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불쾌증상이론을 융합한 간경변증 환자의 삶의 질 예측요인

Factors Influencing on Quality of Life in Patients with Liver Cirrhosis: Convergence on the Theory of Unpleasant Symptoms

  • 투고 : 2015.01.08
  • 심사 : 2015.04.20
  • 발행 : 2015.04.28

초록

본 연구는 간경변증 환자의 삶의 질의 예측요인을 알아보고자 불쾌증상이론을 융합하여 시도하였다. 연구방법은 간경변증 진단을 받은 환자 198명을 대상으로 증상경험과 생리적 요인, 심리적 요인, 상황적 요인, 삶의 질 등을 설문조사하였다. 자료수집은 2014년 4월부터 5월까지 이루어졌으며, 자료분석은 PASW (SPSS) 21.0 프로그램을 이용하여 one-way ANOVA, Pearson correlations와 multiple regressions analysis하였다. 분석결과, 간경변증 환자의 삶의 질은 질병기간(${\beta}=.19$, p<.001), 증상경험(${\beta}=.19$, p=.032), 생리적 요인(${\beta}=.15$, p=.008), 심리적 요인(${\beta}=.39$, p<.001), 상황적 요인(${\beta}=.32$, p<.001) 등이 유의하게 나타났으며, 이들 변인은 삶의 질에 51.8% 설명하였다(F=15.57, p<.001). 간경변증 환자의 삶의 질은 불쾌증상이론의 요인과 관련성이 높았으며, 이들 변인을 고려한 맞춤형 중재프로그램을 제안한다.

The purpose of this study was to explore convergence on the theory of unpleasant symptom, and factors affecting quality of life of liver cirrhosis patients. A total of 198 liver cirrhosis patients were recruited symptom experiences, physiologic factors, psychological factors, situational factors, and quality of life. Data were collected from March, to May, 2014 and analyzed using one-way ANOVA, Pearson correlations, multiple regressions analysis with PASW (SPSS) 21.0. Variables such as duration of liver cirrhosis(${\beta}=.19$, p<.001), symptom experiences(${\beta}=.19$, p=.032), physical(${\beta}=.15$, p=.008), psychological(${\beta}=.39$, p<.001) and situational factors(${\beta}=.32$, p<.001) explained 51.8% of variance in quality of life(F=15.57, p<.001). The symptom experiences, physiological, psychological and situational factors should be considered for caring liver cirrhosis patients. Symptoms of postmyocardial infarction (post-MI) patients at risk for progression to heart.

키워드

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피인용 문헌

  1. Self-Care Compliance among Patients with Liver Cirrhosis: Focusing on Symptom Experiences, Perceived Health Status and Disease Status vol.25, pp.3, 2018, https://doi.org/10.7739/jkafn.2018.25.3.165
  2. Relationships among Mood Status, Social Support, Symptom Experience and Quality of Life in Colorectal Cancer Patients - based on the Theory of Unpleasant Symptoms vol.18, pp.2, 2018, https://doi.org/10.5388/aon.2018.18.2.104