Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
권호 표지
DOI QR코드

DOI QR Code

Predicting Factors of Self-esteem in Patients with Hemodialysis

혈액투석환자의 자아존중감 예측요인

  • Received : 2018.06.18
  • Accepted : 2018.08.20
  • Published : 2018.08.28
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to examine the predictive relationships between the predictors and self-esteem among hemodialysis(HD) patients. Predictive correlational design, participants 154 HD patients in the Seoul. SPSS for Window 22.0 used to perform descriptive statistics, Pearson's Correlation Coefficient and Stepwise Regression analysis. The strongest predictor was uncertainty (${\beta}=-.33$, p<.001), economy (${\beta}=.18$, p<.05), occupation (${\beta}=.17$, p<.05) and health status (${\beta}=.16$, p<.05) were followed. A total explained variance was 30.0% of self-esteem (Adjust $R^2=.30$). Managing or preventing uncertainty, providing vocational education in consideration of the dialysis environment, providing employment, increasing economic level, and maintaining good health status are factors that enhance self-esteem. Conducted to investigate the self-esteem of HD patients considering the machine-dependent characteristics, future, provide the data of the study to improve the self-esteem of HD patients. Also, nursing intervention should be developed based on the findings.

본 연구는 혈액투석환자의 자아존중감 예측요인을 분석하기 위한 연구이다. 예측적 상관관계의 서술 연구로써, 서울에서 혈액투석을 받고 있는 154명을 편의 표집 하였다. SPSS 22.0프로그램을 사용하여 기술통계, 피어슨 상관관계 및 단계적 회귀분석을 실시하였다. 연구결과, 자아존중감에 가장 영향을 미치는 요인은 불확실성(${\beta}=-.33$, p<.001), 경제수준(${\beta}=.18$ p<.05), 직업유무(${\beta}=.17$ p<.05), 건강상태(${\beta}=.16$ p<.05)순으로 나타났다. 이들 변수는 혈액투석환자의 자아존증을 설명하는 변수로써 30.0%의 설명력을 보였다(Adjust $R^2=.30$). 불확실성을 관리 예방하고, 투석환경을 고려한 직업교육을 실시, 일자리를 제공하여 경제적 수준을 높이고, 양호한 건강상태를 유지하는 것이 자아존중감을 향상시키는 요소라 할 수 있다. 본 연구는 혈액투석환자들의 기계 의존적 특성을 고려하여 자아존중감을 살핀 연구로써 의의가 있으며, 향후 환자들의 자아존중감 향상을 위한 연구의 지초자료를 제공할 수 있을 것이다. 또한, 연구결과를 바탕으로 간호 중재의 필요성이 있다.

