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간경변증 환자의 식이이행 영향요인

Factors influencing Dietary Compliance in Patients with Liver Cirrhosis

  • 윤미정 (울산과학대학교 간호학과) ;
  • 민혜숙 (동아대학교 간호학과)
  • Yun, Mi-Jeong (Department of Nursing, Natural Science of Ulsan College) ;
  • Min, Hye Sook (Department of Nursing, Dong-A University)
  • 투고 : 2016.11.07
  • 심사 : 2016.11.22
  • 발행 : 2016.12.31

초록

Purpose: The purpose of this study was to identify factors that influence dietary compliance in patients with liver cirrhosis. Methods: This study used a cross-sectional design and was conducted with a survey of 141 patients in liver cirrhosis who were treated at D-university hospital in Busan. For data analysis, descriptive statistics, Pearson's correlation coefficients, and a multiple regression were performed using SPSS/WIN 20.0 Program for windows. Results: The mean score was 3.47 in dietary compliance. Dietary compliance had a positive correlation with self-efficacy, perceived-benefit medical staff support, age, drink or not but had a negative correlation with perceived barrier. As a result of multiple regression analysis, self-efficacy and perceived-benefits explained 30.1% (F=7.69, p<.001) of the variance of dietary compliance. Conclusion: Dietary compliance was suggested to consider self-efficacy and perceived-benefits when developing a nutritional education programs for patients with liver cirrhosis.

