대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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투석 전 만성 신부전 환자의 삶의 질 구조 모형

Structural Equation Modeling on Quality of Life in Pre-dialysis Patients with Chronic Kidney Disease

  • 김혜원 (건양대학교 간호학과) ;
  • 최스미 (서울대학교 간호대학.간호과학연구소)
  • Kim, Hye Won (Department of Nursing, Konyang University) ;
  • ChoiKwon, Smi (College of Nursing, Seoul National University.Research Institute of Nursing Science)
  • 투고 : 2012.01.10
  • 심사 : 2012.09.24
  • 발행 : 2012.10.31
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초록

Purpose: This study was designed to test structural equation modeling of the quality of life of pre-dialysis patients, in order to provide guidelines for the development of interventions and strategies to improve the quality of life of patients with Chronic Kidney Disease (CKD). Methods: Participants were patients who visited the nephrology outpatient department of a tertiary hospital located in Seoul. Data on demographic factors, social support, nutritional status, physical factors and biobehavioral factors and quality of life were collected between March 4 and March 31, 2011. Results: In the final analysis 208 patients were included. Of the patients 42% were in a malnourished state. Anxious or depressed patients accounted for 62.0%, 72.6%, respectively. Model fit indices for the hypothetical model were in good agreement with the recommended levels (GFI=.94 and CFI=.99). Quality of life in pre-dialysis patients with CKD was significantly affected by demographic factors, social support, nutritional status, physical factors and biobehavioral factors. Biobehavioral factors had the strongest and most direct influence on quality of life of patients with CKD. Conclusion: In order to improve the quality of life in pre-dialysis patients with CKD, comprehensive interventions are necessary to assess and manage biobehavioral factors, physical factors and nutritional status.

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참고문헌

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