Browse > Article
http://dx.doi.org/10.12799/jkachn.2022.33.4.456

Effects of Depression, Social Support of Tuberculosis Patients on Self-care  

Lee, Go Un (Department of Nursing, Kongju National University)
Lee, Hye Kyung (Department of Nursing, Kongju National University)
Publication Information
Research in Community and Public Health Nursing / v.33, no.4, 2022 , pp. 456-464 More about this Journal
Abstract
Purpose: The purpose of this study was by understanding the correlation between the depression, social support and self-care of tuberculosis patients and by identifying the factors that influence the self-care. Methods: The study subjects were 119 outpatients who were diagnosed with pulmonary and respiratory tuberculosis at a university hospital in D city. The survey questions measured depression, social support, self-care. Using the SPSS/WIN 23.0 program, the collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlations and multiple regression analysis. Results: As a result of correlation analysis, there was a statistically significant negative correlation between self-care and depression (r=-.53, p<.001), and there was a significant positive correlation between self-care and social support (r=.68, p<.001). Factors affecting self-care of the subjects were social support (β=.51, p<.001), depression (β=-.32, p<.001), drug discontinuation experience (β=-.30, p<.001) and drug resistance (β=-.14, p<.001). These factors explained 62% of the variance. Conclusion: In order to improve the self-care ability of tuberculosis patients, it is necessary to develop education and nursing intervention programs that can lower patients' depression and strengthen social support.
Keywords
Depression; Self care; Social support; Tuberculosis;
Citations & Related Records
Times Cited By KSCI : 6  (Citation Analysis)
연도 인용수 순위
1 Cha JE, Yi MS. Relationships between treatment belief, personal control, depressive mood and health-related quality of life in patients with hemodialysis. Korean Journal of Adult Nursing. 2014;26(6):693-702. https://doi.org/10.7475/kjan.2014.26.6.693   DOI
2 Park JW, Kim DH, Suh YS, Kim JB, Lee GH. Drug compliance according to severity of depressive symptoms in medically ill outpatients. Korean Journal of Health Promotion. 2007;7(1):39-44.
3 Yun SA. The relationship between fatigue, depression, sleep disorder and self-care practice in patients with liver cirrhosis [master's thesis]. [Seoul]: Yonsei University; 2018. 88 p. 
4 World Health Organization. Global tuberculosis report 2021. World Health Organization [Internet]. Geneva; c2021 [cited 2021 Oct 14]. Available from: https://www.who.int/publications/i/item/9789240037021
5 Korea Disease Control and Prevention Agency. National tuberculosis management instructions [Internet]. Chungju; c2020 [cited 2020 Jan 8]. Available from: https://www.kdca.go.kr/board/board.es?mid=a20507020000&bid=0019&act=view&list_no=365688
6 Joint Committee for the Revision of Korean Guidelines for Tuberculosis. Korean guidelines for tuberculosis [Internet]. Chungju; c2020 [cited 2020 May 7]. Available from: https://www.kdca.go.kr/board/board.es?mid=a20507020000&bid=0019&act=view&list_no=367154
7 Levin LS. Patient education and self-care: How do they differ?. Nursing Outlook. 1978;26(3):170-175.
8 Orem DE, Taylor SG, Renpenning KML. Nursing: concepts of practice. 6th ed. Mosby St. Louis ; 2001. 542
9 Son YJ, Kim GY, Kim SH. Factors influencing adherence to self care in patients with chronic heart failure. Korean Journal of Adult Nursing. 2011;23(3):244-254.
10 Yun MJ. Self-care compliance among patients with liver cirrhosis: Focusing on symptom experiences, perceived health status and disease status. Journal of Korean Academy of Fundamentals of Nursing. 2018;25(3):165-175. https://doi.org/10.7739/jkafn.2018.25.3.165   DOI
11 Riegel B, Jaarsma T, Stromberg A. A middle-range theory of self-care of chronic illness. Advances in Nursing Science. 2012; 35(3):194-204. https://doi.org/10.1097/ans.0b013e318261b1ba   DOI
12 DiMatteo MR, Lepper HS, Croghan TW. Depression is a risk factor for noncompliance with medical treatment: Meta-analysis of the effects of anxiety and depression on patient adherence. Archives of Internal Medicine. 2000;160(14):2101-2107. https://doi.org/10.1001/archinte.160.14.2101   DOI
13 Long NH, Johansson E, Diwan VK, Winkvist A. Fear and social isolation as consequences of tuberculosis in Vietnam: a gender analysis. Health Policy. 2001;58(1):69-81. https://doi.org/10.1016/S0168-8510(01)00143-9   DOI
14 Trivedi MH. The link between depression and physical symptoms. Primary Care Companion to the Journal of Clinical Psychiatry. 2004;6(Suppl 1):12-16.
