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혈액투석환자의 인지적 대처전략에 따른 희망, 우울 및 삶의 만족에 미치는 영향 정도

The Influence of Cognitive Coping on Hope, Depression and Satisfaction with Life in Hemodialysis Patients

  • 차지은 (서울대학교 간호대학 대학원) ;
  • 이명선 (서울대학교 간호대학.간호과학연구소)
  • Cha, Jieun (College of Nursing, Seoul National University) ;
  • Yi, Myungsun (College of Nursing, Research Institute of Nursing Science, Seoul National University)
  • 투고 : 2013.04.01
  • 심사 : 2013.08.07
  • 발행 : 2013.08.31

초록

Purpose: The purpose of the study was to examine the relationships between cognitive coping, hope, depression, and life satisfaction of hemodialysis patients based on the stress-coping model. Methods: For this cross-sectional survey, 142 participants were recruited from 10 local clinics in Seoul and Daegu during 2012-2013. The data collection instruments included the Cognitive Emotion Regulation Questionnaire, the Herth Hope Index, the Hospital Anxiety and Depression Scale, and the Satisfaction with Life Scale. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation analysis, and stepwise multiple regression. Results: The cognitive coping scores were significantly related to hope, depression, and life satisfaction. The coping strategies explained 80%, 37%, and 38% of the variances in hope, depression, and life satisfaction, respectively. The most powerful coping strategy was positive refocusing, explaining 73% in hope, 25% in depression, and 25% in life satisfaction. Conclusion: The results of the study indicate that cognitive coping plays an essential role for psychological adaptation of hemodialysis patients. Thus, interventions integrating positive refocusing would help instilling hope of hemodialysis patients in Korea.

키워드

참고문헌

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  6. A health‐related quality of life model for patients undergoing haemodialysis vol.29, pp.3, 2013, https://doi.org/10.1111/jocn.15113
  7. 혈액투석 환자의 생의 의미에 영향을 미치는 요인 vol.22, pp.1, 2013, https://doi.org/10.5762/kais.2021.22.1.743
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