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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Quality of Life and Influencing Factors related to the Health in Hemodialysis Patients

혈액투석환자의 건강 관련 삶의 질과 영향 요인

  • 전영미 (대구과학대학교 간호학과) ;
  • 박상연 (경북대학교 간호대학)
  • Received : 2015.03.13
  • Accepted : 2015.07.16
  • Published : 2015.07.31
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Abstract

The purpose of this study was to identify the experience symptoms and severity of hemodialysis patients and to determine the effects of each symptom on health related quality of life. This research involved 102 patients who were receiving hemodialysis at one university hospital and two Kidney Center in D city. Data collection were collected from April to May 2014. Data analysis was performed by SPSS/WIN 18.0 using ANOVA, t-test, Pearson correlation and stepwise multiple regression. Fatigue was the highest among symptoms on hemodialysis patients and dry skin, itching was in order. Factors affecting health related quality of life were income and symptoms level. These factors explain 42.2% of the variance in health related quality of life. Based on the results, it is necessary to develop various programs and apply for nursing interventions to alleviate the experience symptoms and severity and expand support in social service perspective in hemodialysis patients. Especially, we suggest that further research for developing nursing interventions for relieving fatigue, itching, and sleep disorders of hemodialysis patients.

본 연구는 혈액투석환자의 증상경험 정도, 건강관련 삶의 질과 영향요인을 파악하기 위한 서술적 조사연구이다. 연구대상자는 D광역시에 소재한 1개의 대학병원과 2개의 투석전문병원에 등록되어 혈액투석을 받고 있는 환자 102명이었다. 자료수집 기간은 2014년 4월부터 5월까지이었고, 자료분석은 SPSS/WIN 18.0을 활용하여 ANOVA, t-test, Pearson correlation, 단계별 회귀분석을 실시하였다. 연구결과, 본 연구 대상자가 경험하는 증상 중 피로가 가장 높았고, 피부건조, 가려움 순이었다. 본 연구대상자의 삶의 질 정도는 3점이었고, 영향요인은 가족의 월수입과 증상정도이었으며, 설명력은 42.2%이었다. 본 연구결과를 토대로 혈액투석 대상자들에 대한 사회복지 차원의 지원 확대와 대상자의 증상경험과 증상정도를 완화해줄 수 있는 다양한 프로그램개발 및 간호중재법의 적용이 필요할 것이다. 특히 피로와 가려움, 수면 장애는 혈액투석환자가 주로 호소하는 증상으로서 이를 경감시킬 수 있는 간호중재 개발을 위한 추후 연구를 제언한다.

Keywords

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