools, 39 therapeutic compliance measurement tools used to measure resilience, stress and therapeutic compliance levels. The collected data were analyzed using descriptive analysis, Pearson correlation, 3-step regression analysis of Baron and Kenny, and Sobel test in SPSS/WIN 21.0. Results: There was a significant negative correlation between stress and therapeutic compliance, a significant negative correlation between stress and resilience, and significant positive correlation between resilience and therapeutic compliance. Resilience showed a direct effect on therapeutic compliance through stress as a mediating variable. Conclusion: It is necessary to develop appropriate resilience enhancement program to improve therapeutic compliance with systemic lupus erythematosus.
참고문헌 (32)
- An, M. J., "Effect of stretching exercise on depression, pain, and fatigue in patients with systemic lupus erythematosus", Journal of Muscle and Joint Health, 13(1), pp.43~52 (2006)
- Olivier Bricou, "Stress and Coping Strategies in Systemic Lupus Erythematosus: A Review", Neuroimmunomodulation, 13(5-6), pp.283~293 (2007), S. Karger AG[DOI]
- Sílvia Fernanda Cal, "Resilience in systemic lupus erythematosus", Psychology, Health & Medicine, 18(5), pp.558~563 (2013), Informa UK Limited[DOI]
- 최은실, "뇌졸중 환자의 우울이 재활동기에 미치는 영향에 대한 극복력의 매개효과", 근관절건강학회지, 23(1), pp.19~27 (2016), 대한근관절건강학회[DOI]
- Crofts, P., "Systemic lupus erythematosus. Part 2 : The role of the nurse", Nursing Standard, 11(44), pp.40~44 (1997)
- 한금선, "만성심혈관질환자의 스트레스 지각, 대처행위, 건강증진행위", Journal of Korean Academy of Nursing, 34(5), pp.702~711 (2004), 한국간호과학회
- 한진이, "루푸스 환자의 질병에 대한 불확실성 우울 및 삶의 질", 석사, 간호학, pp.2008
- 홍성경, "극복력(resilience) 개념 개발 - 암 환자를 중심으로 -", 한국간호교육학회지, 15(1), pp.109~119 (2009), 한국간호교육학회
- 허정, "혈액투석 치료 불이행 환자의 스트레스와 대처유형에 관한 연구", 간호행정학회지, 11(4), pp.439~448 (2005), 간호행정학회
- 정선경, "항암화학요법을 받는 암환자의 극복력, 스트레스 및 자가간호의 관계", 석사, 간호학과, pp.2012
- Jung, J. M., "The illness experience of patients with systemic lupus erythematosus", doctor, pp.2015
- Jung, S. W., "Lupus prevalence, women are 8-10times higher than men", Korea Biomedical Review (2014)
- Kim, M. J., "A study on disease characteristics, psycho-social factors and treatment behavior of patients with lupus", Journal of Muscle and Joint Health, 9(1), pp.40~52 (2002)
- Kim, S. H., "Mesenchymal stem cells regulate humoral immune responses in a systemic lupus erythematosus model", master, pp.2014
- Koh, Y. M., "The relationships among mother's the parenting stress, recovery resilience, self control in preschool children", master, pp.2011
- 공경란, "만성 폐쇄성 폐질환 환자의 증상경험과 우울의 관계에 미치는 극복력의 매개효과", 성인간호학회지, 27(4), pp.375~383 (2015), 한국성인간호학회[DOI]
- Development of the stress questionnaire for KNHANES, "Lee, E. S.", Korea Centers for Disease Control and Prevention, ~ (2010)
- Barbara L. Mandleco, "An Organizational Framework for Conceptualizing Resilience in Children", Journal of Child and Adolescent Psychiatric Nursing, 13(3), pp.99~112 (2000), Wiley-Blackwell[DOI]
- Martin Pinquart, "Moderating effects of dispositional resilience on associations between hassles and psychological distress", Journal of Applied Developmental Psychology, 30(1), pp.53~60 (2009), Elsevier BV[DOI]
- M. Mattsson, "Uncertainty and Opportunities in Patients with Established Systemic Lupus Erythematosus: A Qualitative Study", Musculoskeletal Care, 10(1), pp.1~12 (2012), Wiley-Blackwell[DOI]
- K. McElhone, "Patient perspective of systemic lupus erythematosus in relation to health-related quality of life concepts: a qualitative study", Lupus, 19(14), pp.1640~1647 (2010), SAGE Publications[DOI]
- 모진아, "류마티스 질환 환자의 인지손상과 관련된 요인 규명: 체계적 문헌고찰 및 메타분석", Journal of Korean Academy of Nursing, 46(1), pp.1~18 (2016), 한국간호과학회
- 박미연, "노인당뇨병환자의 스트레스 지각, 스트레스 대처방식, 자가간호행위 및 당화혈색소와의 관계", 석사, 노인전문간호, pp.2008
- 신나연, "관상동맥질환자의 건강통제위, 회복력, 사회적 지지와 건강증진행위 간의 관계", 성인간호학회지, 27(3), pp.294~303 (2015), 한국성인간호학회[DOI]
- Bruce W. Smith, "The brief resilience scale: Assessing the ability to bounce back", International Journal of Behavioral Medicine, 15(3), pp.194~200 (2008), Springer Nature[DOI]
- Sohng, K. Y., "A survey on pain and self-care behavior of patients with chronic arthritis", Journal of Korean Academy of Fundamentals of Nursing, 10(2), pp.206~213 (2003)
- Sohng, K. Y., "The effects of a self-management course on self-efficacy, fatigue, coping skills and self-care activities in patients with systemic lupus erythematosus", Journal of Korean Academy of Fundamentals of Nursing, 8(3), pp.324~333 (2001)
- Son, J. M., "The influence of disease-related uncertainty, social comparison motives on resilience in patients with breast cancer participating in the self-help group", master, pp.2016
- Song, B. E., "Compliance of medical regimen, family support and knowledge on the disease of the patients with systemic lupus erythematosus", master, pp.1999
- 송양숙, "재가 신체장애인의 회복력 영향요인", 석사, 간호학, pp.2004
- Wagnild, G. M., "Development and psychometric evaluation of the resilience scale", Journal of Nursing Measurement, 1(2), pp.165~178 (1993)
- Yang, K. S., "Structural equation model on resilience of breast cancer patients receiving chemotherapy", doctor, pp.2014