키워드

참고문헌

  1. Bae, H. O., & Suh, S. R. (2001). Effect of structured information provided on knowledge and self care behavior of liver cirrhosis patients. Journal of Korean Academic Society of Adult Nursing, 13(3), 476-485.
  2. Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall.
  3. Byun, J. W., Kang, M. S., Yoon, C. O., Park, G. T., Lee, O, Y., Yoon, B. C., et al. (2001). Assessment of malnutrition in patients with liver cirrhosis. Korean Journal of Medicine, 61(4), 384-390.
  4. Chon, K. K., Choi, S. J., & Yang, B. C. (2001). Integrated adaptation of CES-D in Korea. Korean Journal of Health Psychology, 6(1), 59-76.
  5. Chung, J. M. (2002). Management of the patients with liver cirrhosis. Inje Medical Journal, 23(2), 91-98.
  6. Griffith, C. M., & Schenker, S. (2006). The role of nutritional therapy in alcoholic liver disease. Alcohol Research and Health, 29(4), 296-306.
  7. Han, S. S., Lee, J. I., & Kim, Y. J. (2007). Predicting factors on eating behavior in coronary artery disease patients. Journal of Korean Academy of Nursing, 37(7), 1193-1201. https://doi.org/10.4040/jkan.2007.37.7.1193
  8. Hickey, M. L., Owen, S. V., & Froman, R. D. (1992). Instrument development: Cardiac diet and exercise self-efficacy. Nursing Research, 41(6), 347-351.
  9. Huisman, E. J., Trip, E. J., Siersema, P. D., Hoek, B., & Erpecum, K. J. (2011). Protein energy malnutrition predicts complications in liver cirrhosis. European Journal of Gastroenterology and Hepatology, 23(11), 982-989. https://doi.org/10.1097/MEG.0b013e32834aa4bb
  10. Jeon, B. H., Kim, H. W., Kim, H. J., Lim, M. H., Lee, S. B., Paik, K. C., et al. (2008). The relationship of anxiety symptoms and depressive symptoms to glycemic control in diabetic patients. Korean Journal of Psychosomatic Medicine, 16(2), 95-102.
  11. Jung, K. S., & Min, H. S. (2007). The relations among self-care, symptom experiences, and disease status of the patient with liver cirrhosis. Journal of Korean Academic Society of Adult Nursing, 19(2), 318-328.
  12. Jung, K. S., Min, H. S., & Song, Y. S. (2007). Effect of structured information provided on self care knowledge, self care performance, and functional status of liver cirrhosis patients. Korean Academic Society of Rehabilitation Nursing, 10(1), 29-36.
  13. Kim, N. Y. (2013). Effects of the low-salt diet program for ascites management in patients with liver cirrhosis. Unpublished doctoral dissertation, Ewha Womans University, Seoul.
  14. Kim, O. S. (1993). Study on the correlation between perceived social support and the quality of life of hemodialysis patients. Unpublished master's thesis, Seoul University, Seoul.
  15. Kim, S. H. (1989). A study on the relationship between the family support perceived by the patient, knowledge of hepatitis and compliance in B hepatitis patients. Unpublished master's thesis, Yonsei University, Seoul.
  16. Kim, S. H., & Kang, H. S . (2008). The relationship between depression, self-care activity and $HbA_1$ c in clients with type-2 diabetes mellitus. Journal of the Korean Academy of Fundamentals of Nursing, 15(2), 178-185.
  17. Korean Association for the Study of the Liver. (2011, December 01). Medical Guidelines: 2011 Clinical Practice Guideline. Retrieved October 19, 2015, from http://www.kasl.org/bbs/index.html?code=guide&page=1&number=48&mode=view
  18. Lee, C. H. (2012). Special review: Management of liver cirrhosis. Korean Journal of Medicine, 82(2), 159-163. https://doi.org/10.3904/kjm.2012.82.2.159
  19. Lee, J. Y. (2007). A study on effectiveness of dietary self-efficacy, dietary knowledge and social support for exercise-diet compliance of patients on hemodialysis. Unpublished master's thesis, Yonsei University, Seoul.
  20. Lee, M. Y., Jung, H. R., & Lim, C. H. (2009). Comparative analysis per area of the liver diseases in ultrasound diagnosis of healthcare center. Journal of the Korea Contents Association, 9(3), 278-287. https://doi.org/10.5392/JKCA.2009.9.3.278
  21. Moon, J. S. (1990). A study of instrument development health belief of Korean adults. Unpublished doctoral dissertation, Yonsei University, Seoul.
  22. Nardi, M., Tognana, G., Schiavo, G., & Caregaro, L. (2009). Nutritional support in liver cirrhosis. Nutritional Therapy and Metabolism, 27(4), 155-163.
  23. Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385-401. https://doi.org/10.1177/014662167700100306
  24. Rudd, P., Tul, V., & Brown, K. (1979). Hypertension consitution adherence. Archives Internal Medicine, 139(3), 545-549. https://doi.org/10.1001/archinte.1979.03630420035013
  25. Sarason, B. R., Pierce, G. R., Shearin, E. N., Sarason, I. G., & Waltz, J. A. (1991). Perceives social support and working models of self and actual others. Journal of Personality and Social Psychology, 60(2), 273-287. https://doi.org/10.1037/0022-3514.60.2.273
  26. Son, Y. J., & Park, Y. R. (2005). The relationships of family support, self-efficacy and self-care performance in patients with chronic illness. Journal of Korean Academic Society of Adult Nursing, 17(5), 798-801.
  27. Strecher, V. J., & Rosenstock, I. M. (1997). The health belief model. In K. Glanz, B. K. Rimer, F. M. Lewis (Eds.), Health behavior and health education theory research and practice (2nd ed.). San Francisco: Jossey-Bass Publishers.
  28. Yang, J. H. (2011). Factors influencing self-management compliance of patients with chronic hepatitis B. Journal of the Korean Academy of Fundamentals of Nursing, 18(4), 520-528.
  29. Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., et al. (1982). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17(1), 37-49. https://doi.org/10.1016/0022-3956(82)90033-4
  30. Yun, M. J., & Min, H. S. (2015). Relationships among dietary compliance, nutritional status and stages of disease in patients with liver cirrhosis. Journal of Muscle and Health, 22(3), 219-227. https://doi.org/10.5953/JMJH.2015.22.3.219