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폐결핵 초치료자의 자가간호 효능감 및 건강 관련 삶의 질: 자가간호 수행의 매개효과

Self-care Efficacy and Health-related Quality of Life among Patients on Primary Treatment for Pulmonary Tuberculosis: The Mediating Effects of Self-Care Performance

성인간호학회지 2020년 32권 3호 p.305 ~ 314
이현주 ( Lee Hyun-Ju ) - Korea Centers for Disease Control Epidemiological Investigator

박지영 ( Park Ji-Young ) - Inje University Department of Nursing

Abstract


Purpose: The purpose of this study was to verify the mediating effect of self-care performance between Self-Care Efficacy (SCE) and Health-Related Quality of Life (HRQoL) among patients on primary treatment for pulmonary tuberculosis.
Methods: A structured self-report survey was conducted with 143 patients on primary treatment for pulmonary tuberculosis. The collected data were analyzed using descriptive statistics, analysis of variance, Pearson correlation coefficient, hierarchical multiple linear regression, and Sobel test.

Results: There were significant correlations between participants’ SCE and self-care performance (r=.62, p<.001), SCE and HRQoL (r=.44, p<.001), and self-care performance and HRQoL (r=.54, p<.001). Self-care performance completely mediated the relationship between SCE and HRQoL (z=3.72, p<.001).

Conclusion: It is necessary to develop interventions for reinforcing SCE, focusing on low self-care groups, to ultimately improve the HRQoL of patients on primary treatment for pulmonary tuberculosis.

키워드

폐결핵; 자기효능감; 자가간호; 삶의 질
Pulmonary tuberculosis; Self efficacy; Self care; Quality of life
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