알코올중독자의 음주심각도 관련요인

국문 초록 (Abstract)

국문초록

알코올중독자의 음주심각도 관련요인
김 민 경
(지도교수 : 배 정 이)
인제대학교 대학원 간호학과

목적 : 본 연구는 알코올중독자의 음주심각도에 영향을 미치는 관련요인을 규명하여 중재 가능한 요인을 파악하고, 효율적인 금주와 재활을 위한 방안을 모색하고자 한다.

방법 : 본 연구는 2011년 8월 1일부터 8월 31일까지 부산과 경남에 소재한 4개 정신과 병원에 알코올중독으로 진단받고 입원 중인 188명을 대상으로 하였다. 연구도구는 자아존중감, 금주효능감, 사회적 지지, 알코올사용장애 선별도구(AUDIT)를 이용하였다. 수집된 자료는 SPSS 19.0통계프로그램을 이용하여, 대상자의 인구사회학적 특성은 빈도와 백분율로, 음주심각도와 관련요인은 평균과 표준편차로 분석하였다. 대상자의 특성에 따른 음주심각도의 차이는 t-test와 ANOVA검정을 이용하고, 사후검정에는 Seheffe test를 이용하였다. 연구대상자의 관련요인 및 음주심각도의 상관관계 검정은 Pearson's Correlation Coefficient로 분석하였고, 알코올중독자의 음주심각도 관련 요인을 알아보기 위해 다중회귀분석(multiple regression)을 이용하였다. 측정도구의 신뢰도 검증은 Cronbach's Alpha로 분석하였다.

결과 : 본 연구를 통하여 다음과 같은 결과가 밝혀졌다.
1. 대상자는 50대 이상의 남자가 대부분을 차지하고 있었고, 결혼상태는 미혼과 이혼 및 별거가 많으며, 대상자의 음주관련 특성으로 단주 경험이 있는 경우가 72.3%이며, 가족력이 있는 경우가 93.6%로 대부분을 차지하고 있었다. 문제성 음주가 시작된 연령은 30대가 가장 높게 나타난 반면, 알코올중독 진단을 받은 연령은 40대 이상이 많은 비율을 차지하였다.
2. 대상자의 관련요인 및 음주심각도의 정도를 조사한 결과, 자아존중감은 0∼40점의 범위에서 21.07(6.12)점이었으며, 금주효능감은 0∼80점의 범위에서 46.03(13.17)점이었다. 사회적 지지는 25∼125점의 범위에서 69.46(20.54)점이었으며, 음주심각도는 0∼49점의 범위에서 24.09(6.95)점이었다.
3. 대상자의 인구사회학적 특성에 따른 음주심각도의 차이를 분석한 결과, 연령(F=3.67, p=.027), 결혼상태(F=11.74, p<.001), 신체적 질환 유무(t=-.2.24, p=.026)에 따라 통계적으로 유의한 차이를 나타내었으며, 음주관련 특성에 따라서는 주량(F=10.42, p<.001), 가족력 유무(t=-1.95, p=.050), 문제성 음주가 시작된 연령(F=3.78, p=.011), 알코올 중독 진단을 받은 연령(F=4.76, p=.010), 입원에 대한 의사결정(t=-1.99, p=.048)에 따라 유의한 차이를 나타내었다.
4. 음주심각도는 자아존중감(r=-.16, p=.038), 금주효능감(r=-.43, p<.001)과 통계적으로 유의한 음의 상관관계를 보였다. 자아존중감과 사회적 지지(r=.57, p<.001), 금주효능감과 사회적 지지(r=.22, p=.003)는 각각 양의 상관관계를 나타내었다. 즉 사회적 지지가 높을수록 자아존중감과 금주효능감이 높고, 자아존중감과 금주효능감이 낮을수록 음주심각도가 높아짐을 의미한다.
5. 음주심각도에 영향을 미치는 관련 변인은 금주효능감(β=-.38, t=-6.05, p<.001), 주량(β=.31, t=4.92, p<.001), 문제성 음주가 시작된 연령(β=.22, t=3.57, p<.001)이였으며, 이들 요인들의 음주심각도에 대한 설명력은 29%였다.
결론 : 알코올중독자의 음주심각도 관련요인으로 자아존중감과 금주효능감이 통계적으로 유의한 관계가 있음을 확인하였다. 즉, 자아존중감과 금주효능감이 낮을수록 음주심각도가 높음을 의미한다. 따라서 알코올중독자의 성공적인 금주와 재활을 위한 중재 프로그램에 자아존중감과 금주효능감을 증가시킬 수 있는 내용을 함께 포함하여야 할 것이다.
중심단어 : 알코올중독, 자아존중감, 금주효능감, 사회적지지, 음주심각도

다국어 초록 (Multilingual Abstract)

Abstract
The Influencing Factors on Severity of Drinking in Alcoholism

Mingyeong Kim
(Advisor: Prof, Jeongyee BAE.)
Inje University School of Nursing

Purpose: This study is focused on related factors affecting severity of drinking by identifying the factors that determine the interventions and effective treatments to look for ways to develop a systematic and practical nursing Arbitration Act .

