결장루 보유자의 배변관리형태에 따른 삶의 질, 건강지각, 자기효능감 비교연구

Abstract

The study was conducted to compare the quality of life(QOL), health perception and self efficacy of the ostomates by the fecal control type. The study subjects included 128 ostomates in Pusan, Daegu, Daejon and Incheon branches of the Korean Ostomy Association. Data collection was performed for 27 day periods from September 10th to October 6th, 1998. The instruments used in this study were the QOL scale developed by Bang (1991), the health perception scale developed by Ware and translated into Korean by Lee(1987), the self efficacy scale developed by Kim(1995). The analysis of the data was done by the use of descriptive statistics, Chi-square test, ANCOVA and Pearson Correlation with SAS program. The results of the study are summarized below. 1. Only age was a significant difference between the two groups(p=.014). 2. The ostomate-related characteristics which showed significant differences were : the number of participations in the ostomate meetings each month(p=.001), the care manager(p=.017), the number of defecations(p=.001), problems with the colostomy(p=.003), the duration of the ostomates(p=.001). These variables were controlled using the ANCOVA. 3. The first hypothesis. "There will be differences at the level of the QOL according to the fecal control type" was supported(F=7.87, p=.0059). 4. The second hypothesis, "There will be differences at the level of health perception depending on the fecal control type", was supported(F=8.68, p=.0039). 5. The third hypothesis, "There will be differences at the level of self efficacy depending on the fecal control type", was supported(F=4.58, p=.0344). 6. There were significant positive correlation between the QOL and health perception(r=.8225, p=.0001), and self efficacy(r=.6356, p=.0001). From the above results, it can be concluded that colostomy irrigation is a good method to improve the QOL, health perception and self-efficacy. Therefore, colostomy irrigation is an important method for rehabilitation nursing use in the care of ostomates.