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혈액투석환자의 질병지각과 생리적 지표가 자기관리에 미치는 영향
강보미(Bomi Kang),이윤신(Yoonshin Lee),석소현(Sohyune Sok) 한국콘텐츠학회 2020 한국콘텐츠학회논문지 Vol.20 No.4
본 연구는 혈액투석환자의 질병지각, 생리적지표, 자기관리의 관계를 확인함으로서 혈액투석환자의 자기관리를 증진시키기 위한 간호중재를 위한 기초자료를 제공하기 위함이다. 연구의 대상자는 서울소재 대학병원의 혈액투석환자 134명이다. 자료수집은 자가보고실설문지와 의무기록조회를 통해 수집되었다. 수집된 자료는 SPSS/WIN 23.0 통계프로그램을 통해 백분율, 평균 및 표준편차, independent t-test, ANOVA, Pearson correlation coefficient와 multiple regression으로 분석하였다. 분석결과 헐액투석환자의 자기관리에 유의한 차이가 있는 8개 변수가 확인되었다. 신장이식 대기등록 여부(β=-.20, p 〈.05)와 질병지각의 하위항목중 결과(β=-.20, p =.031), 치료통제감(β=.19, p =.040), 이해도(β=-.18, p =.049), 생리적 지표 중 헤마토크릿(β=.38, p <.001), 헤모글로빈(β=.29, p =.005), 혈중요소질소(β=-.25, p =.010), 혈중 인(β=.22, p =.033)의 8가지 변수로 확인되었다. 이 요인들의 혈액투석환자의 자기관리에 대한 설명력은 26.3%였다. 이에 혈액투석환자의 자기관리를 증진시키기 위해서는 생리적지표에 대한 이해를 높이고 치료통제감을 높이는 질병지각중재 프로그램의 개발이 마련되어야 할 것이다. This study provides basic data for nursing intervention to increase self management of hemodialysis patients by identifying the relation among their illness perception, physiological indicators, and self management. The participants were 134 patients receiving hemodialysis at a general hospital in Seoul. Data were collected by using a structured questionnaire and medical records. The collected data were analyzed by using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient and multiple regression analysis with the SPSS/WIN 23.0 program. The significant factors influencing self-management of hemodialysis patients have been identified with 8 variables. The first one is registration for kidney transplantation (β=-.20, p =.034). Among sub items of illness perception are consequence (β=-.20, p =.031), treatment control (β=.19, p =.040), and illness coherence (β=-.18, p =.049). In addition, among physiological indicators are hematocrit (β=.38, p <.001), hemoglobin (β=.29, p =.005), BUN (β=-.25, p =.010), and phosphorous (β=.22, p =.033). These variables explained 26.3% for self-management of hemodialysis patients. In order for hemodialysis patients to improve their self-management, a concrete nursing intervention improving the treatment control among illness perception as well as improving the understanding of physical indicators needs to be provided.
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수술실 간호사의 언어폭력 경험, 업무 스트레스, 회복탄력성과 의사소통능력 간 관계
정혜정(Jung, Hyejung),이윤신(Lee, Yoonshin),신성희(Shin, Sung Hee) 한국간호행정학회 2020 간호행정학회지 Vol.26 No.2
Purpose: This study was done to provide basic data for nursing intervention to increase communication ability of operating room nurses by identifying the relation among their verbal violence experience, job stress, resilience, and communication ability. Methods: The participants were 136 nurses, working in the operating rooms of six academic and general hospitals located in Seoul and Gyeonggi-Do. Data were collected from May 1st through October 31st, 2016. Collected data were analyzed for frequency and percentage, mean and standard deviation, association among related factors, and stepwise multi-regression using the SPSS 21.0 program. Results: It was found that the strongest factor influencing the communication ability of operating room nurses was persistence (β=.41, p<.001; sub-item of Resilience), followed by support (β=.26, p=.001; sub-item of Resilience). These two sub-items have positive influences on communication ability of operating room nurses. The lack of professional knowledge and skill (β=-.19, p<.001; sub-item of job stress) and verbal violence experience from nurse (β=-.16, p<.001; sub-item of verbal violence experience) have negative influences on communication ability of operating room nurses. These sub-items explained 47.0% of communication ability of operating room nurses. Conclusion: The study results can be used as basic data to develop effective communication. Also, the results show the necessity of developing and applying concrete nursing interventions to improve job satisfaction of operating room nurses.
ScienceON
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