디지털융복합연구 (Journal of Digital Convergence)

  • 제14권1호
  • /
  • Pages.437-443
  • /
  • 2016
  • /
  • 2713-6434(pISSN)
  • /
  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
권호 표지
DOI QR코드

DOI QR Code

천식환자의 자가간호 프로그램의 효과 : 예비연구

Effects of a self-care program for Asthma patients :A Pilot Study

  • 투고 : 2015.11.05
  • 심사 : 2016.01.20
  • 발행 : 2016.01.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구의 목적은 천식환자의 자가간호 프로그램이 자기효능감, 이행, 삶의 질에 미치는 효과를 알아보기 위한 예비연구이다. 본 연구는 단일군 전후설계이며 C대학병원에 입원 치료한 천식환자에게 직접 면담하여 연구목적을 설명하고 동의한 16명을 대상으로 2011년 2월 1일부터 3월 30일까지 천식관련지식, 흡입기, PEFR 사용 등에 관한 책자와 연구자의 시범으로 자가간호 프로그램을 제공하였다. 입원당일 사전조사를 실시하고, 퇴원 당일 일반적 특성과 질병관련 특성을 제외한 항목에 대해 동일한 질문지로 사후 조사를 실시하였고 수집된 자료는 SPSS 18.0 프로그램을 이용하여 Wilcoxon signed ranks test(Z) 비모수 통계량으로 분석하였다. 대상자는 자가간호 프로그램을 제공받은 후에 자기효능감(Z=-3.26, p=.001), 이행(Z=-3.52, p<.001), 삶의 질(Z=-3.41, p=.001)에서 통계적으로 유의한 차이를 보였다. 자가간호 프로그램은 천식환자에게 자기효능감, 이행, 삶의 질을 증진시킬 수 있는 프로그램으로 활용이 가능하다고 사료되며 추후 연구에서 중재기간, 연구디자인, 대상자 크기를 고려하기를 제언한다.

Purpose of this study was to develop a self-care program for patients with asthma and test its effects on self-efficacy, compliance, Quality of Life. One group pretest and posttest design was used to test the effects of the intervention. Sixteen asthma patients were recruited conveniently from C university hospital. Date were collected from February 1st to Spring 30th, 2011. Self-care program was composed asthma related education and demonstration of usage of MID & PEFR. The data were analyzed using Wilcoxon signed Rank test by SPSS 18.0. There was a significant increased in self-efficacy(Z=-3.26, p=.001), compliance(Z=-3.52, p<.001), QOL(Z=-3.41, p=.001). Based on data, we recommened the refinement of the intervention in the following areas for future studies: duration, research design, sample size.