Methods: This study was conducted from August 1st, 2011 to August 31st, 2011. It was located in four psychiatric hospitals in Busan and Gyeongnam and there were 188 participants, who were all diagnosed with alcoholism. Research tools that were used are self-esteem, abstinence-efficacy, social support, and alcohol use disorders screening tool (AUDIT). The data, the frequency and percentage of those general characteristics, related factors and the degree of severity of drinking was collected using the SPSS 19.0 statistical program and was analyzed using the mean and standard deviations. The characteristics of subjects according to the degree of difference between severity of drinkings were found by using the t-test and the ANOVA test and post-tests were conducted by using the Seheffe test. The factors and severity of drinking related to the degree of correlation test of the subjects were analyzed with the Pearson's Correlation Coefficient. The reliability of measurement tools were analyzed by the Cronbach's Alpha.
Results: Through this study revealed the following results.
1. Most of the subjects were more than 50 years old men who were either unmarried, divorced or separated. Subjects responded that they have no physical illness the most, as well as in need of financial assistance with 31.4%. 72.3 percent had staccato nature, and most of them drink one to two bottles of soju. 93.6% had family history. The problematic drinking mostly started to happen in the subjects' thirties, whereas alcoholism was diagnosed at the age of 40 and up. Hospitalization due to alcohol were mostly involuntary
2. After surveying the subject's self-esteem, abstinence-efficacy, social support, and survey the extent of severity of drinking, self-esteem was in the range of 0 to 40 points 21.07 (6.12) points on average, abstinence-efficacy was in the range of 0 to 80 points 46.03 ( 13.17) on average. Social support was in the range of 25 to 125 points 69.46 (20.54) points on average, and severity of drinking was in the zero to 49 point range, 24.09 (6.95) on average.
3. Through analyses, sociological characteristics of subjects according to population differences in severity of drinking could be seen according to age (F = 3.67, p =. 027), marital status (F = 11.74, p <.001), having physical illness (t =-. 2.24, p =. 026). There was a statistically significant difference, depending on the nature of the alcohol-related drinking (F = 10.42, p <.001), whether a family history was involved (t =- 1.95, p =. 050), age of start of problematic drinking (F = 3.78, p =. 011), who was diagnosed with alcoholism, age (F = 4.76, p =. 010), on admission forms (t =- 1.99, p =. 048) showed significant differences.
4. Degree of severity of drinking was shown to be significantly negatively related with of self-esteem (r =-. 155, p =. 038), abstinence-efficacy (r =-. 426, p <.001) statistically. Self-esteem and social support (r =. 567, p <.001) had a positive correlation, whereas abstinence-efficacy and social support (r =. 219, p =. 003) showed a positive correlation. That is, a higher self-esteem and social support tends to bring high abstinence-efficacy, and self-esteem and with lower abstinence-efficacy degree bring about high severity of drinking.
5. Severity of alcohol-related variables affecting efficacy of the week (β =-. 38, t =- 6.05, p <.001), drinking (β =. 31, t = 4.92, p <.001), Questionable started drinking age (β =. 22, t = 3.57, p <.001) yiyeoteumyeo, these explanatory factors for the severity of the alcohol was 29%.
Conclusions: This study confirmed that abstinence-efficacy and self-esteem have a statistically significant relationship as factors related to severity of drinking of alcoholics. The lower the self-esteem and abstinence-efficacy degree were, the higher the degree of severity of drinking was. Thus, it may be important in nursing to analyze each individual's high-risk situations and to find a therapeutic approach that improves the management of those situations in order to increase self-esteem and abstinence-efficacy.
Key words: alcohol addiction, self-esteem, abstinence-efficacy, social support, severity of drinking

목차 (Table of Contents)

• 목 차
• 표 목차(List of Tables)
• 국문초록 ···············································································
• i
• Abstract ···············································································
• iii
• Ⅰ. 서 론 ·············································································
• 1
• 가. 연구의 필요성 ·································································
• 1
• 나. 연구 목적 ·······································································
• 3
• 다. 용어 정의 ·······································································
• 3
• Ⅱ. 문헌고찰 ·······································································
• 5
• 가. 알코올중독자의 음주심각도‧················································
• 5
• 나. 알코올중독과 자아존중감 및 금주효능감································
• 6
• 다. 알코올중독과 사회적 지지···················································
• 8
• Ⅲ. 연구 방법 ······································································
• 10
• 가. 연구 설계 ·······································································
• 10
• 나. 연구 대상 ·······································································
• 10
• 다. 연구 도구 ·······································································
• 11
• 라. 자료수집방법 및 절차 ······················································
• 12
• 마. 자료 분석 방법 ································································
• 13
• 바. 연구의 제한점 ·································································
• 13
• Ⅳ. 연구결과 ·······································································
• 14
• 가. 대상자의 특성 ·································································
• 14
• 1. 인구사회학적 특성 ···························································
• 14
• 2. 음주관련 특성 ·································································
• 16
• 나. 자아존중감, 금주효능감, 사회적 지지 및 음주심각도 ··············
• 18
• 다. 차이검정 ·········································································
• 19
• 1. 인구사회학적 특성에 따른 음주심각도의 차이 ·······················
• 19
• 2. 음주관련 특성에 따른 음주심각도의 차이 ·····························
• 21
• 라. 음주심각도와 관련요인 상관관계 ·········································
• 23
• 마. 음주심각도 관련요인의 회귀분석 ·········································
• 24
• Ⅴ. 논 의 ············································································
• 25
• Ⅵ. 결론 및 제언 ·································································
• 29
• 참고문헌 ···············································································
• 32
• 부록 ·····················································································
• 36
• 감사의 글 ··············································································
• 43