15 Wang JH, Park CS, Kim BJ, Lee CS, Cha BS, Lee SJ, et al. Risk factors for depression of patients with tuberculosis in tuberculosis specialty hospital. Korean Journal of Psychosomatic Medicine. 2015;23(2):114-120. https://doi.org/10.22722/KJPM.2015.23.2.114   DOI
16 Ugarte-Gil C, Ruiz P, Zamudio C, Canaza L, Otero L, Kruger H, et al. Association of major depressive episode with negative outcomes of tuberculosis treatment. Plos One. 2013;8(7):e69514. https://doi.org/10.1371/journal.pone.0069514   DOI
17 Lee SH, Ahn SH. Self care compliance, family support, and depression in patients with congestive heart failure. The Journal of Fundamentals of Nursing. 2005;12(2):186-194.
18 Jeon GS, Choi KW, Jang KS. Influence of stigma and social support on depressive symptoms in hospitalized patients with pulmonary tuberculosis. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2017;26(4):344-352. https://doi.org/10.12934/jkpmhn.2017.26.4.344   DOI
19 Tae YS, Kang ES, Lee MH, Park GJ. The relationship among perceived social support, hope and quality of life of cancer patients. The Korean Journal of Rehabilitation Nursing. 2001; 4(2):219-231.
20 Lee SM. The relationship between health-belief, social support, and self-care performance in pulmonary tuberculosis patients [master's thesis]. [Muan]: Chodang University; 2015. 55
21 Park EH, Choi SE. Support system, stigma and self-care behaviors in patients with pulmonary tuberculosis. Journal of Korean Biological Nursing Science. 2020;22(4):288-296. https://doi.org/10.7586/jkbns.2020.22.4.288   DOI
22 Seong YS, Lee YW. Relationship of illness perception, self-efficacy, and self-care among pulmonary tuberculosis patients. Korean Journal of Adult Nursing. 2011;23(1):31-39.
23 Kim YM, Yoo KH. A correlational study on the knowledge, stress and self-care performance among tuberculosis patients. The Journal of Korean Academic Society of Nursing Education. 2019;25(3):366-377. https://doi.org/10.5977/jkasne.2019.25.3.366   DOI
24 Yang SH, Jung EY, Yoo YS. Health literacy, knowledge and self-care behaviors in patients with pulmonary tuberculosis living in community. Journal of Korean Academy of Fundamentals of Nursing. 2020;27(1):1-11. https://doi.org/10.7739/jkafn.2020.27.1.1   DOI
25 Lee HJ, Park JY. Self-care efficacy and health-related quality of life among patients on primary treatment for pulmonary tuberculosis: the mediating effects of self-care performance. Korean Journal of Adult Nursing. 2020;32(3):305-314. https://doi.org/10.7475/kjan.2020.32.3.305   DOI
26 Kroenke K, Spitzer RL, Williams JB. The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine. 2001;16(9):606-613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x   DOI
27 Jung ES, Jeon MK. Comparison of the activities of daily living and sleep according to the presence depression in the elderly. Journal of Digital Convergence. 2013;11(1):289-297. https://doi.org/10.14400/JDPM.2013.11.1.289   DOI
28 Lee YJ. Gender differences in factors associated with the severity of depression in middle-aged adults: An analysis of 2014 Korean National Health and Nutrition Examination Survey. Journal of the Korea Convergence Society. 2018;9(10):549-559. https://doi.org/10.15207/JKCS.2018.9.10.549   DOI
29 Choi YH. An experimental study of the effects of supportive nursing intervention on family support behavior and sick role behavior [dissertation]. [Seoul]: Yonsei University; 1983. 137
30 Murphy. M, Carmichael AJ. Renal itch. Clinical and Experimental Dermatology. 2000;25(2):103-106. https://doi.org/10.1046/j.1365-2230.2000.00587.x   DOI
31 Kang CR. Factors associated with depression in some inpatients with tuberculosis [master's thesis]. [Gwangju]: Chosun University; 2012. 32