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결핵 환자의 초치료 중단위험 사정도구 개발

The Development of a Scale Assessing the Risk of Discontinuation of Tuberculosis Treatment

  • 최진옥 (국립마산병원) ;
  • 성경미 (경상대학교 간호대학.경상대학교 간호대학)
  • Choi, Jin Ok (Masan National Hospital) ;
  • Sung, Kyung Mi (College of Nursing.Institute of Health Sciences, Gyeongsang National University)
  • 투고 : 2014.12.03
  • 심사 : 2015.04.08
  • 발행 : 2015.04.30

초록

Purpose: This study identified the reasons why tuberculosis (TB) patients withhold treatment in a bid to develop a assessment scale to select patients who needs nursing intervention in the early stage and decrease the risk of discontinuation of treatment. Sample: There were two samples. A sample of 191 patients with TB and having primary treatment and a second sample of N who were under re-treatment Methods: The study design included qualitative and quantitative methods. Qualitative data were collected from in-depth interviews of TB patients under re-treatment. The quantitative data were collected from 191 patients with TB under primary treatment. Results: Exploratory factor analysis revealed 11 factors explaining 69.6% of total variance. These factors were categorized into four subgroups. A depression scale was used to establish concurrent validity. The depression scale had a positive relationship (r=54) with the discontinuing of primary treatment. The internal consistency reliability for the four subgroups was over .84. The confidence coefficient was Cronbach's ${\alpha}$ .95. The final scale was a self-reported four Likert scale including 50 items. Conclusion: Reliability and validity was established for the scale and the scale can be used to examine the risk of treatment discontinuation for TB. The scale is an important resource for nursing interventions in identifying and treating high risk clients.

키워드

참고문헌

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피인용 문헌

  1. 결핵입원환자의 치료결과에 영향을 미치는 요인 vol.16, pp.10, 2015, https://doi.org/10.5392/jkca.2016.16.10.196
  2. Self-care Efficacy and Health-related Quality of Life among Patients on Primary Treatment for Pulmonary Tuberculosis: The Mediating Effects of Self-Care Performance vol.32, pp.3, 2015, https://doi.org/10.7475/kjan.2020.32.3.305