간경변증 환자의 질병에 대한 지식과 가족지지 및 자가간호 이행

Other Titles
The Relationship of Knowledge Level, Family Support and Self-care Ability of Patients with Hepatic Cirrhosis
Authors
박해진
Issue Date
2015-12
Awarded Date
2016
Abstract
The purpose of this study was to investigate the relationship of knowledge level, family support and self-care ability of patients with hepatic cirrhosis. One hundred twenty participants were recruited among patients with hepatic cirrhosis from a general hospital in a metropolitan city during the period of June 1 to August 30, 2015. Research instruments employed in this study were questionnaires on Knowledge, Family support and Self-care ability. Summary statistics were used for demographic variables. A series of t-tests, Pearson product moment correlations and ANOVAs were calculated to determine relationships among variables in the study. Stepwise multiple regression determined amount of variance in self-care ability explained by selected predictors using the SPSS/WIN 21.0. Results of the study were as follows: knowledge level of subjects on the hepatic cirrhosis was on average 12.4 out of 18; family support level was on average 22.9 out of 32; self-care ability was on average 35.1 out of 60. The data revealed that knowledge level of the patients was significantly positively correlated with family support (r=.579,p<.001) as well as self-care ability (r=.675, p<.001). Family support was also highly correlated with self-care ability (r=.804, p<.001). The best predictors for self-care ability were family support, knowledge of disease, drinking habit, hepatic cirrhosis or absence among family or relatives and educational level which accounted for a total of 69.7% of the variance. In conclusion, hepatic cirrhosis patients in this study had moderate levels of knowledge of the disease and family support, but had lower levels of self-care ability. Self-care ability can be promoted through education on the disease and family support.
본 연구는 간경변증 환자의 질병에 대한 지식수준, 가족지지 및 자가간호 이행 정도와 이의 상관관계를 파악하고자 실시하였다. 2015년 6월 1일부터 8월 30일까지 U광역시에 소재하는 일개 종합병원에서 간경변증을 진단받은 남녀 120명을 대상으로 하였다. 본 연구에서 사용된 설문지는 질병에 대한 지식, 가족지지, 자가간호 이행 척도를 사용하였다. 대상자의 질병에 대한 지식과 가족지지 및 자가간호 이행과의 상관관계를 파악하기 위해 t-test, ANOVA, Pearson’s correlation coefficient으로, 자가간호 이행 예측 요인을 파악하기 위해 Stepwise Multiple Regression으로 분석하였다. 연구결과, 간경변증 환자의 질병에 대한 지식은 18점 만점에 평균 12.4점, 가족지지는 32점 만점에 평균 22.9점, 자가간호 이행은 60점 만점에 평균 35.1점으로 나타났다. 환자의 질병에 대한 지식은 자가간호 이행(r=.675, p<.001) 뿐만 아니라, 가족지지(r=.579, p<.001)와 양의 상관관계가 있었으며, 가족지지 또한 자가간호 이행(r=.804, p<.001)과 높은 상관관계가 있었다. 간경변증 환자의 자가간호 이행의 예측요인으로 가족지지, 지식수준, 음주 유무, 가족· 친지 중 간 질환자 유무, 학력이었으며 이들 요인들이 자가간호 이행을 69.7%설명하였다. 결론적으로 본 연구에서 간경변증 환자는 질병에 대한 지식과 가족지지는 보통수준이었고, 자가간호 이행은 낮은 수준이었다. 간경변증 환자들의 자가간호 이행은 질병에 대한 교육과 가족지지를 통해서 향상이 가능할 것이다.
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/10891
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3. 학위논문 > 2. College of Nursing (간호대학) > 석사
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http://dcollection.kmu.ac.kr/jsp/common/DcLoOrgPer.jsp?sItemId=000000052056
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