중년기 과민성방광증후군 환자의 스트레스와 우울 = Stress and Depression in Patients with Overactive Bladder Syndrome

국문 초록 (Abstract)

본 연구는 중년기 과민성방광증후군 환자의 스트레스 및 우울을 파악하고 이들 간의 관련성을 알아보기 위한 서술적 조사연구이다. 본 연구는 G시에 있는 비뇨기과 의원 및 병원의 비뇨기과에 내원한 외래환자 중 비뇨기과 전문의에 의해 과민성방광증후군 진단을 받은 135명의 환자를 대상으로 하였다. 자료수집 기간은 2020년 1월 1일부터 2020년 3월 31일까지였으며, 구조화된 설문지를 이용하였다. 설문지는 일반적 특성 4문항, 질병관련 특성 5문항, 스트레스 10문항, 우울 20문항, 총 39문항으로 구성되었고 자료분석은 SPSS ver.25 통계 프로그램을 이용하여 기술통계, Pearson' correlation, t-검정, ANOVA를 시행하였다.
스트레스와 우울 간의 상관관계를 분석한 결과 스트레스와 우울 간의 관계는(r=.740, p=<.001) 통계적으로 유의미한 정의 관계이며, 연구 대상자의 일반적 특성에 따른 스트레스의 차이 분석 결과 성별(t=-5.569, p<.001), 연령(F=17.046, p<.00), 배우자 유무(t=-3.695, p<.0011), 몸무게(t=4.697, p=.004)에 따라 통계적으로 유의한 차이를 보였다. 연구 대상자의 일반적 특성에 따른 우울의 차이 분석 결과 성별(t=-4.445, p<.001), 배우자 유무(t=-3.078, p=.003)에 따라 통계적으로 유의한 차이가 있는 것으로 나타났다. 연구 대상자의 질병관련 특성에 따른 스트레스의 차이 분석 결과 과민성방광증후군의 증상 정도(t=4.697, p=.004)에 따라 통계적으로 유의하였다.
이상의 결과를 종합해 볼 때, 과민성방광증후군 환자의 연령대별 관리 교육 프로그램을 마련하여 교육 및 상담을 통한 간호중재가 수행되어야 하고 지지체계가 미약한 중년기 과민성방광증후군 환자들이 같은 질환의 동료집단과 함께 하는 프로그램을 시행하여 사회적 지지를 높여야 할 것이다. 또한 중년기 과민성방광증후군 환자를 대상으로 한 스트레스 해소 프로그램을 개발하여 실시함으로써 스트레스 감소를 통한 증상의 정도 감소가 이루어질 것이라 생각된다.

다국어 초록 (Multilingual Abstract)

This study is a descriptive research to identify stress levels and depression in middle-aged patients with overactive bladder(OAB), and to determine the correlation between stress levels and depression. This study involved 135 patients with OAB who visited urology clinics and urology department at hospitals located G City, South Korea, and were diagnosed with OAB by a urologist. The data collection period was from January 1, 2020 to March 31, 2020 using structured questionnaires. The questionnaires consisted of 4 items regarding general characteristics, 5 items regarding disease-related characteristics, the Korean version of Stress Scale, and the Korean version of Depression Scale . Data analysis were performed with descriptive statistics, Pearson' correlation, t-test, and ANOVA using SPSS ver. 25 statistical program.
The results of this study are as follows. Concerning the general characteristics of the subjects of this study, males were 60.0% and females were 40.0%. In terms of age, the proportion of those aged 40-49 years old was the highest with 45.9%. The proportion of those living with a spouse was 81.5%, and the proportion of those with a body weight of 60 - 69 kg was the highest with 40.7%. Concerning the disease-related characteristics of the subjects of this study, 57.0% of middle-aged patients with OAB were non-smokers, and 59.3% did not drink for one week on average. 53.3% had an average duration of sleep at night for one week of 6-7 hours, accounting for the highest proportion. In terms of duration of OAB, 44.4% had a duration of OAB of more than 5 years. The mean score for stress levels in the subjects was 13.19±8.80 points, and the mean score for depression in the subjects was 9.32±8.38 points. The results of analyzing the correlation between stress levels and depression in the subjects showed a statistically significant positive correlation between stress levels and depression in middle-aged patients with OAB (r=.740, p=<.001).
The results of analyzing gender differences in stress levels in the subjects showed statistically significant gender differences(t=-5.569, p<.001), significant age difference(F=17.046, p<.001), according to the presence or absence of a spouse(t=-3.695, p<.001), according to body weight classification(t=4.697, p=.004) in stress levels. In addition, the results of analyzing gender differences in depression in the subjects showed a statistically significant gender differences in depression in the subjects (t=-4.445, p<.001), according to the presence or absence of a spouse (t=-3.078, p=.003). The results of analyzing differences in stress levels according to the disease-related characteristics of the subjects showed no statistically significant difference in stress levels and depression according to gender, age, marital status, and weight. The severity of symptom was statistically significant with stress(t=4.697, p=.004). A statistically significant difference was observed in stress levels according to the severity of symptoms(t=4.697, p=.004).
Therefore, OAB management education programs by age group for patients with OAB should be developed to provide nursing interventions through education and counseling, and programs for middle-aged OAB patients with weak support systems to participate together with peer groups for OAB should be implemented to enhance social support. In addition, it is necessary to develop and implement stress relief programs for middle-aged patients with OAB, which are thought to reduce stress levels in patients with OAB through reducing their stress levels.

목차 (Table of Contents)

• 목 차
• (국문초록) ·········································································iii
• Ⅰ. 서 론 ············································································ 1
• 1. 연구의 필요성 ································································ 1
• 2. 연구의 목적 ··································································· 4
• 3. 용어정의 ······································································· 5
• Ⅱ. 문헌 고찰 ······································································ 7
• 1. 중년기의 과민성방광증후군 ················································ 7
• 2. 과민성방광증후군과 스트레스 ·············································· 9
• 3. 과민성방광증후군과 우울 ·················································· 10
• Ⅲ. 연구 방법 ····································································· 13
• 1. 연구설계 ····································································· 13
• 2. 연구대상 ····································································· 13
• 3. 연구도구 ····································································· 14
• 4. 자료수집기간 및 수집방법 ················································ 15
• 5. 자료분석방법 ································································ 16
• Ⅳ. 연구 결과 ····································································· 18
• 1. 대상자의 특성 ······························································· 18
• 2. 대상자의 스트레스와 우울 정도 ·········································· 20
• 3. 대상자의 스트레스와 우울 간의 상관관계 ······························ 21
• 4. 대상자의 일반적 특성에 따른 스트레스와 우울 비교 ················· 22
• 5. 대상자의 질병관련 특성에 따른 스트레스와 우울 비교 ··············· 24
• Ⅴ. 논 의 ·········································································· 27
• Ⅵ. 결론 및 제언 ································································· 32
• 1. 결론 ·········································································· 32
• 2. 제언 ·········································································· 34
• 참고 문헌 ·········································································· 35
• Abstract ············································································ 43
• 부 록 ·········································································· 46