• 제목/요약/키워드: 치료이행

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루푸스 환자의 스트레스와 치료지시이행의 관계에 미치는 극복력의 매개효과 (Mediating Effects of Resilience on the Relationship between Stress and Therapeutic Compliance in Patients with Systemic Lupus Erythematosus)

  • 이미혜;민혜숙
    • 근관절건강학회지
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    • 제24권3호
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    • pp.196-204
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    • 2017
  • Purpose: This study was conducted to explore the mediating effect of resilience in the relationship between stress and therapeutic compliance in patients with systemic lupus erythematosus. Methods: The subject (N=145) was a systemic lupus erythematosus patient who visited the D Hospital in B city. Data collection was conducted from January 2016 to August 2016. Twenty-five resilience measurement tools, 20 stress measurement tools, 39 therapeutic compliance measurement tools used to measure resilience, stress and therapeutic compliance levels. The collected data were analyzed using descriptive analysis, Pearson correlation, 3-step regression analysis of Baron and Kenny, and Sobel test in SPSS/WIN 21.0. Results: There was a significant negative correlation between stress and therapeutic compliance, a significant negative correlation between stress and resilience, and significant positive correlation between resilience and therapeutic compliance. Resilience showed a direct effect on therapeutic compliance through stress as a mediating variable. Conclusion: It is necessary to develop appropriate resilience enhancement program to improve therapeutic compliance with systemic lupus erythematosus.

정보제공이 영구형 심박조율기 이식환자의 불안, 지식 및 치료지시이행에 미치는 효과 (Effect of Providing Information on Anxiety, Knowledge and Compliance of Patients with a Permanent Pacemaker)

  • 이선경;유양숙
    • 성인간호학회지
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    • 제17권3호
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    • pp.484-492
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    • 2005
  • Purpose: This study was undertaken to identify the effect of providing information on anxiety, knowledge and compliance in permanent pacemaker patients. Method: A quasi experimental design with non-equivalent control group and non-synchronized design was used. The subjects of this study were 50 patients who had received permanent pacemaker implantation at a university hospital in Seoul. They were divided into an experimental group of 22 patients who received education and a control group of 28 patients. The education was composed of group education(twice) and individualized reinforcement education(once) using an education booklet. Results: Anxiety decreased in the experimental group. Knowledge significantly increased in the experimental group compared to that in the control group. Compliance significantly increased in the experimental group. Conclusion: It can be concluded that providing information is effective for reducing anxiety, increasing knowledge and improving compliance of the permanent pacemaker patients.

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관상동맥질환자의 D유형 성격과 치료지시이행의 관계에 미치는 극복력의 매개효과 (The Mediating Effect of the Resilience on the Relationship between Type D Personality and Compliance in Patients with Coronary Artery Disease)

  • 천미영;강지연
    • 성인간호학회지
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    • 제28권1호
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    • pp.61-70
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    • 2016
  • Purpose: This study aimed to identify the mediating effect of the resilience on the relationship between type D personality and compliance of Coronary Artery Disease (CAD) patients. Methods: The subjects were 236 CAD patients who visited the cardiology outpatient clinics of D University Medical Center in B City in Korea. The type D personality, resilience, and compliance of subjects were measured using structured questionnaires from July to August, 2014. The mediating effect was analyzed by a multiple hierarchical regression. Results: The subjects with type D personality accounted for 30.9% of all study subjects. The resilience and compliance of type D subjects were significantly lower than those of non type D subjects. There was a significant correlation between resilience and compliance. The direct effect of type D personality on compliance was not significant (${\beta}=-.07$, p=.243), while the indirect effect of type D personality on compliance via resilience was significant (${\beta}=.23$, p<.001). Conclusion: On the basis of above results, it can be concluded that the resilience had completely mediating effect on the relation between type D personality and compliance of CAD patients. Further studies need to be done to develop the intervention enhancing resilience of CAD patients with Type D personality.

만성 C형간염환자의 질병에 대한 지식과 치료지시이행 간의 관계 (Correlation between Knowledge of Hepatitis C and Compliance with therapeutic guidelines in Chronic Hepatitis C Patients)

  • 선우림;주현옥
    • 가정간호학회지
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    • 제22권1호
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    • pp.69-77
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    • 2015
  • Purposes: The purpose of the study was to evaluate knowledge of hepatitis C and compliance with therapeutic guidelines and their correlation. Methods: Participants included a total of 197 subjects with chronic hepatitis C from 4 general hospitals. Subjects were asked 25 items of knowledge on hepatitis C and 17 items of compliance with therapeutic guidelines. The collected data was analyzed for frequency, percentage, average, standard deviation, t-test, ANOVA and Pearson's correlation coefficient. with the help of SPSS 21.0 program. Results: The subject's knowledge on chronic hepatitis C expressed as percentage was 67.1%. Compliance of the research participants gained $3.96({\pm}0.76)$ points in general on a 5-point scale. Learned compliance was higher when the patients were 45 years old and over. female and with spouse. There was a statistically significantly positive correlation between knowledge and compliances. Conclusions: Development of educational programs requires consideration of patient characteristics, particularly education on the male patients under 45 years of age.

