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혈액투석 환자의 역할행위이행 영향요인

Factors Influencing Sick Role Behavior Compliance in Patients on Hemodialysis

기본간호학회지 2019년 26권 1호 p.23 ~ 31
전현미, 유혜숙,
소속 상세정보
전현미 ( Jeon Hyun-Mi ) - 전남대학교병원 신장센터
유혜숙 ( You Hye-Sook ) - 호남대학교 간호학과

Abstract


Purpose: This study was a descriptive survey research to identify the factors that influence sick role behavior compliance in patients on hemodialysis.

Methods: Structured surveys were used to collect data from 170 patients who are on hemodialysis three times a week through outpatient care at a university hospital located in G City using tools measuring resilience, family support, and sick role behavior compliance. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson’s correlation coefficient, and Stepwise multiple linear regression.

Results: The results showed that factors that influenced sick role behavior compliance in the subjects were in the order of family support (β=.27, p<.001), age (β=.27, p<.001), and resilience (β=.23, p=.003). Resilience, family support, and sick role behavior compliance were positively correlated. Factors influencing hemodialysis patients’ sick role behavior compliance included family support, age, and resilience. These variables explained 30.2% of the variance in sick role behavior compliance.

Conclusion: Based on these results, care intervention and the development of a training program that involves family in the treatment plan and process to support and encourage patients are needed to increase the sick role behavior compliance in patients on hemodialysis.

키워드

혈액투석; 회복탄력성; 가족지지; 역할행위이행
Renal dialysis; Sick role; Patient compliance; Resilience; Support

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