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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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A study on Symptom Experience, Spiritual Well-Being, and Depression in Patients Undergoing Hemodialysis

혈액투석 환자의 증상경험, 영적 안녕 및 우울에 관한 연구

  • Song, Ju Yeon (Department of Nursing, Graduate School, Sahmyook University) ;
  • Oh, Pok-Ja (Department of Nursing, Sahmyook University)
  • 송주연 (삼육대학교 대학원 간호학과) ;
  • 오복자 (삼육대학교 간호학과)
  • Received : 2016.03.03
  • Accepted : 2016.05.12
  • Published : 2016.05.31
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Abstract

This cross-sectional descriptive investigation attempted to identify the relationship among the symptoms, spiritual well-being, and depression experienced by patients undergoing hemodialysis. Data were collected from 146 patients at 6 hemodialysis clinics from October 15th, 2014 to January 15th, 2015. The Dialysis Symptom Index (DSI) was used to measure symptom experience, spiritual well-being was measured using the Spiritual Well-being Scale, and depression was assessed using the Center for Epidemiologic Studies Depression Scale (CES-D). The data were analyzed using ANOVA, the t-test, Scheffe's test, Pearson correlation, and hierarchical regression analysis. The mean score of the symptom experience was 26.43 (range: 0~85), the mean spiritual well-being score was 47.79 (range: 20~80), and the mean depression score was 10.56 (range: 0~35). It was found that greater existential well-being leads to lower depression (r=-.23, p=.004) and symptom experience (r=-.17, p=.045). Greater physical (B=.09) and emotional (B=.64) symptom experience leads to higher depression and the explanatory power of these factors was 52.1% (F=18.54, p<.001). Therefore, a comprehensive nursing intervention that can help reduce the symptom experience and increase the existential well-being in hemodialysis patients is needed to reduce their depression.

본 연구는 혈액투석환자의 증상경험, 영적안녕 및 우울과의 관계를 확인하고 우울에 미치는 영향력을 파악하고자 시도된 서술적 조사연구이다. 연구 자료는 2014년 10월 15일부터 2015년 1월 15일까지 6개 투석기관으로부터 146명의 환자로 부터 수집되었다. 연구도구는 Dialysis Symptom Index, Spiritual Well-being Scale, and Center for Epidemiologic Studies Depression Scale이 사용되었다. 자료 분석은 ANOVA, t-test, Scheffe test, Pearson correlation 및 위계적 다중회귀 분석으로 이루어졌다. 연구결과 투석환자의 증상경험은 평균 26.43(범위:0~85), 영적안녕 평균 47.79(범위: 20~80), 우울 평균 10.56(범위: 0~35)로 나타났다. 실존적 영적안녕이 높을수록 우울정도가 낮고 (r=-.23, p=.004), 증상경험이 낮은 것으로 나타났다(r=-.17, p=.045). 혈액투석환자의 우울은 신체적 증상이 많고(B=.09), 정서적 증상이 클수록(B=.64) 우울 정도가 높은 것으로 나타났으며 모형의 설명력은 52.1%로 높았다(F=18.54, p<.001). 따라서 혈액투석환자의 우울을 완화시키기 위한 중재에는 증상을 경감시키고 실존적 영적안녕을 증진시키는 프로그램이 포함될 필요가 있겠다.

Keywords

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