노인 당뇨병 환자의 당화혈색소, 허리/엉덩이둘레, 허리/허벅지둘레 및 치료지시이행과의 관계 (A study on relationship between HbA1c, WHR, WTR and compliance in elderly diabetes mellitus patients)

  • 유용권;송민선
    • 가정간호학회지
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    • 제22권1호
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    • pp.14-21
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    • 2015
  • Purpose: The purpose of this study was to identify relationships between HbA1c (Glycosylated Hemoglobin), WHR (Waist hip ratio), WTR (Waist thigh ratio) and compliance in elderly diabetes mellitus patients aged 65 years or over. Method: We conducted a survey and measured HbA1c, WHR, WTR in a total of 180 elderly patients with diabetes from 5 May 2014 to 30 May 2014. The data were analyzed by t-test, ANOVA, and Pearson's Correlation Coefficient using the SPSS program. Results: There were no significant differences in diabetes-related characteristics for HbA1c, WHR and WTR. However, patients with a family history had low compliance scores (p=.004). Furthermore, patients who visited the hospital regularly had higher compliance scores than patients who visited hospital when they were sick (p<.001). Patients with diabetic complications had low treatment compliance scores (p=.001). In addition, WHR and WTR (r=0.47, p<.001). and WHR and compliance (r=0.15, p=.045) showed positive correlation. Conclusion: For elderly diabetes mellitus patients, diabetes-related characteristics and compliance were highly related, so it is necessary to improve compliance for managing diabetes mellitus.

만성관절염환자의 가족지지, 치료지시이행 및 삶의 만족간의 관계연구 (A Study on the Relationships between Family Support, Compliance and Life Satisfaction in Chronic Arthritis)

  • 최혜경
    • 대한간호학회지
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    • 제17권3호
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    • pp.218-226
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    • 1987
  • This descriptive-correlational study was undertaken in order to examine if there were relationships between family support, compliance and life satisfaction in chronic arthritis patients. The sampling method was a non-probability, purposive sampling technique. The participants of this study were 92 volunteer adults. 1) who have been diagnosed as having chronic arthritis and 2) who were at the medical out patient clinic of one university hospital in Seoul between April 27th to May 12th 1987. The instruments used for this study were the Family Support Scale developed by Kang Hyun Sook, a Compilance Scale developed by the researcher and the Life-Satisfaction Index-Z developed by Wood et.al. Analysis of data was done using t-test, ANOVA, Pearson Correlation Coefficient and Stepwise Multiple Regression Analysis. The results of study were as follows; Hypothesis I; “The higher the family support, the higher the compliance” was accepted. (r=.2604, p<.01) Hypothesis II; “The higher the compliance, the higher the life satisfaction,” was rejected. (r=.1663, p>0.5) Hypothesis III; “The higher the family support, the higher the life satisfaction” was accepted. (r=.3914, p<.01) In addition, by using Stepwise Multiple Regression Analysis it was determined that the main influencing factors on the life satisfaction were family support, the number of inflammatory joints, compliance and pain level. These 4 main variables made it possible to explain 30.8% of the variance in life satisfaction. In conclusion, this study revealed that family support is an important factor that can improve compliance and life satisfaction in chronic arthritis patients.

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신장이식환자의 치료지시 이행정도 (A Study on the Compliance of Kidney Transplantation Recipients)

  • 황영희;최명애
    • 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.

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몇 가지 식물 추출물의 밀 녹병 방제 특성 (Antifungal activities of Several Plant Extracts against Wheat Leaf Rust)

