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혈액투석 환자의 증상 클러스터와 영적 안녕이 삶의 질에 미치는 효과

Effects of Symptom Clusters, Spiritual Well-being on the Quality of Life in Patients Undergoing Hemodialysis

경북간호과학지 2020년 24권 2호 p.59 ~ 70
김경덕,
소속 상세정보
김경덕 ( Kim Gyung-Duck ) - Dongyang University Department of Nursing

Abstract


Purpose: This study was to identify the impact of symptom clusters, spiritual well-being on the quality of life in patients undergoing hemodialysis.

Methods: Data were collected from 154 patients at six hemodialysis clinics from June 1st, 2016 to February 28th, 2017. The data were analyzed using factor analysis, multiple regression analysis.

Results: The most frequently reported symptoms included fatigue, itching, dry skin, decreased interest in sex, difficulty falling asleep. The mean spiritual well-being score was 3.37. Factor analysis showed that eight distinct symptom clusters were identified: Emotional distress cluster, pain-fatigue cluster, skin disorder cluster, sleep disturbance related cluster, gastrointestinal-leg distress cluster, sexual distress cluster, nausea-vomiting cluster, shortness of breath-diarrhea cluster. The factor that most affected the quality of life was existential spiritual well-being.

Conclusion: The finding supported existence of the symptom cluster and existential spiritual well-being affected the quality of life of hemodialysis patients. It was existential spiritual well-being, which showed 67.5% of explanatory power. It is necessary to manage on the characteristics of each dialysis patient’s symptoms cluster and to develop a strategy that can improve spiritual well-being.

키워드

혈액투석; 증상 클러스터; 영적 안녕; 삶의 질
Quality of life; Renal dialysis

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