DOI QR코드

DOI QR Code

정신요양시설 만성조현병환자의 상부위장관질환 유무에 따른 식습관, 생활습관, 건강태도 및 자기효능감 비교연구

Comparison of Dietary Habit, Lifestyle, Health Attitude and Self-efficacy by Upper Gastrointestinal Disease among Group Mental Health Care Facilities with Chronic Schizophrenia

  • 투고 : 2020.05.26
  • 심사 : 2020.07.20
  • 발행 : 2020.07.28

초록

본 연구의 목적은 상부위장관질환을 가진 만성조현병환자와 상부위장관질환이 없는 만성조현병환자를 대상으로 생활습관, 식습관, 건강태도와 자기효능감을 비교 확인함으로써 정신요양시설에서의 만성조현병환자의 생활습관, 식습관과 건강태도를 향상시키고, 자기효능감을 증진시키기 위한 대안을 모색하는데 기초자료를 제공하기 위해 시도되었다. 본 연구의 자료수집 기간은 2019년 2월 20일에서 4월 30일까지이다. 자료는 SPSS/WIN 22.0을 활용하여 카이제곱, 독립 t-검정과 ANCOVA로 분석하였다. 상부위장관질환 여부에 따라 유의한 차이를 보인 영향요인은 인구사회학적 요인으로 연령과 교육정도, 생활습관 요인으로는 탄산음료와 신체활동강도, 식습관 요인으로는 과식, 간식, 야식, 지방음식, 다른 요인으로는 자기효능감이 있었다. 본 연구는 만성조현병환자가 일상생활에서 흔히 접하게 되는 상부위장관질환의 특징적인 특성을 확인한 연구라는데 의의가 있다. 또한 본 연구결과는 만성조현병환자의 생활습관과 식습관을 개선하고 자기효능감을 높이기 위한 다양한 중재 방법을 개발할 필요가 있음을 보여준다.

The purpose of this study was to compare lifestyle, dietary habit, health attitude and self-efficacy among chronic schizophrenia with upper gastrointestinal disease and chronic schizophrenia to improve lifestyle, dietary habit and health attitude, in each mental health care facilities field, it was attempted to provide basic data to search for alternatives to increase self-efficacy. This study surveyed them from February 20th to April 30th in 2019 for data collection. Data were analyzed using Chi-square test, Independent t-test and ANCOVA with SPSS/WIN 22.0. The sociodemographic factor of age and education, the lifestyle factors of carbonated drink and physical activity intensity, the dietary habit factors of overeat, snack, late night meals and fatty food, the other factor of self-efficacy show statistically significant differences among groups. The study provides meaningful data in finding distinctive features of Upper Gastrointestinal Disease among Group with Chronic Schizophrenia. The results indicate that need to develope a variety of intervention methods to promote lifestyle and dietary habit and to enhance self-efficacy of chronic schizophrenia.

