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신장이식 환자의 수술 후 자가간호 어플리케이션 개발

Development of Postoperative Self Care Mobile App for Kidney Transplantation Patients

  • 투고 : 2016.08.02
  • 심사 : 2016.12.08
  • 발행 : 2016.12.31

초록

본 논문은 신장이식 환자의 수술 후 자가간호를 위한 어플리케이션을 개발하여 전문가와 사용자의 타당도 검증을 받고자 실시되었다. 문헌고찰과 대상자 요구도 조사를 바탕으로 ADDIE모형에 따라 분석-설계-개발-구현-평가의 5단계 과정을 거쳐 어플리케이션을 개발하였다. 문헌고찰과 초점집단 면담을 통해 어플리케이션 콘텐츠와 교육내용 선정 후 전문가 7명에게 내용타당도를 평가 받아 어플리케이션을 구현하였다. 콘텐츠는 교육, 측정, 자가간호 매일점검, 조회, 알람, 앱정보의 6가지 영역으로 구성하였다. 전문가 9명, 신장이식 환자 5명에게 개발된 수술 후 자가관리 어플리케이션을 1주일간 사용 후 건강관리용 스마트폰 앱 평가설문지를 통해 평가를 실시하였다. 자료분석은 기술통계, 측정도구 신뢰도 Cronbach's alpha, 어플리케이션 평가지 내용타당도 지수(Content Validity Index, CVI)로 분석하였다. 연구결과 어플리케이션에 대한 만족도 평가에서 4점 만점에 전문가 3.2점, 사용자 3.4점으로 높은 편으로 나타났다. 신장이식 환자의 수술 후 자가간호 어플리케이션은 자가간호에 도움을 줄 수 있는 만족도가 높은 어플리케이션으로 추후 본 어플리케이션을 사용하여 자가간호 지식 및 자가 간호 수행의 효과를 검증하는 실험연구가 필요하다.

The purpose of this research was to develop a self-care application for kidney transplantation patients based on a review of previous literatures and the results of a survey that evaluated the needs of patients. The research proceeded in ADDIE order of analysis, design, development, implementation, and evaluation stages. In the analysis phase, interviews were conducted on over 5 kidney transplantation patients. Moreover, related applications and literatures were reviewed to develop application contents. App-based postoperative self-care program composed of the following: Health teaching, measurement, checklist, views, alarms, and App information. For the evaluation phase, a survey was conducted on 9 experts and 5 patients, using a smartphone application. SPSS/WIN 21.0 program was used for data analysis. Descriptive statistics were used to analyze the validity and suitability of data obtained from experts and users. Content was validated using CVI. Expert assessment of application for the self-care after kidney transplant showed 3.5 out of 4. Patient assessment showed 3.7 out of 4. We determined that a self-care application for patients that underwent kidney transplant is helpful. Moreover, a future study is necessary to test and verify the effects of using this application on self-care and self-care knowledge.

