혈액투석 환자 D-type 성격이 삶의 질에 미치는 영향 : 우울, 사회적 지지의 매개효과를 중심으로

Other Titles
Effects of Type D Personality Hemodialysis Patients on Quality of Life :Focusing on Mediation Effects of Depression, Social Support
Authors
권금순
Issue Date
2018-08
Abstract
The purpose of this descriptive survey study was to explore the effects of Type D personality hemodialysis patients on quality of life and to elucidate mediation effects of depression and social support between Type D personality hemodialysis patients and quality of life. The subjects of this study were 126 patients who were receiving hemodialysis treatment at four dialysis clinics in Daegu and Busan. Data collected from January 12th to February 28th of 2018 has been analyzed with descriptive statistics, x²-test, t-test, Pearson’s correlation coefficient and three-step mediated regression analysis using SPSS/WIN 22.0. In addition, significance of the mediation effect was found using SPSS Process Macro programs. The results of this study were as follow: 1. The prevalence of Type D personality in hemodialysis patients were 42.9%. The mean score of the negative affectivity was 16.17 and social inhibition 14.93. 2. Type D personality in hemodialysis patients didn’t show significant differences according to gender(χ²=1.95 p=.163), age(χ²=2.89, p=.576), marital status(χ²=1.92, p=.382), level of education(χ²=2.66, p=.447), religion(χ²=6.83, p=.077), job(χ²=2.03, p=.153), monthly family income(χ²=2.97, p=.226), period of Hemodialysis(χ²=4.10, p=.251) and presence of diseases other than chronic renal failure(χ²=1.09 p=.295). 3. Type D personality in hemodialysis patients had a significant differences in depression(t=-6.32, p<.001), social support(t=2.16, p=.033) and quality of life(t=4.62, p<.001). 4. Type D personality in hemodialysis patients had a positive relationships with depression(r=.494, p<.001). Type D personality in hemodialysis patients had negative relationships with social support(r=-.190, p=.033) and quality of life(r=-.367, p<.001). 5. Type D personality in hemodialysis patients had significant effects on quality of life, showing explanatory power 12%. Depression had complete mediation effects in the relationship between Type D personality in hemodialysis and quality of life. Social support had partial mediation effects in the relationship between Type D personality in hemodialysis and quality of life. In conclusion, Type D personality in hemodialysis patients had effect on their quality of life and there were mediation effects of depression and social support in the relationship between Type D personality in hemodialysis patients and quality of life. Therefore, it is necessary to develop nursing intervention to improve depression and social support in Type D personality in hemodialysis quality of life.
본 연구는 혈액투석 환자 D-type 성격이 삶의 질에 미치는 영향을 알아보고, 혈액투석 환자 D-type 성격과 삶의 질 간의 관계에서 우울, 사회적 지지의 매개효과를 규명하기 위한 서술적 조사연구이다. 연구대상은 부산, 대구광역시에 소재한 4개의 인공신장실에서 주2-3회 혈액투석을 실시하는 환자 126명을 대상으로 하였다. 자료수집은 2018년 1월 22일부터 2018년 2월 28일까지 실시하였다. 자료분석은 SPSS WIN 22.0을 이용하여 기술통계, χ²-test, t-test, Pearson’s correlation coefficient, 3단계 매개회귀분석을 실시하였고, SPSS Process Macro V2.16.3 program을 이용하여 매개효과의 유의성 검증을 실시하였다. 본 연구를 요약하면 다음과 같다. 1. 혈액투석 환자 D-type 성격은 42.9%였고, 부정적 정서는 평균 16.17점, 사회적 억제는 평균 14.93점으로 나타났다. 2. 혈액투석 환자 D-type 성격은 성별(χ²=1.95 p=.163), 연령(χ²=2.89, p=.576), 결혼상태(χ²=1.92, p=.382), 최종 학력(χ²=2.66, p=.447), 종교(χ²=6.83, p=.077), 직업(χ²=2.03, p=.153), 가족의 월 평균 수입(χ²=2.97, p=.226), 혈액투석 기간(χ²=4.10, p=.251), 만성신부전증 이외 질병유무(χ²=1.09, p=.295)은 유의한 차이가 없는 것으로 나타났다. 3. 혈액투석 환자의 D-type 성격에 따라 우울(t=-6.32, p<.001). 사회적 지지(t=2.16, p=.033). 삶의 질(t=4.62, p<.001)은 유의한 차이가 있었다. 4. D-type 성격은 우울(r=.494, p<.001)과 양의 상관관계, 사회적 지지(r=-.190, p=.033), 삶의 질(r=-.367, p<.001)과는 유의한 음의 상관관계를 보였다. 5. 혈액투석 환자의 D-type 성격은 삶의 질에 영향을 미치는 유의한 영향요인이었고, 설명력은 12%였다. 우울은 혈액투석 환자 D-type 성격과 삶의 질 간의 관계에서 완전매개효과, 사회적 지지는 부분매개효과를 보였다. 이상의 연구결과를 종합하여 볼 때, 혈액투석 환자 D-type 성격은 삶의 질에 영향을 미치는 것으로 나타났으며, 이들의 관계에서 우울, 사회적 지지의 매개효과를 확인하였다. 따라서 혈액투석 환자 D-type 성격 삶의 질을 향상시키기 위해 우울을 감소시키고, 사회적 지지를 향상시킬 수 있는 간호중재 개발이 필요함을 알 수 있다.
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/41622
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3. Thesis (학위논문) > 2. College of Nursing (간호대학) > 석사
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http://www.dcollection.net/handler/kmu/000000117294
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