키워드

참고문헌

  1. Ministry of Health & Welfare. (2016). The epidemiological survey of mental disorders in Korea. Sejong.
  2. S. U. Lee, Y. R. Lee, I. H. Oh, A. J. Goo & Y. S. Kim (2018). Chronic Physical Comorbidities and Total Medical Costs in Patients with Schizophrenia. National Center for Mental Health, 26-34. DOI:https://doi.org/10.22722/KJPM.2018.26.1.26
  3. D. Gillen & K. EL MoColl. (2008). Sign and symtoms of upper gastrointestinal disease. General Practicee Update, 1, 20-27.
  4. S. I. Lee. (2001). Functional Gastrointestinal Disorders: Based on Upper Gastrointestinal Disease. The Korean Journal of Medicine, 62(2), 429-439.
  5. W. K. Jung, C. H. Kim & Y. S. Kim. (2004). Dietary habit in functional dyspepsia. Journal of Family Medicine, 25, 40-45.
  6. Y. K. Park (2012). Functional Dyspepsia. Korean Society fore Health Promotion And Disease Prevention. Korea Clinical Health Promotion Association Autumn Conference1 50-157
  7. M. Phelan, L Stradins & S. Morrison (2001). Physical health of people with severe mental illness. BMj, 322(7284), 443-444. https://doi.org/10.1136/bmj.322.7284.443
  8. S. H. Lee & S. H. Cho. (2016). Factors Influencing Metabolic Syndrome among Mental Health FacilityPatients with Schizophrenia. Journal of Korean Academy of Psychiatric and Mental health nursing, 25(1), 1-10. DOI: http://dx.doi.org/10.12934/jkpmhn.2016.25.1.1
  9. Y. B. Kwak, J. Y. Kim & M. H. Lee. (2018). Effects of Self-efficacy, Health Attitudes, and Healthy Lifestyle on Recovery of People with Mental Disorders in the Community. Journal of Korean Academy of Psychiatric and Mental health nursing, 27(4), 303-312. DOI:http://dx.doi.org/10.012934/jkpmhn.2018.27.4.303
  10. A. R. Woo. (2011). Upper Gastrointestinal Disease Patients' Lifestyle and Coping Style with Stress. Health & Nursing, 23(1), 47-60.
  11. M. R. Torabi, D. C. Seo & L. Jeng. (2004). Alternate Forms of Health Attitude Scale. American Journal of Health Behavior, 28(2), 166-172. DOI: http://dx.doi.org/10.5993/AJHB.28.2.7
  12. S. J. Park & Y. H. Lee. (2016). Effects of Perceived Health Status, Health Attitude, and Health Concern on Health Promoting Behavior in Adults. The Korea Contents Society, 16(12), 335-346. DOI: http://dx.doi.org/10.5392/JKCA.2016.16.12.192
  13. C. Roick, A. Fritz-Wieacker, H. Matschinger, D. Heider, J. Schindler, S. Riedel-Heller & M. C. Angermeyer. (2007). Health Habits of Patients with Schizophrenia. Social Psychiatry and Psychiatric Epidemiology, 42(4), 268-276. https://doi.org/10.1007/s00127-007-0164-5
  14. H. R. Kim. (2016) The effects of the factors influencing the physical health behaviors on people with mental illness based on the theory of triadic influence. Doctoral dissertation. Ewha Womans University. Seoul.
  15. R. G. McCreadie. (2003). Diet, smoking and cardiovascular risk in people with schizophrenia Descriptive study. The British Journal of Psychiatry, 183(6), 534-539. https://doi.org/10.1192/bjp.183.6.534
  16. G. L. Daumit, R. W. Goldberg, C. Anthony, F. Dickerson, C. H. Brown, J. Kreyenbuhl, K. Wohlheiter & L. B. Dixon. (2005). Physical activity patterns in adults with severe mental illness. The Journal of nervous and mental disease, 93(10), 641-646.
  17. S. I. Kang. (2011). A Study on the levels of recovery attitudes and factors affecting the recovery attitude of the chronically mentally ill living in the institutions. Korean Association of Health and Medical Sociology, 30, 97-129.
  18. L. Ashrafioun, E. Bonar & K. R. Conner. (2016). Health attitudes and suicidal ideation among university students. Journal of Americann College Health, 64(3), 256-260. DOI:http://dx.doi.org/10.1080/07448481.2015.1081911]
  19. M. R. Zechner & K. J. Gill. (2016). Predictors of Physical Activity in Persons With Mental Illness: Testing a Social Cognitive Model. Psychiatric Rehabilitation Journal, 39(4), 321-327. https://doi.org/10.1037/prj0000191
