Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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A Study on Self-Care Agency and Quality of Life in Patients with Heart Valve Surgery

심장판막수술환자의 자가간호역량과 삶의 질 연구

  • Bae, Jae-Mun (Department of Nursing Science, Graduate School of Konyang University) ;
  • Shim, Moon-Sook (Department of Nursing Science, College of Medicine, Konyang University)
  • 배재문 (건양대학교 일반대학원 간호학과) ;
  • 심문숙 (건양대학교 의과대학 간호학과)
  • Received : 2011.07.06
  • Accepted : 2011.09.08
  • Published : 2011.09.30
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Abstract

This study aims to survey patients who underwent a heart valve so as to define their self-care Agency and quality of life, as well as the effect of their self-care Agency on their quality of life. One hundred ten outpatients in two university hospitals in the City of D were surveyed using a structured questionnaire. The findings of this study revealed that for the life quality of patients with a surgery of heart valve, out of a total of 4.0 points, self-care Agency was an average 2.71 points, while life quality was an average 2.96 points, showing not so high scores. Also, it was also found that the higher the physical skills of patients with a surgery of heart valve (${\beta}$=.625, p<.001) were, the higher the quality of their life was. In conclusion, self-care Agency was confirmed as a determinant of the life quality of patients with a surgery of heart valve, and it was found that the higher the self-care Agency of patients with a surgery of heart valve, the higher their life quality was. Thus, in order to enhance the self-care Agency of patients with a surgery of heart valve, nursing assessment of their physical, psychological and mental areas, as well as corresponding appropriate nursing interventions need to be developed.

본 연구는 심장판막수술환자에서의 자가간호역량과 삶의 질 정도와 자가간호역량이 삶의 질에 미치는 요인을 규명할 목적으로 실시하였다. 연구대상은 D시 2개 대학병원에서 외래방문 치료하는 환자 110명을 대상으로 구조화된 설문지를 이용하여 설문조사를 실시하였다. 연구 결과, 심장판막수술환자의 자가간호역량과 삶의 질 정도는 총 4.0점 중 각각 평균 2.71점과 2.96점으로 그다지 높지 않은 것으로 나타났다. 또한 심장판막수술환자의 자가간호역량이 삶의 질에 미치는 영향은 신체적 기술 (${\beta}$=.625, p<.001)로 심장판막수술환자들은 자가간호역량의 신체적 기술이 높을수록 삶의 질이 높음을 알 수 있다. 결론은 자가간호역량은 심장판막 수술환자의 삶의 질에 영향을 미치는 요인으로 확인되었으며, 심장판막 수술환자는 자가간호역량이 높을수록 삶의 질이 높은 것으로 나타났다. 따라서 심장판막 수술환자의 자가간호역량을 높이기 위해 심장판막 수술환자의 신체적, 심리적, 정신적 영역에 대한 간호사정과 그에 따른 적절한 간호중재를 개발할 필요가 있다.

Keywords

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