융합정보논문지 (Journal of Convergence for Information Technology)

중소기업융합학회 (Convergence Society for SMB)
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심혈관질환자의 활동 제한이 정신건강과 삶의 질에 미치는 영향

Effect of Activity Restriction on Mental health and the Quality of Life among patients with Cardiovascular Disease

  • Kim, Hyun-Su (Department of Nursing, KyungDong University)
  • 투고 : 2021.02.18
  • 심사 : 2021.03.20
  • 발행 : 2021.03.28
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초록

본 연구는 2016년~2018년도에 수집된 국민건강영양조사 7기 자료의 2차 분석을 통해 심혈관질환자의 활동 제한 여부에 의한 정신 건강과 삶의 질을 확인하였다. 연구대상자는 자료대상자 총 24,269명 중 협심증이나 심근경색 진단 병력이 있는 530명의 성인에서 변수의 누락이 없는 521명이다. SAS 9.4 version으로 활동 제한 유무에 따른 정신 건강과 삶의 질 차이를 Chi-square방법, 활동 제한에 의한 정신 건강과 삶의 질 영향을 Logistic regression 통계 방법으로 분석하였다. 분석 결과 활동 제한이 있을 때 스트레스 정도, 최근 2주간 우울감과 자살 생각 정도가 높아 정신 건강에 유의한 영향이 있었다. 활동 제한이 있을 때 운동능력, 자기관리, 일상활동에 더욱 지장이 있다고 느꼈고, 통증/불편감과 불안/우울감이 증가하여 삶의 질 역시 유의한 영향이 있었다. 따라서 심혈관질환자의 정신 건강 및 삶의 질 증진을 위해 활동 제한을 최소화할 수 있는 효과적인 신체 활동 증진프로그램의 개발 및 운영이 필요함을 제언한다.

This study was conducted to identify the mental health and quality of life of cardiovascular disease patients by their activities restriction through the second analysis of the 7th KNHANES collected from 2016 to 2018. The subjects of this study were 521 adults with angina or myocardial infarction who had no missing variables among 24,269 subjects. The difference between mental health and quality of life according to the activity restriction was analyzed by Chi-square method and the effect of mental health and quality of life by activity restriction by Logistic regression method using the SAS 9.4 version. The results of the analysis showed that the stress level, the depression for the last two weeks and suicide thought level was high when there was activity restriction, which had a significant effect on mental health. Mobility, selfcare and usual activities were disrupted, and pain/inconvenience and anxiety/depression increased when there was activity restriction, which also showed a significant effect on quality of life. Therefore, it is suggested that the development and operation of effective physical activity promotion program to minimize activity restriction is necessary to improve mental health and quality of life of cardiovascular patients.

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