  20. D. N. Oh. (2011). Comparative Study on Influencing Factors and Digestive Symptoms among Upper Gastrointestinal Disease Groups. The Korea ContentsSociety, 11(12), 335-346. DOI:http://dx.doi.org/10.5392/JKCA.2011.11.12.335
  21. R. Noyes & B. Cook, M. Garvey and R. Summers. (1990). Reduction of gastrointestinal symptoms following treatment for panic disorder. Psychosomatics, 31(1), 75-84. DOI: http://dx.doi.org/10.1016/S0033-3182(90)72220-7
  22. Creed F. (1999). The relationship between psychosocial parameters and outcome in irritablebowel syndrome. The American Journal of Medicine, 107(5A), 74-80. DOI: http://dx.doi.org/10.1016/S0033-3182(90)72220-7
  23. D. H. Kang et al. (2018). Psychosocial Factors Influence the Functional Gastrointestinal Disorder among Psychiatric Patients. Korean Journal of Psychosomatic Medicine, 26(1), 1-8. https://doi.org/10.22722/KJPM.2018.26.1.1
  24. J. S. Jo & K. N. Kim. (2014). Development of a questionnaire for dietary habit survey of Korean Adult. Journal of Community Nutrition, 19(3), 258-273. DOI: http://dx.doi.org/10.5720/kjcn.2014.19.3.258
  25. Bandura. A. (1997). Self efficacy : The execise of control. NY : W. H. Freeman and Company, 174-177.
  26. E. S. Rho. (2000). A Study on the Development of a the Quality of Life Model of Schizophrenic Patients. Doctoral dissertation. Chung-Ang University. Seoul.
  27. B. B. Cakmak, G. Ozkula, S. Isikli, I. O. Goncuoglu, S. Ocal, A. E. Altinoz & N. Taskintun. (2018). Anxiety, depression, and anger in functional gastrointestinal disorders: A Cross-sectional observation study. Psychiatry Research, 268, 368-372. DOI: http://doi.org/10.1016/j.psychres.2018.06.046
  28. N. A. Koloski, N. J. Talley & P. M. Boyce. (2002). Epidemiology and health care seeking in the functional GI disorders: a population-based study. Am J Gastroenterol, 97(2), 2290-2299. DOI: http://dx.doi.org/10.1111/j.1572-0241.2002.05783.x
  29. P. H. Kim & H. S. Kim. (2010). Relationships between Perceived stress, Mental health, and Social support in community Residents. Journal of Korean Public Health Nursing, 24(2), 197-210. DOI:http://www.riss.kr/link?id=A100277836 https://doi.org/10.5932/JKPHN.2010.24.2.197
  30. M. Feldman & C. Barnett. (1995). Relationships between the acidity and osmolality of popular beverage and reported postprandial heartburn. Gastroenterology, 108, 125-131. https://doi.org/10.1016/0016-5085(95)90016-0
  31. R. Cuomo, M. F. Savarese, G. Sarnelli et al. (2008) Sweetened carbonated drinks do not alter upper digestive tract physiology in healthy subjects. Neurogastroenterol Motil, 20, 780-789. https://doi.org/10.1111/j.1365-2982.2008.01116.x
  32. Y. K. Kim, J. S. Moon, S. H. Ryu, J. H. Lee, Y. S. Kim. (2010). The Relationship between the Popular Beverages in Korea and Reported Postprandial Heartburn. The Korean journal of gastroenterology), 55, 109-118. DOI:http://www.riss.kr/link?id=A77030595 https://doi.org/10.4166/kjg.2010.55.2.109
  33. H. R. Ryu & S. Y. Suh. (2016). Differences in Insomnia, Depression, Night eating and Binge-eating based on Chronotype. Korean journal of youth studies, 23(2), 151-173. DOI:http://www.riss.kr/link?id=A102951536 https://doi.org/10.21509/KJYS.2016.02.23.2.151
  34. H. E. Kim & K. Park. (2003). The Effects of Women's Depression and Ways of Stress Coping on Binge Eating Behavior. Korean journal of health psychology, 8(3), 511-524. DOI:http://www.riss.kr/link?id=A100632504
  35. H. J. Choi & J. H. Yoo. (2011). The Effect of Depression and Self-effi cacy on Health Promotion Behavior among the Elderly Living Alone in Rural Area. East-West Nursing Research Institute, 17(2), 149-155. DOI:http://www.riss.kr/link?id=A99667586
  36. M. K. Choi & S. Y. Ahn. (2015). Mental Health, Self-Efficacy, Self-Esteem and Emotional Support of the APeople with Chronic Physical Illness. Journal of the Korean Data Analysis Society, 17(1), 439-452. DOI:http://www.riss.kr/link?id=A101601468