잠시만 기다려 주세요. 로딩중입니다.

신장투석 대상자의 자가간호행위 관련요인

Factors Influencing Self-Care Behaviors of Renal Dialysis Patients

스트레스연구 2019년 27권 4호 p.320 ~ 327
김윤정 ( Kim Yoon-Jung ) - 서라벌대학교 간호학과

박상건 ( Park Sang-Geon ) - 부산광역시 금정구청 환경위생과

Abstract

본 연구는 신장투석 대상자의 자가간호행위 관련변수 간의 관계를 분석하여 대상자의 자가간호행위를 유지하고 증진하기 위한 관리방안 마련을 위한 기초자료로 제공하고자 시도되었다. 연구결과 신장투석 대상자의 자가간호행위에 영향을 미치는 가장 중요한 요인은 가족지지였으며, 우울, 자율적 동기 순으로 나타났다. 이들 연구를 토대로 신장투석 대상자의 자가간호행위를 효과적으로 유지ㆍ증진하기 위해서는 신장투석대상자를 향한 가족지지가 필수적이며, 행위를 하고자 하는 자율적 동기를 강화시키는 것이 필요하다. 또한대상자의 우울을 감소시키기 위해 대상자의 가족을 포함시킨 프로그램의 개발과 적용이 이루어져야겠다.

Background: The purpose of this study was to analyze the relationship between self-care behaviors in renal dialysis patients and to provide the basic data for management of self-care behaviors.

Methods: This study was conducted from December 1, 2015 to January 30, 2016 in 120 patients with chronic renal failure receiving dialysis treatment for 6 months or longer at a medical institution in B city.
The collected data were analyzed using SPSS/WIN 21.0 program.

Results: The self-care behaviors of the renal dialysis patients showed a statistically significant positive correlation with autonomous motivation (r=.33, p<.001), health provider’s support (r=.34, p<.001), and family support (r=.40, p<.001), a negative correlation with depression (r=-.31, p=.001). A stepwise regression analysis was performed to examine the factors affecting self-care behaviors in renal dialysis patients. Family support, depression and autonomous motivation were significant predictors of self-care behaviors in renal dialysis patients, and these variables accounted for 23.5% of self-care behaviors.

Conclusions: This study was to find out the relationship between self-care behaviors related variables in renal dialysis patients and to provide basic data for management, maintenance, and promotion of self-care behaviors. Family support, depression and autonomous motivation of renal dialysis patients were most important variables related to self-care behaviors. Therefore, it is necessary to develop a plan that can intervene in depression in renal dialysis patients early and effectively to improve family support and subject’s autonomous motivation.

키워드

신장투석; 자가간호; 동기; 우울
Renal dialysis; Self-care; Motivation; Depression
원문 및 링크아웃 정보
등재저널 정보