• 기본간호학회지
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• 제19권1호
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• pp.6-15
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• 2012

Purpose: The purposes of this study were to identify the level of health literacy and to determine its impact on disease-related knowledge and adherence to self-care in adults with hypertension. Methods: This was a cross-sectional, descriptive study in which patients with hypertension were recruited from outpatient hypertension clinics in Seoul, Korea from December, 2009 to February, 2010. A total 186 patients completed series of questionnaires to assess health literacy, disease-related knowledge, and adherence to self-care. Hierarchical linear regression was used to determine whether health literacy was associated with disease-related knowledge and adherence to self-care. Results: Seventy-one (38.2%) and seventy-two (38.7%) patients had inadequate and marginal health literacy, respectively. In hierarchical linear regression, health literacy independently predicted disease-related knowledge (${\beta}$= .43, p < .001) and adherence to self-care (${\beta}$= .37, p < .001) after controlling for age, education level, having a job or not, and body mass index. Conclusion: These findings show that health care providers need to pay attention to patients with hypertension who have inadequate health literacy. Further, it is recommended to develop and implement new strategies for assessing health literacy in clinical practices. Interventions to improve health literacy could promote disease-related knowledge and adherence to self-care in patients with hypertension.

• 대한간호학회지
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• 제35권2호
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• pp.283-291
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• 2005

Purpose: The purpose of this study was to explore the levels of depression experienced by clients (N=152) with Type 2 Diabetes Mellitus(DM), and to compare the levels of self care activity, metabolic control and cardiovascular risk factors between depressed and non-depressed clients. Method: Participants aged 50 and above were conveniently recruited in B city. The levels of depression, self-care activity, metabolic control of glucose and lipids, and cardiovascular risk factors of the participants were measured by using questionnaires and blood tests from November, 2003 to June, 2004. Data was analyzed with descriptive statistics, Pearson correlation, Spearman rho and t-test using the SPSS WIN 10.0 program. Result: The prevalence of depression(CES-D=16) among the participants was $44.1\%$. The levels of self-care activities(p=.012), glucose(p=.019), total cholesterol(p=.022), LDL(.007) and cardiovascular risk factors(p=.012) were significantly higher in the depressed group than those in the non-depressed group. Conclusion: Based on the findings, we concluded that many DM patients experience depression and the depression of type 2 DM clients is significantly related with self care activities, diabetic control, and cardiovascular complications. However, this study did not address causality among these variables. Therefore, further research, such as a longitudinal cohort study, is needed to identify causality among these variables.

• 지역사회간호학회지
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• 제27권4호
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• pp.370-379
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• 2016

Purpose: The aim of this study was to evaluate the level of self-care adherence in the elderly with diabetes mellitus (DM) who have lived alone, and to investigate the association between health literacy, diabetic knowledge and self-care adherence. Methods: Descriptive research using the cross-sectional approach was conducted. Data was collected by using a convenience sampling of 201 participants who aged sixty-five years old or more and have lived alone. Statistical analysis was conducted by using an independent t-test, one-way ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficient and stepwise multiple regression analysis. Results: Mean scores of health literacy, diabetic knowledge and adherence of self-care were $4.41{\pm}3.54$ points out of a possible $12, 6.22{\pm}2.55$ points out of a possible $15, 58.56{\pm}17.28$ points out of a possible 112, respectively. Adherence of self-care showed a statistical association with health literacy (r=.26, p<.001) and diabetic knowledge (r=.30, p<.001). Statistically significant factors in the regression model were monthly income, diabetic knowledge and exercise. Conclusion: The level of self-care adherence in the elderly with diabetes living alone was relatively low. Diabetic knowledge was an important factor to improve the level of self-care adherence for the elderly with diabetes living alone.

• 기본간호학회지
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• 제15권2호
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• pp.178-185
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• 2008

Purpose: This study was done to investigate the relationship between depression, self-care activity and $HbA_1c$ in clients with type-2 diabetes mellitus (DM) clients. Method: This was a cross sectional descriptive study and data were collected between October 4 and 27, 2006 using a questionnaire. The participants were inpatients and outpatients with type-2 diabetes being seen in one of two hospitals. The questionnaire included general as well as disease related characteristics, a depression scale (CES-D), and the self-care activity scale developed by Kim (1996). $HbA_1c$ was obtained from medical records. Results: There were 50 men (41.7%) and 70 women (58.3%). The mean scores for depression and self-care activity were $18.22{\pm}10.03$ and 3.51, respectively. Almost half of the Participants (46.7%) had an $HbA_1c$ greater than 7%. Self-care activity was negatively correlated with depression (r=-.436, p=0.00) and $HbA_1c$ (r=-.269, p=0.03). Depression was positively correlated with $HbA_1c$ (r=-.325, p=0.00). Participants who had diabetes education showed a significantly lower level of $HbA_1c$ than the group who had never had diabetes education. Conclusions: It is Important to make ensure that patients with diabetes have education on diabetes mellitus and to screen and manage depression as part of the care for these patients.

