DOI QR코드

DOI QR Code

관절경 수술환자의 불확실성에 미치는 영향요인

Factors influencing of uncertainty on patients with arthroscopic surgery

  • 정지영 (원광보건대학교 간호학과) ;
  • 김민숙 (백석문화대학교 간호학과) ;
  • 조유나 (충청대학교 간호학과)
  • Jung, Ji-Young (Department of Nursing, Wonkwang Health Science University) ;
  • Kim, Min-Suk (Department of Nursing, Baekseok Culture University) ;
  • Cho, Yu-Na (Department of Nursing, Chung Cheong University)
  • 투고 : 2018.03.16
  • 심사 : 2018.06.20
  • 발행 : 2018.06.28

초록

본 연구는 관절경 수술환자의 불확실성, 불확실성평가, 자기효능감의 정도를 파악하고 불확실성에 미치는 영향요인을 파악하고자 시도되었다. 자료 수집은 관절경 수술 후 퇴원을 앞둔 대상자 중 연구에 동의하고 설문지를 완성한 131명을 대상으로 하였다. 자료 분석은 SPSS 18.0을 이용하여 t-test, ANOVA 및 Scheffe 사후검정, Pearson correlation coefficients 산출 및 다중회귀분석을 실시하였다. 연구결과는 교육수준, 배우자유무, 수술 전 한방치료경험, 자기 효능감이 불확실성에 의미 있는 영향을 미치는 것으로 나타났다. 본 연구결과를 통해 관절경 수술환자의 불확실성을 감소시키기 위해 입원 중, 퇴원 전 교육 프로그램 개발을 제언한다.

The purpose of this study was to identify the degree of uncertainty, uncertainty appraisal, and self-efficacy in pre-discharge arthroscopic patients and to investigate the effects of their uncertainty. This study was carried out from April to October 2016 as a descriptive research study. The subjects were presented with pre-discharge convenience sampling after arthroscopic surgery. The data of 131 patients were analyzed by t-test, ANOVA and Scheffe post-test, Pearson correlation coefficient calculation and multiple regression analysis using SPSS 18.0. As the results of this study, education level, presence of spouse, preoperative korean traditional medicine treatment experience and self-efficacy were found to have significant effects on uncertainty. The results of this study suggest that in hospital and pre-discharge education program development to reduce patient uncertainty after arthroscopic surgery.

