뇌졸중 환자 보호자의 부양부담감 및 우울감과 정신건강관련 삶의 질과의 관련성

국문 초록 (Abstract)

연구목적: 본 연구는 청주시와 대전광역시에 소재한 7개의 종합병원에서 뇌졸중으로 진단받은 입원환자의 보호자 226명을 대상으로 부양부담감 및 우울감과 정신관련 삶의 질을 파악하고자 조사하였다. 연구방법: 자료 수집은 2015년 8월 5일부터 10월 5일까지이며 구조화된 설문지로 자기기입식 설문조사를 하였다. 조사대상자의 인구사회학적 특성, 건강관련행위 특성 및 간병관련 특성, 부양부담감, 우울감에 따른 정신건강관련 삶의 질의 평균점수 비교는 t-test 및 ANOVA로 검정하였다. 단변량 분석에서 유의한 차이를 보인 변수를 독립변수로 하여 종속변수에 대한 독립변수들의 단계별 투입에 따른 설명력을 파악하기 위하여 위계적 다중회귀분석(hierarchial multiple regression)을 실시하였다. 연구결과: 위계적 다중회귀분석 결과, 정신관련 삶의 질에 영향을 미치는 관련변수로는 환자와의 관계, ‘보호’에 대한 부담감, ‘개인적 희생’에 대한 부담감, 우울감이 유의한 변수로 선정되었다. 결론: 정신건강관련 삶의 질을 높이기 위해서는 건강관련행위특성, 간병관련 특성에 대한 제도적 보완과 더불어 부양부담감과 우울감을 적절하게 대응할 수 있는 중재프로그램의 개발 및 실시가 필요할 것으로 생각된다.

다국어 초록 (Multilingual Abstract)

Objective: This studyexamined the caregiver burden, depressive symptoms, and mental-related quality of life of 226 caregivers of stroke patients, who had been hospitalized in 7 general hospitals located in Cheongju and Daejeon Metropolitan city. Methods: Data werecollected from August 5, 2014 to October 5, 2014 and a structured self-administered questionnaire was used. The resultswereanalyzed using a t-test, ANOVA for different comparisonsof themental related quality of life in the sociodemographic characteristics, care-related characteristics, health-related behavioral characteristics, caregiver burden, and depressive symptoms. Hierarchical multiple regression was conductedto determine the explanatory power of the independent variables on the dependent variables, with the variables showing significant differences in univariate analysis as independent variables. Results: According to the results of hierarchical multiple regression analysis, the relevant factors that influenced the mental-related quality of life were the relationship with a patient, burden by "care", burden by sacrifice of "personal life", and depressive symptoms. Conclusion: To enhance health-related quality of life, not only is a systematic complement on such factors needed, but the development and implementation of an intervention program to the caregiver burden and depressive symptoms isalso urgently required.

목차 (Table of Contents)

• 요약
• Abstract
• 1. 서론
• 2. 조사대상 및 방법
• 3. 연구결과
• 4. 고찰
• 6. 결론
• References

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