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간이식 수혜자의 자기효능감과 이식 관련 지식이치료지시이행에 미치는 영향

Effects of Self-efficacy and Transplant-related Knowledge on Compliance with a Therapeutic Regimen for Recipients of Liver Transplant

기본간호학회지 2019년 26권 3호 p.166 ~ 175
문소정 ( Moon So-Jung ) - 양산부산대학교병원

김현주 ( Kim Hyun-Ju ) - 부산가톨릭대학교 간호학과

Abstract


Purpose: This study was done to investigate the degree of self-efficacy, transplant-related knowledge, and other factors affecting compliance with a therapeutic regimen for liver transplant recipients.

Methods: Participants were 140 patients who had received a liver transplant at a tertiary hospital in Y City, Gyeongnam Province and made regular hospital visits as outpatients. A self-report questionnaire was used to collect the data and collection was done from December 4, 2017 to January 26, 2018. Data were analyzed using frequencies, percentages, means, and standard deviations, and t-test, ANOVA, Pearson's correlation coefficients. Multiple linear regression was performed using SPSS/WIN 21.0 program.

Results: Participants scored 113.29±20.95 (out of 150) on selfefficacy, 16.38±3.62 (out of 18) on transplant-related knowledge, and 148.30±31.06 (out of 200) on compliance with the therapeutic regimen. Analyzed of correlations among participant's self-efficacy, transplant-related knowledge, and compliance with the therapeutic regimen showed a significant positive correlation between self-efficacy and compliance with the therapeutic regimen (r=.64, p=.001), but no significant correlations were found between self-efficacy and transplant-related knowledge (r=-.01, p=.912) or between transplant-related knowledge and compliance with the therapeutic regimen (r=.06, p=.458). Multiple regression analysis showed that factors affecting compliance with the therapeutic regimen were state of re-transplantation (β=.17, p=.016) and self-efficacy (β=.53, p=.001).

Conclusion: There is a need to apply a differentiated nursing intervention program considering the differences in patients’ self-efficacy, transplant-related knowledge, and compliance with the therapeutic regimen.

키워드

간이식; 자기효능감; 지식; 치료지시이행
Liver transplantation; Self-efficacy; Transplant-related knowledge; Compliance
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