Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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Affecting factors of the Drinking Behavior of Liver Cirrhosis Patients The Aspects of Convergence of Drinking Behavior and Disease-related of factors

간경변증 환자 음주행위 관련변인 -음주행위와 질병관련 변인의 융복합 측면-

  • Received : 2015.05.26
  • Accepted : 2015.07.20
  • Published : 2015.07.28
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Abstract

This study was conducted to determine the affecting factors among patients with drinking behavior of liver cirrhosis. Data were collected by questionnaire from 157 patients who were diagnosed with liver cirrhosis at a tertiary hospital located in D-city. Measurements included patients' demographic characteristics, clinical characteristics, disease-related of symptom experience, emotional-factors of anxiety-depression and social-factor of social support. Data were analyzed using t-test, and logistic regression analyses. The incidence rate of drinking behavior was 31.8%. Multivariate analysis revealed that smoking(yes), men, symptom experience, social support and anxiety were more likely to report high level of drinking behavior. Future research should consider managing drinking behavior as an essential component of comprehensive care for patients with liver cirrhosis.

본 연구는 간경변증 환자의 음주행위와 질병관련 변인의 융복합적 측면을 고려하여 음주행위에 영향을 미치는 요인을 파악해보고자 시도하였다. 연구의 목적을 위하여 D시에 거주하며, 간경변증 진단으로 병원외래치료를 받고 있는 자로 총 157명을 대상으로 하였다. 자료분석은 SPSS win 20.0 프로그램을 이용하여, t-test, ${\chi}^2$-test, Logistic Regression하였다. 연구결과는 간경변증 환자의 31.8%가 음주를 하고 있었으며, 단변량 로지스틱 회귀분석한 결과, 간경변 환자의 음주에 영향을 미치는 변인은 성별(men), 연령(>60), 배우자(have not), 소득만족도(low, moderato), 흡연(yes), 선행 진단명(alcoholic hepatitis), Child Pugh Score (${\leq}9$), 진단기간(${\geq}3$), 질병관련 증상경험, 불안, 우울과 사회적 지지인 것으로 나타났다. 이들 변인을 다변량 로지스틱 회귀분석 한 결과, 흡연(yes), 성별(men), 질병관련 증상경험이 낮을수록, 사회적 지지가 낮을수록, 불안의 정도가 음주행위에 영향요인으로 나타났다. 이상의 연구결과를 토대로 간경변증 음주행위를 예방하기 위해서는 음주행위 관련변인들을 고려해서 대책을 마련할 필요가 있다.