• 기본간호학회지
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• 제5권2호
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• pp.313-323
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• 1998

This study was a descriptive research on the level of self-care available to continous ambulatory peritoneal dialysis patients (hereinafter referred to as 'CAPD patient') related to the specific area of infection management. The method employed for the collection of data was a modified instrument of the self-care survey essentially based on Young Sook Choi's instrument. The relevant data was collected from september 1, 1996 to september 30, 1996. The subjects were provided with an open-ended question regarding the reasons behind why they did not seek self-care. The answers provided about self-care compliance were analyzed by SPSS for frequency, percentage, mean, t-test, ANOVA. Reasons for non-compliance were analyzed by content analysis. The results of the study were as follows : 1. The percentage of patients engaging in self-care were according to the following self performed tasks : preparation of dialysis : 30.58 points Dialysate exchange procedures : 49.40 points - Two bag type : 50.50 points - Spike type : 48.80 points - Neo type : 48.90 points Catheter exit site care : 25.13 points More specifically, in relation to the preparation of dialysis as referred to above, those patients engaging in self care was relatively high with respect to the cleaning of the dialysis before use and for the preservation of peritosol. However, in dialysate exchange procedures, data revealed that those patients engaging in self-care are relatively low with respect to putting on a mask during the performance of peritosol exchange. Similary in peritosol exchange procedure and catheter exit care, low levels of self-care performance were found in the area of putting on a mask during the peritosol exchange procedures and catheter line testing procedures, respectively. 2. In general characteristics, there appeared to be no distinction in self-care compliance among CAPD patients. 3. The main reasons for non-compliance were based in the following factor : intellectual, attitude, enviromental surrounding and physical. As a result of the foregoing finding, nurses should provide adequate assistance to promote self-care compliance by CAPD patients by checking the preparation of dialysis, dialysate exchange procedure, and catheter exit site care which recieved low point in this research.

• 디지털융복합연구
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• 제14권7호
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• pp.201-211
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• 2016

본 연구는 병원간호사의 환자안전문화 인식과 안전통제감 및 안전이행 정도를 확인하고 안전이행에 미치는 요인을 파악하기 위한 서술적 조사연구이다. 연구방법은 종합병원간호사 342명에게 자가기입식 웹 설문조사방법으로 2014년 5월 9일부터 13일까지 환자안전문화인식과 안전통제감, 안전이행 등을 조사하였다. 수집된 자료는 SPSS/WIN 21.0을 이용하여 분석하였으며, 분석결과는 환자안전문화 인식 3.34점, 안전통제감 3.50점, 안전이행 정도는 3.53점으로 보통보다 높은 수준으로 나타났다. 안전이행은 환자안전문화인식과 안전통제감과 유의한 정적 상관관계를 보였으며(r=.463~.645, p<.001), 안전이행에 영향을 미치는 요인으로는 대상자의 일반적인 특성 중 결혼상태, 환자안전문화 인식 중 사건보고의 빈도와 전반적인 환자안전도에 대한 인식, 그리고 안전통제감이 긍정적인 영향을 주는 요인으로 나타났다. 본 연구에서 사용한 변수들의 안전이행에 대한 설명력은 52.0%로 나타났다(F=4.252, p=.004). 이에 병원에서 간호사가 안전이행을 증진시킬 수 있는 긍정적인 영향요인임을 확인하여 추후 안전이행 증진을 위한 간호중재 전략의 기초자료로 활용할 수 있을 것이다.

