Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
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Factors Affecting Self-care Performance in Hemodialysis Patients: Based on the Theory of Unpleasant Symptoms

혈액투석환자의 자가간호수행 영향요인 : 불쾌증상이론을 기반으로

  • 최은영 (중앙대학교 적십자간호대학) ;
  • 박경숙 (중앙대학교 적십자 간호대학) ;
  • 이현숙 (경동대학교 간호대학)
  • Received : 2019.04.15
  • Accepted : 2019.06.20
  • Published : 2019.06.28
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Abstract

The purpose of this study was to identify factors associated with self-care performance in hemodialysis patients based on the unpleasant symptom theory. Data were collected from 237 patients at five hemodialysis clinics in Seoul from March to April 2018. The results were evaluated by the SPSS/WIN 21.0 program. As a result, Self-care performance was positively correlated with hope, family support and medical support, but negatively correlated with emotional symptom experience and physical symptom experience. In multiple step regression analysis, family support, emotional symptom, and hope were independently associated with self-care performance, and the regression model explained 33.2% of the variances predicting self-care performance. The independent factors associated with self-care performance were family support, emotional symptom, and hope. Therefore, self-care performance may be improved by applying the hope program for the patient and the family.

본 연구는 불쾌증상이론을 기반으로 한 혈액투석 환자의 자가간호 수행에 영향을 미치는 요인을 파악하고자 하였다. 2018는 3월부터 4월까지 혈액투석 환자를 대상으로 5개의 병원에서 237명의 환자의 자료를 SPSS WIN 21.0 프로그램을 이용하여 분석하였다. 자가간호 수행은 희망, 가족지지, 의료인 지지와 양의 상관관계가 있었으며, 신체적 증상경험과 정서적 증상경험은 음의 상관관계가 있었다. 단계적 다중회귀분석을 실시한 결과 가족지지, 정서적 증상, 희망은 자가간호 수행에 33.2%의 설명력을 보였다. 자가간호 수행은 가족지지, 정서적 증상과 희망이 관련 요인이었으므로 대상자와 가족에게 희망증진 프로그램을 개발하여 적용한다면 자가간호 수행을 증진시킬 수 있을 것이다.

Keywords

Table 1. Symptom Experience and Self Care performance according to General Characteristics

OHHGBW_2019_v10n6_381_t0001.png 이미지

Table 2. Descriptive Statistics of Measured Variables

OHHGBW_2019_v10n6_381_t0002.png 이미지

Table 3. Symptom Experience of Subjects by Domain

OHHGBW_2019_v10n6_381_t0003.png 이미지

Table 4. Correlations among the Measured Variables

OHHGBW_2019_v10n6_381_t0004.png 이미지

Table 5. Variables Predicting Self-Care Performance

OHHGBW_2019_v10n6_381_t0005.png 이미지

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