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성인 선천성 심장 질환자의 삶의 질과 불확실성간의 관계

The relationships among health related quality of life and uncertainty in adult patients with congenital heart diseases

  • 장유하 (서울 아산병원 어린이병원 간호팀) ;
  • 신나연 (분당차병원 간호국)
  • Jang, Youha (Department of pediatric nursing, Asan Medical Center) ;
  • Shin, Nayeon (Department of nursing, Bundang CHA Hospital)
  • 투고 : 2018.12.31
  • 심사 : 2019.03.20
  • 발행 : 2019.03.28

초록

본 연구의 목적은 성인 선천성 심장 질환자의 불확실성과 삶의 질 간의 관계를 파악하기 위한 서술적 상관 관계연구이다. S시에 있는 종합 병원의 성인 선천성 심장 질환자 136명을 대상으로 하였다. 삶의 질은 불확실성과 대근육 운동기능 영역(r=-.15, p=.041), 인지(r=-18, p=.014), 통증(r=-.14, p=.045), 일상 생활(r=-.15, p=.039), 활력(r=-.16, p=.029)에서 모두 음의 상관관계가 있었다. 성인 선천성 심장 질환자의 대근육 운동 기능 영역, 일상 생활을 투입한 회귀모형은 유의한 것으로 나타났으며(F=6.15, p=.018), 모형의 설명력은 22.0%였다. 이를 통해 성인 선천성 심장 질환자의 불확실성을 개선시키기 위해서는 대근육 운동 기능 영역 및 일상 생활 기능을 증진시킬 수 있는 중재 프로그램이 제공되어야 할 필요가 있음을 알 수 있었다.

Purpose: The purpose of this study was to determine the relationships among health related quality of life and uncertainty in adult patients with congenital heart diseases. Methods: The subjects were 136 adult congenital heart disease patients at the congenital heart center out-patient clinic of the A General Hospital in S city. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and multiple regression. Results: There were significant negative correlations of quality of life with general motor function area and uncertainty. Among predictors, gross motor(${\beta}=-.38$) and daily activity (${\beta}=-.21$) had statistically significant influences on uncertainty(F=6.15, p=.018). Conclusion: Nursing interventions to promote gross motor and daily activity might be essential for adult patients with congenital heart disease in order to reduce uncertainty.

키워드

Table 1. General and disease related characteristicsof participants

OHHGBW_2019_v10n3_347_t0001.png 이미지

Table 2. Degree of quality of life and uncertainty

OHHGBW_2019_v10n3_347_t0002.png 이미지

Table 3. Correlations between quality of life and uncertainty

OHHGBW_2019_v10n3_347_t0003.png 이미지

Table 4. Influencing Factors on Uncertainty

OHHGBW_2019_v10n3_347_t0004.png 이미지

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