• 한국콘텐츠학회논문지
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• 제19권2호
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• pp.619-628
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• 2019

본 연구는 신장이식 환자를 대상으로 치료지시이행에 미치는 영향을 분석하기 위한 설명적 조사연구이다. 연구대상은 일 대학병원 외래를 방문하는 신장이식 환자 132명이었다. 자료수집은 2017년 7월 17일부터 2017년 8월 22일까지 이루어졌으며, 수집된 자료는 SPSS WIN 24.0을 이용하여 빈도와 백분율, 평균과 표준편차, 분산분석, 상관관계, 회귀분석을 통해 분석되었다. 연구결과, 대상자의 연령, 종교의 유무, 이식 후 경과기간에 따라 치료지시이행에 유의한 차이가 나타났다(p<.05). 또한 총 사회적 지지(r=.54, p<.001), 가족의 지지(r=.43, p<.001), 의료인의 지지(r=.57, p<.001) 및 자가 간호지식(r=.21, p=.015) 역시 치료지시이행과 통계적으로 유의한 양의 상관관계를 보였다. 회귀분석의 결과, 치료지시이행의 영향요인은 의료인의 지지, 신장이식 후 경과기간, 배우자 유무, 종교의 유무였고, 최종 설명력은 41.9%였다. 결론적으로, 신장이식 환자들의 치료지시이행을 높이기 위해 의료인의 지지를 증진시킬 수 있는 효율적인 중재방안이 도입되어야 할 것이다.

• 한국산학기술학회논문지
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• 제13권12호
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• pp.5993-6000
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• 2012

본 연구는 국내 혈액투석환자의 이행 관련 선행연구들을 체계적으로 고찰하여 이행 측정도구와 관련변인을 파악하고, 중재의 효과크기를 분석하여 혈액투석 환자를 위한 근거중심의 실무프로그램 개발 및 향후 연구 방향을 제시하기 위하여 시도되었다. 10개의 데이터베이스에서 검색한 437편의 연구 중 37편의 연구를 최종 선택하였으며, 5편의 중재연구를 메타 분석하였다. 연구결과, 사용된 이행 측정도구는 11개의 원 도구로부터 도출된 것으로 나타났으며, 관련변인은 총 20개 변인이 검색되었다. 중재방법은 개별교육프로그램, SMS, 이메일 및 전화 상담을 이용한 자가간호프로그램, 지지간호프로그램, 약물교육프로그램 등으로 분류되었고, 임의효과모형(random effect model)을 이용하여 분석한 중재의 효과크기는 1.04(95% CI: 0.60, 1.49, p<.00001)로 중재프로그램의 효과가 큰 것으로 나타났다.

• 중환자간호학회지
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• 제4권2호
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• pp.15-25
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• 2011

Purpose: The purpose of this study was to identify compliance of kidney transplantation(=KT) recipients and the factors influencing on compliance of KT recipients. Methods: One hundred patients who visited out-patients department after KT at S hospital transplant center in Seoul were enrolled in this study. Structured questionnaires of compliance, self-efficacy and family support were used to collect data. The data was collected from April 21 to May 21 in 2011. The data were analyzed by descriptive statistics, independent t-test, ANOVA and Pearson correlation coefficient. Statistical significance was accepted to the level of p<.05. Results: The mean score of compliance was 4.37(range from 1 to 5), and that of medication compliance was the highest and that of self care compliance was the lowest. There were no differences of compliance according to characteristics of the subjects. Compliance of the subjects had positive correlation with self-efficacy(r=0.23, p<0.05) and family support(r=0.33, p<0.05). Conclusion: Based on these results, it can be concluded that the nursing intervention program to improve self care using self-efficacy and family support need to be developed.

• 기본간호학회지
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• 제12권1호
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• pp.58-65
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• 2005

Purpose: To investigate the level of depression and self management behavior in patients with diabetes. Method: From May to August 2004, 124 diabetic patients 18 years or older were surveyed using the Korean version of the BDI, the self-management scale by Toobert(2000) and hospital lab data for HbAl, FBS and Blood Sugar-2hr. Results: 1. Mean score on the BDI for the patients was 10.85 points. The score on the BDI was significantly higher in hyperglycemic patients than in normoglycemic patients. 2. The level of self management for the past week showed care on an average of 4.2 days. According to level of depression, patients in the normal group and patients in the mild group had significantly higher levels of self management than those in the moderate group. 3. According to level of depression, patients in the normal group had significantly lower levels of blood glucose than those in the moderate group, and for HbAlc and FBS those in the mild group had lower levels compared to those in the moderate group. 4. The factors significantly associated with level of self management were depression (25.66%) and duration of illness. Conclusion: Programs should be developed to combat depression in patients with diabetes in order to increase compliance through self care management and thus increase of blood glucose levels.