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

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Factors Affecting the Readmission Experience of Liver Cirrhosis Patients

간경변증 환자의 재입원 경험에 영향을 미치는 요인

  • Yoon, Mi-Lim (College of Nursing, Gyeongsang National University) ;
  • Eun, Young (College of Nursing, Institute of Health Sciences, Gyeongsang National University)
  • 윤미림 (경상대학교 간호 대학원) ;
  • 은영 (경상대학교 간호대학, 건강과학연구원)
  • Received : 2020.02.10
  • Accepted : 2020.05.08
  • Published : 2020.05.31
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Abstract

This study examined the factors affecting the readmission of patients with liver cirrhosis, and focused on self-care, social support, and drinking refusal self-efficacy. The subjects were 75 cirrhosis patients who were admitted to medium-sized hospitals at S-city for two months from May 2019 to June 2019. The data was analyzed with the SPSS (Version 25) program, and logistic regression analysis was performed on the factors affecting readmission. The results were self-care (27.49±0.53 out of 60), social support (52.80±16.44 out of 90), and drinking refusal self-efficacy (42.39±22.76 out of 80). The readmission method was classified into planned and unplanned admissions. Unplanned readmission was found to differ depending on the drinking experience (OR: 4.16) and the presence of complications (OR: 5.11) within a month of discharge rather than that of the planned readmissions, accounted for 19.7%. It will be very important to reduce the occurrence of complications by early management of patients with cirrhosis, and increase the drinking refusal self-efficacy, and so reduce unplanned readmission and prevent the progression and deterioration of cirrhosis. The drinking experience and the occurrence of complications can be reduced through interventions that increase self-care, social support, and drinking refusal self-efficacy. Nursing interventions are needed to prevent patients with cirrhosis from drinking and to manage the complications due to relapse into alcoholism.

본 연구의 목적은 간경변증 환자의 재입원 경험에 미치는 영향요인을 탐색하여 간경변증 재입원을 줄이기 위한 전략을 개발하는데 필요한 기초자료를 제공하기 위함이다. 연구대상자는 2019년 5월부터 6월까지 2개월 동안 S 시 중소병원에 입원한 75명의 간경변증 환자를 대상으로 하였다. 자료는 SPSS(Version 25.0) 통계 프로그램을 사용하였으며, 재입원에 영향을 미치는 요인에 대하여 로지스틱 회귀분석을 하였다. 연구 결과, 자가 간호는 60점 만점에 평균 27.49±10.53점이었고, 사회적 지지는 90점 만점에 평균 52.80±16.44, 음주 거절 효능감은 80점 만점에 평균 42.39±22.76점이었다. 재입원 방법은 계획된 입원과 계획되지 않은 입원으로 분류하였는데, 계획되지 않은 재입원은 계획된 재입원보다 퇴원 후 한 달 이내의 음주 경험(OR: 4.16), 합병증 유무(OR: 5.11)에 따라 차이가 있는 것으로 나타났으며, 설명력은 19.7%이었다. 간경변증 환자에게 조기에 관리하여 합병증의 발생을 줄이고, 음주에 대한 자가 간호와 사회적 지지 및 음주 거절 효능감을 증가시켜 계획되지 않은 재입원을 줄이고 간경변증의 진행과 악화를 예방하는 것이 중요하겠다. 음주 경험과 합병증 발생은 자가 간호, 사회적 지지, 음주 거절 효능감을 증가시키는 중재를 통해 감소시킬 수 있으므로 간경변증 환자에게 음주하지 않도록 하며, 합병증 관리를 하는 간호 전략이 필요하겠다.

Keywords

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