Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Its Relationship with Symptoms Index, Self Efficacy and Family Support in Hemodialysis Patients

혈액투석환자의 증상지수, 자기효능감과 가족지지와의 관계

  • Received : 2015.07.08
  • Accepted : 2015.10.08
  • Published : 2015.10.31
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Abstract

This study was conducted to investigate the prevalence, severity or impact of symptoms in hemodialysis patients and its relationship with self efficacy and family support to identify factors influencing their symptoms. A cross-sectional design was used and the subjects were 243 patients undergoing hemodialysis at local units. The patients were Dialysis Symptom Index (DSI), a questionnaire about the presence and severity of symptoms. The data were analyzed by descriptive statistics, independent t-test, Pearson coefficient correlation and multiple regression. There were significant differences in the total score of symptoms according to age and duration of hemodialysis. Symptoms score had significant negative correlations with family support (r=-.35, p<.001) and self-efficacy (r=-.16, p=.006). Family support explained 16.0% of the variance in symptoms score. Hemodialysis patients experience many distressing symptoms, which have negative effects on quality of their life. Promoting family support can help to reduce and control distressing symptoms in hemodialysis patients.

본 연구는 혈액투석환자에서 나타나는 증상들의 빈도, 심각성, 영향 등을 조사하고, 이런 증상과 자기효능감 및 가족지지와의 연관성을 분석하여, 어떤 요인이 환자의 증상에 영향을 미치는 지를 확인할 목적으로 시행되었다. 지역 병원에서 혈액투석을 받는 243명의 환자들을 증상의 발현과 심각성을 측정하는 질문지로 투석 증상 지표(DSI)를 이용했다. 자료는 서술적 통계, 독립 t-test, Pearson 상관계수, 다중 회귀분석 등을 이용해 분석했다. 증상 점수는 가족지지(r=-.35, p<.001) 및 자기효능감(r=-.16, p=.006)과 눈에 띄는 부적 상관관계를 보여주었다. 연령과 혈액투석 기간의 영향을 통제했을 때, 가족지지가 증상을 예측하는 가장 큰 변수였다. 또한 가족지지는 증상 점수 변화량의 16%를 차지했다. 혈액투석환자들은 수많은 고통스러운 증상들을 경험하는데, 이런 증상들은 그들 삶의 질에 부정적인 영향을 주는데 가족지지를 고취시킨다면 혈액투석환자들이 경험하는 고통스러운 증상들을 줄이고 억제하는 데에 도움이 될 수 있을 것이다.

Keywords

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