Keywords

References

  1. Y. H. Jung, S. J. Go, E. J. Kim, "A study on the effective chronic disease management", Korea institute for health and social affairs report, Seoul, 2013 November, Report No. 2013-31-19.
  2. J. S. Kim, H. S. Hong, Y. K. Na, "A study of fatigue, depression and sleep disorders in patients with chronic liver disease", Korean Journal of Biology Nursing Science, Vol. 14, No. 1, pp. 1-7, 2012. https://doi.org/10.7586/jkbns.2012.14.1.1
  3. National Health Insurance Corporation [NHIC], "The press release", Retrieved April 15, 2015, Health Insurance Policy Research Institute, from http://www.nhis.or.k/bbs7/boardsr/B0039/13789
  4. J. W. Lim, S. Y. Kim, S. S. Ke, B. L. Cho, "The association chronic liver diseases with health related behaviors in south korea", Journal Family Medicine, Vol. 31, No. 4, pp. 302-307, 2010.
  5. C. H. Lee, "Management of liver cirrhosis", Korean Journal of Medicine, Vol. 82, No. 2, pp. 159-163, 2012. https://doi.org/10.3904/kjm.2012.82.2.159
  6. Korean Association for the Study of the Liver, "Practice guideline for the management of complications of liver cirrhosis", Korean Journal Hepatology, Vol. 11, No. 4, pp. 111-163, 2005.
  7. M. Ramstedt, "Population drinking and liver cirrhosis mortality: Is there a link in eastern Europe, Addiction, Vol. 102, No. 8, pp. 1212-1223, 2007. https://doi.org/10.1111/j.1360-0443.2007.01872.x
  8. T. G. Kim, H. S. Min, "Factors influencing the drinking behavior of chronic liver disease", Korean Journal of Health Service Management, Vol. 7, No. 3, pp. 261-273, 2013. https://doi.org/10.12811/kshsm.2013.7.3.261
  9. N. Y. Kim, O. S. Kim, "Family support, alcohol consumption and drinking motives in patients with liver cirrhosis", Korean Journal of Adult Nursing, Vol. 19, No. 2, pp. 295-304, 2007.
  10. S. Kojima, H. Ito, S. Takashimizu, H. Ichikawa, J. Nagata, T. Yazaki, H. Imai, T. Shirai, N. Watanabe, "The outcome of patients with alcoholic liver cirrhosis," Japanese Journal of alcohol studies & drug dependence, Vol. 49, No. 2, pp. 136-141, 2014.
  11. E. Y. Do, Y. R. Hong, "Factors affecting pregnant women's drinking", Health and Social Welfare Review, Vol. 31, No. 3, pp. 284-307, 2011. https://doi.org/10.15709/hswr.2011.31.3.284
  12. M. S. Choi, M. Y. Im, Y. M. Yoon, "A predictive model comparison by sex for alcohol consumption behavior among Korea university students", Journal of Korean Academy of Nursing, Vol. 32, No. 1, pp. 77-88, 2002. https://doi.org/10.4040/jkan.2002.32.1.77
  13. B. J. Lee, J. S. Lee, "Mediating effects of alcohol-induced stress in the relation between alcohol use and depressive symptoms", Social Science Research Review Kyungsung University Vol. 23, No. 2, pp. 193-212, 2007.
  14. J. S. Choi, "Effect of early detection of hypertension and diabetes on smoking and alcohol drinking", Korea Institute for Health and Social Affairs, Vol. 27, No. 1, pp. 103-130, 2007.
  15. S. H. Jee, H. C. Ohrr, J. W. Sull, J. M. Samet, "Cigarette smoking, alcohol drinking, hepatitis b, and risk for hepato-cellular carcinoma in korea, Journal of the National Cancer Institute", Vol. 96, No. 24, pp. 1851-1856, 2004. https://doi.org/10.1093/jnci/djh334
  16. D. Cahalan, R. Roizen, R. Room, "Alcohol problem and their prevention: Public attitudes in California. In the prevention of alcohol problems; Report of a conference sacramento", California State Office of Alcoholism, pp. 354-403, 1976.
  17. B. L. Wood, K. B. Klebba, B. D. Miller, "Evolving the bio-behavioral family model: The fit of attachment", Family Process, Vol. 39, pp. 319-344, 2000. https://doi.org/10.1111/j.1545-5300.2000.39305.x
  18. S. H. Kim, "Factors influencing symptom experience in patients with liver cirrhosis", Korean Journal of Adult Nursing, Vol. 17, No. 2, pp. 2498-258, 2005.
  19. A. S. Zigmond, R. P. Snaith, "The hospital anxiety and depression scale", Acta Psychiatr Scand, Vol. 67, No. 6, pp. 361-370, 1983. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x
  20. S. M. Oh, K. J. Min, D. B. Park, "A comparison of normal, depressed and anxious groups: A study on the standardization of the hospital anxiety and depressed scale for Koreans", Korean Neuro Psychiatric Association, Vol. 38, pp. 289-296, 1999.
  21. I. B. Wilson, P. D. Cleary, "Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes", Journal of the American Medical Association, Vol. 273, No. 1, pp. 59-65, 1995. https://doi.org/10.1001/jama.1995.03520250075037
  22. G. D. Zimet, W. Dahlem, S. G. Zimet, G. K. Farley, "The multidimensional scale of perceived social support", Journal of Personality Assessment, Vol. 52, No. 1, pp. 30-41, 1988. https://doi.org/10.1207/s15327752jpa5201_2
  23. H. O. Bae, S. R. Suh, "Effect of structured information provided on knowledge and self care behavior of liver cirrhosis patients", Korean Journal of Adult Nursing, Vol. 13, No. 3, pp. 476-485, 2001.
  24. E. Kuntsche, R. Knibbe, R. Engels, G. Gmel, "Drinking motives as mediators of the link between alcohol expectancies and alcohol use among adolescents", Journal of Studies on Alcohol and Drugs, Vol. 68, No. 1, pp. 76-85, 2007. https://doi.org/10.15288/jsad.2007.68.76
  25. J. Y. Kim, "A comparison of social support, depression, and qualify of life in adults and elders who have undergone coronary artery bypass surgery," Journal of Korean Gerontological Nursing, Vol. 16, No. 3, pp. 210-219, 2014. https://doi.org/10.17079/jkgn.2014.16.3.210
  26. Alcohol Statistics System, http://stat.kpha.or.kr/stat/t1/stat.php?sid=7_6.
  27. M. H. Gang, "Influencing factors on alcohol use of persons with severe mental illness in the community", Journal of Digital Convergence, Vol. 11, No. 11, pp. 585-593, 2013. https://doi.org/10.14400/JDPM.2013.11.11.585

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