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혈액투석을 받는 당뇨병성 신증 환자의 자가관리행위 영향요인
- Alternative Title
- Young-jin Cho
- Author(s)
- 조영진
- Alternative Author(s)
- Young-jin Cho
- Advisor
- 김춘자
- Department
- 일반대학원 간호학과
- Publisher
- The Graduate School, Ajou University
- Publication Year
- 2020-02
- Language
- kor
- Abstract
- 본 연구목적에 따른 주요결과는 다음과 같다. 1. 연구대상자의 자가관리행위 정도는 최대 115점에 평균 85.03(±13.1)점, 자기효능감 정도는 최대 36점에 평균25.12 (±5.39)점, 건강정보이해력 정도는 최대 56점에 평균 39.11(±9.57)점이었다. 연구대상자의 일반적 및 질병관련 특 성에 따른 자가관리행위는 통계적으로 유의한 차이가 없었다. 2. 연구대상자의 자가관리행위는 자기효능감과 유의한 양의 상관관계(r=.63, p<.001), 건강정보이해력과 유의한 양의 상관관계(r=.31, p=.001)가 있었다. 3. 연구대상자의 자가관리행위에 유의한 영향요인은 자기효능감(β=.59, p<.001)과 건강정보이해력(β=.22, p=.004)으로 나타났다. 회귀모형이 통계적으로 유의하였으며, 자가관리행위에 대한 자기효능감의 설명력은 39%였고, 자가관리행위에 대한 자기효능감과 건강정보이해력의 총 설명력은 43.5%로 나타났다(R²=.435, F=40.88, p<.001). 본 연구를 통해 혈액투석을 받는 당뇨병성 신증 환자의 자가관리행위의 유의한 영향요인은 자기효능감과 건강정보이해력으로 확인되었다. 따라서 본 연구결과를 토대로 혈액투석을 받는 당뇨병성 신증 환자의 자기효능감을 높이고, 건강정보이해력을 높여 자가관리행위를 향상 시킬 수 있는 중재 전략 및 프로그램 개발을 제언한다.
- Alternative Abstract
- This study examined self-management behaviors, self-efficacy, and health literacy and factors affecting self-management behaviors in adults with diabetic nephropathy undergoing hemodialysis. The participants in this study were 109 adults with diabetic nephropathy who were regularly undergoing hemodialysis at two hemodialysis units in Suwon, Korea. Data were collected from Jul. 8 to Sep. 30, 2019 after approval of IRB. We used the Self-management Behaviors Scale developed by Jun(2018); the Self-efficacy Scale developed by Kim(1995); the Health Literacy Scale developed by Ishikawa et al.(2008) and translated to Korean by Lee(2016). Data analyses were performed using SPSS/Win 25.0 program for descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and Hierarchical regression. The main results of this study are as follows. 1. The averages of self-management behaviors, self-efficacy, and health literacy were 85.03±13.1(out of 115 points), 25.12±5.39(out of 36 points), 39.11±9.57(out of 56 points), respectively. 2. Self-management behaviors were positively associated with self-efficacy(r=.63, p<.001) and health literacy(r=.31, p=.001). There was no a significant difference in self-management behaviors according to general characteristics. 3. Factors influencing participants’ self-management behaviors were self-efficacy (β=.59, p<.001) and health literacy(β=.22, p=.004). The total explanatory variance was 43.5%(R²=.435, Adjusted. R²=.425; F=40.88, p<.001). In conclusion, this study confirmed that factor influencing self-management behaviors were self-efficacy and health literacy among adults with diabetic nephropathy undergoing hemodialysis. Therefore, the current study suggested that intervention strategies for enhancing their self-efficacy and health literacy should be beneficial to improve self-management behaviors of adults with diabetic nephropathy undergoing hemodialysis.
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- Graduate School of Ajou University > Department of Nursing > 3. Theses(Master)
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