키워드

참고문헌

  1. Korea Health Statistics, Korea National Health and Nutrition Examination Survey [Internet]. Seoul: Statistics Korea, 2013[cited 2015 september 23]. Available from: https://knhanes.cdc.go.kr/knhanes/index.do.
  2. Korean Network for Organ Sharing, Organ transplant statistics [Internet]. Seoul: Statistics Korea, [cited 2015 september20]. Available from: https://www.konos.go.kr/konosis/sub4/sub04_03_01_pop.jsp.
  3. S.I. Kim, Y. S. Kim, M. S. Kim, E. C. Park, K. O. Jeon, S. Y. Son, M. I. Hahm, H. Y. Lee. A renal transplantation and hemodialysis cost-utility analysis in patients with end-stage renal disease. The Journal of the Korean Society for Transplantation. 24, 3, pp. 173-181, 2010. DOI: http://dx.doi.org/10.4285/jkstn.2010.24.3.173
  4. The Korean Society for Transplantation, Kidney transplantation and a new life, pp. 53-121, Seoul: Medical culture, 2008.
  5. H. C. Kim, W. H. Cho. Kidney transplantation. p14-200, Seoul: Koonja, 2000.
  6. The Korean Society for Transplantation. Clinical nephrology. pp. 825-869, Seoul: The Korean Society for Transplantation, 2015.
  7. G. B. Choi, S. H. Lee, L. Chan. Clinical manual of kidney transplantation. pp. 67-237, Seoul: Iljogak, 2000.
  8. S. Greenstein, B. Siegal. Compliance and noncompliance in patients with a functioning renal transplant: A multicenter study. Transplantation. 66, 12, pp. 1718-1726, 1998. DOI: https://doi.org/10.1097/00007890-199812270-00026
  9. S. J. Bae. Self-care compliance by elapsed time after kidney transplantation, master's thesis, Keimyung University, Daegu, 2014.
  10. S. M. Jung. The relationalships of family support, self-efficacy and self-care compliance among kidney transplantation patients, master's thesis, Yonsei University, Seoul, 2004.
  11. J. H. Jung, Y. H Kim, D. J. Han, K. S. Kim, S. H. Chu. Medication adherence in patients taking immunosuppressants after kidney transplantation, The Journal of the Korean Society for Transplantation, 24, 4, pp. 289-297, 2010. DOI: https://doi.org/10.4285/jkstn.2010.24.4.289
  12. M. K. Sim, S. Y. Son. The effects of an individual educational program on self-care knowledge and self-care behavior in kidney transplantation patients, Journal of East-West Nursing Research. 18, 1, pp. 9-17, 2012.
  13. Y. H. Hwang. Evaluation of an individualized education before discharge and follow-up telephone consultation on self-efficacy for kidney transplant patients, dissertation, Seoul National University, Seoul, 2013.
  14. E. J. Gordon, T. Prohaska, L. A. Siminoff, P. J. Minich, A. R. Sehgal. Can focusing on self-care reduce disparities in kidney transplantation outcomes?, American Journal of Kidney Diseases, 45, 5, pp. 935-940, 2005. DOI: http://dx.doi.org/10.1053/j.ajkd.2005.02.011
  15. S. Y. Kim. Predicting factors on self-care behavior in kidney transplantation patients, master's thesis, Korea University, Seoul, 2011.
  16. S. H. Yoo. The degree of educational needs of kidney transplanted patients and the degree of nurses' educational performances perceived by patients, master's thesis, Kyunghee University, Seoul, 2004.
  17. B. R. Wang, J. Y. Park, I. Y. Choi. Influencing factors for the adoption of smartphone healthcare application. The Journal of the Korea Contents Association. 11, 10, pp. 396-404, 2011. DOI: http://dx.doi.org/10.5392/JKCA.2011.11.10.396
  18. National Information Society Agency. Mobile internet use survey summary report [Internet]. Seoul: Statistics Korea, 2013 [cited 2015 september 20]. Available from: http://www.itstat.go.kr/pub/pubDetailView.it?identifier=02-008-131220-000001&pub_code=&page=1&keywords=%eb%aa%a8%eb%b0%94%ec%9d%bc.
  19. M. G. Cho, H. S. Choi, H. J. Kim, Integration of application program for dementia diagnosis using biometric sensor and oxygen chamber, Journal of the Korea Academia-Industrial cooperation Society. 14, 11, pp. 5847-5855, 2013. DOI: http://dx.doi.org/10.5762/KAIS.2013.14.11.5847
  20. M. J. Cho, J. L. Sim, S. Y. Hwang. Development of smartphone educational application for patients with coronary artery disease. Healthcare Informatics Research. 20, 2, pp. 117-124, 2014. DOI: http://dx.doi.org/10.4258/hir.2014.20.2.117
  21. S. R. Kang. Development of a nutritional program for premature infant using smart phone application, master's thesis, Ehwa Womans University, Seoul, 2012.
  22. S. L. Kim. A study on the development and application of a smartphone app for the education of patients before and after total hip arthroplasty, master's thesis, Kyunghee University, Seoul, 2016.
  23. P. K. Han, J. S. Park, B. H. Jun, B. G. Kang. A study on the factors of mobile applications adoption. Journal of the Korea Society of IT Services. 9, 3, pp. 65-82, 2010.
  24. G. S. You. Smart-learning technology based on mixed reality. Journal of Advanced Information Technology and Convergence. 9, 3, pp. 63-73, 2011.
  25. K. S. Lee. A Study on the nursing education program of development of kidney transplant patients, master's thesis, Hanyang University, Seoul, 1999.
  26. M. R. Kim. Development and evaluation of health care smart phone application evaluation tool, master's thesis, Seoul National University, Seoul, 2014.
  27. J. S. Kim. Development and effect of a web-based child health care program for the staff at child daycare centers. Journal of Korean Academy of Nursing. 40, 2 pp. 213-224, 2010. https://doi.org/10.4040/jkan.2010.40.2.213
  28. J. H. Ryu. The interaction effect of instructional efficiency and line length in comprehension of picture and text. Journal of Educational Technology. 28, 1, pp. 1-27, 2012. https://doi.org/10.17232/KSET.28.1.1
  29. J. H. Jeon. Development and evaluation of smartphone application for self-care performance of patients with chronic hepatitis B, dissertation, Chungang University, Seoul, 2015.
  30. H. J. Wang, I. O. Kim. Effects of a mobile web-based pregnancy health care educational program for mothers at an advanced maternal age. Journal of Korean Academy of Nursing. 2015;45(3):337-346. DOI: http://dx.doi.org/10.4040/jkan.2015.45.3.337
  31. H. R. Cho, J. S. Choi. Smart times, Being smarter hospital, Samsung hospital. Communications of the Korea information science society. 29, 1, pp. 93-96 2011.
  32. J. S. Choi, D. S. Kim. Smartphone usage-based medical applications and issue analysis. Journal of the Korean Institute of Industrial Engineers. 11, 22, pp. 54-61, 2011.
  33. Y. K. Lee. The utilization and content evaluation of mobile application on pregnancy, childbirth and childcare, master's thesis, Keimyung University, Daegu, 2014.