키워드

참고문헌

  1. S.J. Park, Symptom experience and quality of life in patients with chronic lung disease: with a special reference to bronchial asthma and bronchiectasis, KJAAN, Vol. 14, No. 3, pp470-478, 2002.
  2. Y.Y. Meng, K.M. Leung, D. Berkbigler, R. J. Halbert, & A.P. Legorreta, Complience with US asthma management guidelines and specialty care: a reginal variation or national concern?, Journal of evaluation in clinical practice, 1999.
  3. V.K. Grag, R. Bidani, E. P. Rich, E. Hershey, & C.O. Hershey, Asthma patient' knowledge, perception, and adherence to the asthma guideline. J asthma, Vol. 42, No. 8, pp633-638, 2005. https://doi.org/10.1080/02770900500263806
  4. B.L. Wolf, & G. Reed, Asthma quality of life in a Southern practice: towards a new paradigm. Ann Allergy Asthma Immunol., Vol. 83, No. 5, pp371-376, 1999. https://doi.org/10.1016/S1081-1206(10)62833-5
  5. G. Riccioni, N. D'Orazio, C. Di Ilio, R. Della Vecchia, E. Ballone, V. Menna, & M. T. Guagnano, Brochial hyperresponsiveness and quality of life in asthmatics, Respiration, Vol. 70, No. 5, pp496-499, 2003. https://doi.org/10.1159/000074206
  6. K. Huss, P.L. Naumann, P.J. Mason, J.P. Nanda, R. W. Huss, C.M. Smith, & R.G. Hamilton, Asthma severity, atopic status, allergen exposure and quality of life in elderl persons, Ann Allergy Asthma Immunol., Vol. 86, No. 5, pp524-530, 2001. https://doi.org/10.1016/S1081-1206(10)62900-6
  7. J.R. Smith, S. Mildenhall, M.J. Noble, L. Shepstone, M. Koutantji, M. Mugford, & B.D.W. Harrison, The coping with asthma study: a randomised controlled trial of a home based, nurse led psychoeducational intervention for adults at risk of adverse asthma outcome, Thorax, Vol. 60, No. 12, pp1003-101, 2005. https://doi.org/10.1136/thx.2005.043877
  8. A. Bandura, Self-efficacy: Toward a Unify in Theory of Behavioral change, Psychol Rev, Vol. 84, No. 2, pp191-215, 1977. https://doi.org/10.1037/0033-295X.84.2.191
  9. S.J. Lee, S.I. Kim, P.S. Lee, S.Y. Kim, E.S. Park, Y. J. Park, H.S. Rhu, S.O. Chang, & K.S. Han, Construct a structural model for health promoting behavior of chronic illness, JKAN, Vol. 32, No. 1, pp62-76, 2002.
  10. C. A.Mancuso, M. Rincon, C.E. McCulloch, & M.E. Charlson, Self-Efficacy, Depressive Symptoms, and Patients' Expectations Predict Outcomes in Asthma, Medical care, Vol. 39, No. 12, pp1326-1338, 2001. https://doi.org/10.1097/00005650-200112000-00008
  11. Y.M. Yoon, Effects of an asthma camp program on self care behavior pf asthmatic children, Unpublished doctoral thesis, Korea University, 2001.
  12. J.W. Park, Y.S. Cho, S.Y. Lee, D.H. Nam, Y.K. Kim, & H.B. Moon, Multicenter study on QOL of adult ashmatic patints in Korea, Journal of asthma, allergy, and clinical immunology, Vol. 20, No. 3, pp467-479, 2000.
  13. Y.S. Song, Effect on asthma management program on uncertainty, coping, and QOL of asthma patients, Unpublished doctoral thesis, Chungnam University, 2002.
  14. S.G. Kim, Y.K. Kim, S. Lee, J.P. Seo, S.W. Yang, et al., The effect of patient education on correct use of metered dose inhalers in patients with asthma, Journal of Korean academy of asthma, allergy, and clinical immunology, Vol. 20, 695-701, 2000.
  15. I.S Choi, Qonquering asthma, Korea medical book publisher, 1996.
  16. E.S. Kim, Effect of asthma management educational program of the disease related knowledge and the compliance with health care regimens of asthmatics alletgic to house dust mite, Unpublished doctoral dissertation, Catholic University, 2003.
  17. J. Roberts, The management of poorly controlled asthma. Nursing standard, Vol. 16. No.21, pp45-53, 2002. https://doi.org/10.7748/ns2002.02.16.21.45.c3150
  18. J. A. Krishnan, Adherence to inhaled corticosteroids in inner-city adults following hospitalization for asthma exacerbation, The Johns Hopkins University, 2005.
  19. K.W. Heinl, S. Goldt, R. Hegele, & F. Petermann, Educating the asthma patient for routine illness management. Assuring long -term therapeutic success, MMW Fortschr Med. 26; Vol. 141, No. 34, pp29-32, 1999.
  20. S. Tousman, H. Zeitz, C. Bristol, & L. Tayler, Development, implementation and evaluation of a new adult asthma self-management program, Journal of Community health nursing, Vol. 24, No. 4, pp237-51, 2007. https://doi.org/10.1080/07370010701645893