키워드

참고문헌

  1. J. H. Ahn, S. E. Lee, S. Lee & W. S. Rhi. (1987). The Removal of Loose Bodies from the Knee Under Arthroscopic Control. Journal of the Korean Orthopaedic Association, 22(1), 103-108.
  2. J. H. Ahn. (1999). Arthroscopic Synovectomy. Journal of Rheumatic Diseases, 6(1), 1-5.
  3. C. H. Cho, K. K. Yeo, S. Y. Lee & G. H. Jung. (2010). Mini-open Rotator Cuff Repair Using Anterolateral Approach. CiSE clinics in shoulder and elbow, 13(1), 86-91. https://doi.org/10.5397/CiSE.2010.13.1.086
  4. M. H. Mishel. (1988). Uncertainty in illness. Image the journal of Nursing Scholarship, 20(4), 225-232. https://doi.org/10.1111/j.1547-5069.1988.tb00082.x
  5. N. Y. Yang & M. J. Kim. (2002). Concept Analysis of Uncertainity Related to Illness, Journal of Korean Gerontological Nursing, 4(2), 187-194.
  6. M. H. Jun, J. Y. Jung & M. S. Kim. (2012). Factors Affecting Post-operative Uncertainty of the Patients Undergone Lumbar Spinal Surgery. Journal of Muscle and Joint Health, 19(3), 294-307. https://doi.org/10.5953/JMJH.2012.19.3.294
  7. M. H. Mishel. (1990). Reconceptualization of the uncertainty in illness theory. Image the Journal of Nursing Scholarship. 22(4), 256-262. https://doi.org/10.1111/j.1547-5069.1990.tb00225.x
  8. M. J. Lee. (2009). Uncertainty, appraisal of uncertainty and health-related quality of life in recovering clients discharged from hospital after CABG. Ewha Journal of Nursing Science. 21(1), 49-63.
  9. H. S. Jang, C. S. Lee & Y. H. Yang. (2015). Influence of Uncertainty and Uncertainty Appraisal on Self-management in Hemodialysis Patients, Journal of Korean Academy of Nursing, 45(2), 271-279. https://doi.org/10.4040/jkan.2015.45.2.271
  10. A. Bandura. (1982). Self-efficacy mechanism in human agency. American psychologist, 37, 122-147. https://doi.org/10.1037/0003-066X.37.2.122
  11. M. Y. Chon & S. A. Kang. (2014). The effect of uncertainty, family support and self-efficacy on health-related quality of life among patient with diabetic foot diseases at home. Journal of Korean Society of Living Environmental System, 21(2), 260-271. https://doi.org/10.21086/ksles.2014.04.21.2.260
  12. Y. J. Kang. (2015). A study of the correlation between uncertainty, depression, and quality of life in stroke patients. Master's thesis, Seoul National University, Seoul.
  13. E. H. Seong & M. S. Hong. (1995). The Effect of Preparatory Information on Uncertainty, Anxiety and Depression of Post Operative Patient with Gastric Cancer. The Journal of Korean Academic Society of Adult Nursing, 7(2), 245-258.
  14. S. H. Kim & H. J. Lee. (2013). Effects of Supportive Nursing Care Program on Hip Function, Anxiety and Uncertainty for Patients with Total Hip Arthroplasty. Journal of Korean Clinical Nursing Research, 19(3), 419-431. http://doi.org/10.22650/JKCNR.2013.19.3.419
  15. F. Faul, E. Erdfelder, A. Buchner & A. G. Lang. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  16. C. W. Chung, M. J. Kim, M. H. Rhee & H. G. Do. (2005). Functional Status and Psychosocial Adjustment in Gynecologic Cancer Patients Receiving Chemotherapy. Korean Journal Women Health Nursing, 11(1), 58-66.
  17. M. H, Mishel & D. S. Sorenson. (1991). Uncertainty in gynecological cancer: A test of the mediating functions of mastery and coping. Nursing Research, 40(3), 167-171.
  18. E. S. Teresa, L. B. Martha & J. M. Gail. (1996). Social Network Characteristics and Onset of ADL Disability: MacArthur Studies of Successful Aging. Journal of Gerontology: SOCIAL SCIENCES 1996, SIB(4), I9I-2OO. https://doi.org/10.1093/geronb/51B.4.S191
  19. K. O. Lee. (2007). (A)Structural analysis of successful aging factors of rural elders. Unpublished doctor's thesis, Seoul National University, Seoul.
  20. K. Ryu & S. H. Cho. (2015). The Effects of Visual Information on Anxiety and Uncertainty in Elderly Patients after the Total Knee Arthroplasty. Journal of Muscle and Joint Health, 22(1), 48-56. http://dx.doi.org/10.5953/JMJH.2015.22.1.48
  21. M. Y. Chon & S. A. Kang. (2014). The Effect of Uncertainty, Family Support and Self-efficacy on Health-related Quality of Life among Patient with Diabetic Foot Diseases at Home. Journal of The Korean Society of Living Environmental System 21(2), 260-271. https://doi.org/10.21086/ksles.2014.04.21.2.260
  22. M. H. Mo & B. Y. Chung. (2017). Influencing Factors on Uncertainty of Patients Undergoing Chemotherapy for Lung Neoplasms. Korea Academy Industrial Cooperation Society, 18(4), 248-259. http://doi.org/10.5762/KAIS.2017.18.4.248
  23. S. H. Cho & K. S. Yun. (2016). Influence of Uncertainty, Physiologic Risk Factors, Self-efficacy on Self-management in Stroke Patients. Journal of Muscle and Joint Health 23(2), 114-124. http://dx.doi.org/10.5953/JMJH.2016.23.2.114
  24. I. S. Lee & C. S. Park. (2017). Convergent Effects of Anxiety, Depression, Uncertainty, and Social support on Quality of Life in Women with Thyroid cancer. Journal of the Korea Convergence Society, 8(8), 163-176. http://doi.org/10.15207/JKCS.2017.8.8.163
  25. K. H. Nam, Y. S. Tae, C. S. Kim & S. M. Lee. (2017). Influence of Uncertainty and Uncertainty Appraisal on Quality of Life in Prostate Cancer Patients after Prostatectomy. Asian Oncology Nursing 17(1), 45-54. http://dx.doi.org/10.5388/aon.2017.17.1.45
  26. K. Yeong & S. Y. Hwang. (2018). Impact of Uncertainty on the Quality of Life of Young Breast Cancer Patients: Focusing on Mediating Effect of Marital Intimacy. Journal of Korean Academy Nursing, 48(1), 50-58. http://doi.org/10.4040/jkan.2018.48.1.50
  27. Y. H. Jeon & G. J. Park. (2018). Relationships between Specific self-efficacy, Family support, and Self-care performance for Patients with Stomach Cancer after Gastrectomy. Journal of the Korea Academia-Industrial cooperation Society, 19(1), 456-465. https://doi.org/10.5762/KAIS.2018.19.1.456
  28. E. J. Lee. (2017). Perceptions of quality of patient-centered nursing care, pain, anxiety and self-efficacy among cancer patients with surgery in Korea: A correlational study. Master's thesis, Seoul National University, Seoul.
  29. S. H. Kim. (2011). Comparison of factors affecting uncertainty between the patients with lung cancer in adult and the elderly. Master's thesis, Kyunghee University, Seoul.