Keywords

References

  1. M. Anne. (2008). Chronic kidney disease: The Diagnosis of a "Unique" chronic disease. Journal of The Canadian Association of Nephrology Nurses and Technologists, 18(1), 34-38.
  2. Korean Society of Nephrology. Medical information for hemodialysis patients.[internet]. Seoul: The Korean Society of Nephrology; 2006 [cited 2017 October10]. Available from: http://www.ksn.or.kr/rang_board/list.html?code=sinchart.
  3. M. H. Mishel. (1998). Uncertainty in Illness. Journal of Nursing Scholarship, 20(4), 225-232. DOI : https://doi.org/10.1111/j.1547-5069.1988.tb00082.x
  4. Y. J. Kim & H. J. Choi. (2012). The Influence of uncertainty and social support on general well-being among hemodialysis patient. Journal of Rehabilitation Nursing, 15(1), 20-29. DOI : https://doi.org/10.5762/KAIS.2018.19.4.265
  5. S. J. Yun & Y. H. Lee. (2012). Factors influencing uncertainty in dialysis patient by duration dialysis. Korean Journal of Adult Nursing, 24(6), 597-606. DOI : https://doi.org/10.7475/kjan.2012.24.6.0597
  6. J. E. Cha & D. L. Han. (2014). Factors related to hope and relationships between hope, physical symptom, depressive mood and quality of life in young adult and prime-aged patients with hemodialysis. Journal of The Korean Academy of Psychiatric and Mental Health Nursing, 23(4), 250-258. DOI : https://doi.org/10.12934/jkpmhn.2014.23.4.250
  7. N. S. Seo & S. J. Kang. (2015). Its relationship with symptoms index, self efficacy and family support in hemodialysis patients. Journal of the Korea Academia -Industrial cooperation Society, 16(10), 6483-6494. DOI : https://doi.org/10.5762/KAIS.2015.16.10.6483
  8. C. Roy & H. Andrews. (1999). The Roy Adaptation Model. 2nd ed. Upper Saddle : River(NJ). Person.
  9. H. Andrews & C. Roy. (1991). Essentials of the Roy Adaptation Model. Norwalk(CT) : Appleton & Lange.
  10. H. S. Lee, E. S. Jung, K. A. Choi & S. O. Yu. (2016). The effects of characteristics of nurses on knowledge and nursing performance evaluation of evidence based hemodialysis nursing practice in hemodialysis unit nurses. Journal of Korean Clinical Nursing Research, 22(2), 225-237. DOI : https://doi.org/10.22650/JKCNR.2016.22.2.225
  11. E. R. Kim. (2014). Stress, state anxiety, family support, patient provider relationship and sleep disturbance of hemodialysis patient. Journal of the Korean Data Analysis Society, 16(4), 2161-2175. UCI : http://uci.or.kr/G704-000930.2014.16.4.010
  12. S. R. Suh & I. H. Cho. (2014). Influence of hemodialysis patients stress and acceptance on their psychosocial adaptation and quality of life. The Korea Contents Society, 14(11), 829-837. DOI : https://doi.org/10.5392/JKCA.2014.14.11.829
  13. S. Y. Kim & J. H. Yang. (2015). Factors influencing the stress of patients on hemodialysis. The Journal of Korean Academic Society of Nursing Education, 21(3), 340-349. DOI : https://doi.org./10.5977/jkasne.2015.21.3.340
  14. M. Rosenberg. (1985). Self-concept and psychological well-being in adolescence : The development of the self (Ed). Orlando : Academic Press.
  15. H. M, Cho & E. K. Yoo. (2014). The factors influencing the resilience among hemodialysis patients. Journal of Korean Adult Nursing, 26(6), 614-620. DOI : https://doi.org/10.7475/kjan.2014.26.6.614
  16. M. H. Mishel. (1981). The Measurement of uncertainty in illness. Nursing Research, 30(5), 258-263. DOI : http://dx.doi.org/10.1097/00006199-198109000-00002
  17. C. Chung, M. J. Kim, M. H. Rhee & H. G. Do. (2005). Functional status and psychosocial adjustment in gynecologic cancer patient receiving chemotherapy. Korean Journal of Women Health Nursing, 11(1), 58-66.
  18. S. D. Weisbord et al. (2005). Prevalence, severity, and importance of physical and emotional symptoms in chronic hemodialysis patients. Journal of American Society Nephrology, 16(8), 2487-2494. https://doi.org/10.1681/ASN.2005020157
  19. J. P. Glassi, R. Schanberg & W. B. Ware. (1992). The patient reaction assessment : A brief measure of the quality of the patient-provider medical relationship. Psychological assessment, 4(3), 346-351. DOI : http://dx.doi.org/10.1037/1040-3590.4.3.346
  20. J. Riehl-Sisca. (1989). Conceptual models for nursing practice(3rd Ed). Norwalk(CN) : Appleton, Lange.
  21. K. S. Baldree, S. P. Murphy & M. J. Powers. (1982). Stress identification and coping patterns in patients on hemodialysis. Nursing Research, 31(2), 107-112.
  22. J. Hur. (2005). A study of treatment related stress and stress coping method of hemodialysis noncompliant patient. Journal of Korean Academy of Nursing Administration, 11(4), 1-10.
  23. M. Rosenberg. (1965). Society and the adolescent self-image. Princeton : Princeton University Press.
  24. B. J. Jeon. (1974). Self-esteem : A test of its measurability. YonSei Nonchong, 11, 107-129.
  25. H. S. Jang, C. S. Lee & Y. H. Yang. (2015). Influence of uncertainty and a appraisal on self-management in hemodialysis patients. Journal of Korean Academy of Nursing Administration, 45(2), 271-279. DOI : http://dx.doi.org/10.4040/jkan.2015.45.2.271
  26. S. H. Kim & E. S. Lee. (2017). The effects of comprehensive education program on anxiety, uncertainty and athletic performance of patients undergo spinal nerve block. The Journal of Korean Academic Society of Adult Nursing, 29(2), 143-153. DOI : https://doi.org/10.7475/kjan.2017.29.2.143
  27. Y. M. Chun & S. Y. Park. (2016). Effects of the auricular acupressure on pruritus and fatigue in hemodialysis patients. Journal of Korean Academic Society of Adult Nursing, 28(4), 436-446. DOI : https://doi.org/10.7587/kjrehn.2014.1
  28. M. E. Kang & Y. K. Kim. (2017). Effects of acupressure on pruritus and sleep in patients on hemodialysis. The Korean Journal of Fundamentals of Nursing, 24(1), 9-17. DOI : https://doi.org/10.7739/jkafn.2017.24.1.9