  • 최경자;김진철;장경수;이선우;김진석;조광연
    • 농약과학회지
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    • 제6권2호
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    • pp.87-95
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    • 2002
  • 야외에서 채집한 27종 식물의 메탄올 추출물의 벼 도열병, 벼 잎집무늬마름병, 토마토 잿빛곰팡이병, 토마토 역병, 밀 녹병 및 보리 흰가루병에 대한 방제효과를 실험하였다. 벼 도열병에 대하여는 환삼덩굴, 비비추, 맥문동, 황기 추출물이, 잿빛곰팡이병에 대해서는 닭의장풀 추출물이, 보리 흰가루병에 대하여는 황기 추출물이 그리고 밀 녹병에 대하여는 비비추, 맥문동, 까마중 그리고 황기 추출물이 우수한 방제효과를 보였다. 이들 중 밀 녹병에 대하여 방제효과가 우수한 4종 시료를 선발하여 이들의 방제 특성을 조사하였나. 맥문동과 까마중 추출물은 밀 녹병에 대한 예방효과가 다른 추출물에 비하여 우수하였으며, 치료효과는 황기 추출물은 우수하였으나 까마중 추출물은 다소 미약한 치료활성이 있었다. 식물 추출물의 침투이행성은 엽육이행과 엽간이행으로 실험하였는데, 4종 추출물 모두 엽간이행은 거의 없었으나, 엽육이행은 우수하였다. 식물추출물의 약효지속성은 대부분 좋았으며 특히 비비추와 까마중 추출물은 약제처리 7일 후에도 95% 이상의 방제가를 보였다. 이들 결과를 종합해 보면 4종 식물 추출물 특히 까마중 추출물은 포장에서 밀 녹병에 대하여 우수한 방제효과를 보이리라 생각된다.

관상동맥질환자에게 제공한 의료인의 식이 및 운동권고, 운동자기효능감이 규칙적인 운동이행에 미치는 영향 (Effect of Diet and Exercise Recommendations Provided by Medical Staff to Patients, and Exercise Self Efficacy with Coronary Artery Disease on Adherence to Regular Exercise)

  • 권미수;이숙정;김두리
    • 산업융합연구
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    • 제22권3호
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    • pp.91-100
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    • 2024
  • 허혈성 심장질환은 재발의 위험이 높고, 재발 시 사망률이 더욱 증가하므로, 재발 예방을 위해서 운동과 식이요법 등 건강행위의 실천이 중요하다. 관상동맥질환자의 규칙적인 운동에 대한 동기를 유발하기 위해서는 의료인의 건강행위 권고가 필요하다고 알려져 있으나, 의료인의 권고가 대상자들의 운동이행에 어떠한 영향을 미치는 지에 대한 연구는 드물다. 이에 의료인의 식이 및 운동 권고가 규칙적인 운동이행에 미치는 영향을 파악하고자, 2018년 7월 4일부터 2019년 7월 30일까지 서울 소재 2개 대학병원 순환기내과에 관상동맥조영술을 위해 입원한 환자 219명을 대상으로 서술적 조사 연구를 실시하였다. 연구 결과, 의료인으로부터 운동이행 권고를 받은 경우(OR 3.52, p=.036), 식이이행 권고를 받은 경우(OR 6.48, p=.022), 운동자기효능감이 높은 경우(OR 1.36, p=.001), 경제 상태가 좋은 경우(OR 7.59, p=.007), 주관적인 건강 상태가 좋은 경우(OR 0.31, p=.047), 규칙적인 운동이행에 긍정적인 영향을 주었다. 따라서 의료인은 규칙적인 운동과 건강한 식이에 대해 환자 맞춤형 권고를 강화할 필요가 있고, 운동자기효능감 증진 프로그램을 개발하여 참여를 유도할 필요가 있다. 향후 의료인 권고의 정도나 방법에 따라 관상동맥질환자들의 자기 관리 실천에 미치는 영향을 파악하는 연구를 제언한다.

신장이식환자의 치료지시 이행에 대한 개념분석-면역억제제 복용이행을 포함하여 (A Concept Analysis of Compliance in Kidney Transplant Recipient Including Compliance with Immunosuppressive Medication)

  • 황영희;박선정
    • Journal of Korean Biological Nursing Science
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    • 제22권1호
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    • pp.23-35
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    • 2020
  • Purpose: Compliance in kidney transplant recipients is critical for a positive prognosis. Especially compliance with medications after kidney transplantation is a major health care issue with implications for graft rejection and graft loss. But the definition of compliance in transplantation varies among centers. The purpose of this study was to clarify the concept of compliance in kidney transplant recipients. Methods: A literature search was conducted using RISS, MEDLINE, CINAHL. The concept analysis was guided by the methodology posited by Walker and Avant. Results: In this study, we found the attributes of the concept: 'compliance with immunosuppressive medication', 'compliance with follow-up', 'compliance with early detection of graft rejection and complication', and 'compliance with prevention of complication'. The antecedents of 'compliance in kidney transplant recipients' included 'having a kidney transplant surgery' and 'normal function of transplanted kidney'. The consequences of 'compliance in kidney transplant recipients' included 'affecting the function of the transplanted kidney' and 'affecting the health of kidney transplant recipients. Conclusion: This study may contribute to the development of tools for measuring compliance in kidney transplant recipients, as well as benefit nursing interventions research to increase compliance in kidney transplant recipients.