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폐결핵 환자의 지지체계와 낙인감 및 자가간호 수행도

Support System, Stigma and Self-Care Behaviors in Patients with Pulmonary Tuberculosis

Journal of Korean Biological Nursing Science 2020년 22권 4호 p.288 ~ 296
박은하, 최소은,
소속 상세정보
박은하 ( Park Eun-Ha ) - Bugok National Hospital
최소은 ( Choi So-Eun ) - Mokpo National University Department of Nursing

Abstract


Purpose: The purpose of this descriptive study was to identify factors influencing pulmonary tuberculosis patients’ self-care behaviors.

Methods: The patients were 125 adults over the age of 19 who were diagnosed with pulmonary tuberculosis, receiving care at the National tuberculosis hospital. The survey questions measured family support, multidimensional scale of perceived social support (MSPSS), stigma and self-care behaviors.

Results: The average score for self-care behaviors was 3.91, ranging from 2.22 to 5.00. There was a significant positive correlation between self-care behaviors and support system. There was a significant negative correlation between self-care behaviors and stigma. The significant variables influencing self-care behaviors were family support (β=.33, P<.001), smoking (β=-.23, p=.002), age (β=.22, p=.005) and experience of stopping treatment (β=-.17, p=.040). These factors explain 36% of pulmonary tuberculosis patients’ self-care behaviors.

Conclusion: Family support is very important to improve self-care for tuberculosis patients. However, those in their fifties, men, and those who do not have a job and have underlying diseases have low family support, so they need active support at the national level. The study results suggest that a educational and nursing programs must be designed to reduce stigma and promote support system in order to enhance self-care behaviors.

키워드

결핵; 자가간호; 지지; 낙인감
Tuberculosis; Self care; Social support; Social stigma

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