본 연구는 만성폐쇄성폐질환 노인환자의 호흡곤란 정도별 죽음불안, 우울, 무력감 및 삶의 질 관계를 살펴봄으로써 만성폐쇄성폐질환 노인환자의 신체 심리적 문제를 확인함은 물론, 이를 통해 이들의 삶의 질 향상을 위한 간호제공을 위한 기초자료 를 마련하는데 있다. 본 연구는 IRB 승인 직 후인 2014년 3월 20일부터 2014년 4월 10일까지 서울에 소재한 K대학병원에 만성 ...
본 연구는 만성폐쇄성폐질환 노인환자의 호흡곤란 정도별 죽음불안, 우울, 무력감 및 삶의 질 관계를 살펴봄으로써 만성폐쇄성폐질환 노인환자의 신체 심리적 문제를 확인함은 물론, 이를 통해 이들의 삶의 질 향상을 위한 간호제공을 위한 기초자료 를 마련하는데 있다. 본 연구는 IRB 승인 직 후인 2014년 3월 20일부터 2014년 4월 10일까지 서울에 소재한 K대학병원에 만성 폐쇄성 폐질환으로 진단받고 내원한 65세 이상의 환자 총 172명을 대상으로 하였다. 수집된 자료는 SPSS 20.0을 이용하여 연구목적과 변수의 특성에 따라 분석을 실시하였다. 연구결과를 요약하면 다음과 같다.1)연구 대상자의 일반적 특성별 호흡곤란 정도를 확인한 결과, 인구통계학적 특성은 유의한 차이가 없었다. 2) 연구 변수 간 상관관계는 죽음불안은 우울(r=.295*** )과 매우 유관하며, 삶의 질과도 음의 관계로 유관한 것(r=-.126* )으로 나타났다. 다음 우울은 무력감과 양의 관계(r=.461*** ), 삶의 질과는 음의 관계(r=-.430***)가 있는 것으로, 또한 무력감은 삶의 질과 음의 관계(r=-.477*** )로 나타났다. 3)호흡곤란 정도 별 제 변수 간 차이를 검정한 결과 호흡곤란 정도에 따라 죽음불안에 서로 통계적으로 유의한 차이가 있는 것으로 확인되었다(F=16.166 p=.000 ). 두 번째로 호흡곤란 정도에 따라 우울에 서로 통계적으로 유의한 차이가 있는 것으로 확인되었다(F=8.313, p=.000 ). 또한 호흡곤란 정도에 따라 삶의 질에 서로 통계적으로 유의한 차이가 있는 것으로 확인되었다(F=8.382,p=.000 ). 이상의 연구결과를 바탕으로 만성 폐쇄성 폐질환 노인환자의 호흡곤란이 심할수록 죽음불안, 우울이 높아지며 삶의 질은 낮아짐을 알 수 있다. 만성 폐쇄성 폐질환 노인 환자 간호 시 호흡곤란 정도를 고려해야 하며, 호흡곤란 정도에 따라 초래되는 죽음불안, 우울과 삶의 질에 대한 적절한 간호중재의 개발이 필요할 것으로 생각된다.
본 연구는 만성폐쇄성폐질환 노인환자의 호흡곤란 정도별 죽음불안, 우울, 무력감 및 삶의 질 관계를 살펴봄으로써 만성폐쇄성폐질환 노인환자의 신체 심리적 문제를 확인함은 물론, 이를 통해 이들의 삶의 질 향상을 위한 간호제공을 위한 기초자료 를 마련하는데 있다. 본 연구는 IRB 승인 직 후인 2014년 3월 20일부터 2014년 4월 10일까지 서울에 소재한 K대학병원에 만성 폐쇄성 폐질환으로 진단받고 내원한 65세 이상의 환자 총 172명을 대상으로 하였다. 수집된 자료는 SPSS 20.0을 이용하여 연구목적과 변수의 특성에 따라 분석을 실시하였다. 연구결과를 요약하면 다음과 같다.1)연구 대상자의 일반적 특성별 호흡곤란 정도를 확인한 결과, 인구통계학적 특성은 유의한 차이가 없었다. 2) 연구 변수 간 상관관계는 죽음불안은 우울(r=.295*** )과 매우 유관하며, 삶의 질과도 음의 관계로 유관한 것(r=-.126* )으로 나타났다. 다음 우울은 무력감과 양의 관계(r=.461*** ), 삶의 질과는 음의 관계(r=-.430***)가 있는 것으로, 또한 무력감은 삶의 질과 음의 관계(r=-.477*** )로 나타났다. 3)호흡곤란 정도 별 제 변수 간 차이를 검정한 결과 호흡곤란 정도에 따라 죽음불안에 서로 통계적으로 유의한 차이가 있는 것으로 확인되었다(F=16.166 p=.000 ). 두 번째로 호흡곤란 정도에 따라 우울에 서로 통계적으로 유의한 차이가 있는 것으로 확인되었다(F=8.313, p=.000 ). 또한 호흡곤란 정도에 따라 삶의 질에 서로 통계적으로 유의한 차이가 있는 것으로 확인되었다(F=8.382,p=.000 ). 이상의 연구결과를 바탕으로 만성 폐쇄성 폐질환 노인환자의 호흡곤란이 심할수록 죽음불안, 우울이 높아지며 삶의 질은 낮아짐을 알 수 있다. 만성 폐쇄성 폐질환 노인 환자 간호 시 호흡곤란 정도를 고려해야 하며, 호흡곤란 정도에 따라 초래되는 죽음불안, 우울과 삶의 질에 대한 적절한 간호중재의 개발이 필요할 것으로 생각된다.
Introduction & Purpose Elderly patients with COPD show different types of physical and emotional changes by dyspnea. However, there are not much study on the relation between death anxiety, depression, powerlessness, and quality of life according to the level of dyspnea of elderly pa...
Introduction & Purpose Elderly patients with COPD show different types of physical and emotional changes by dyspnea. However, there are not much study on the relation between death anxiety, depression, powerlessness, and quality of life according to the level of dyspnea of elderly patients with COPD. This study reviewed the relation between death anxiety, depression, powerlessness, and quality of life according to the level of dyspnea of elderly patients with chronic obstructive lung diseases. This study verified physical and emotional problems for elderly patients with COPD. Also, through these, this study is to arrange fundamental data on nursing provision to improve quality of life. Method The period to collect data was from March 20, 2014 to April 10, 2014 right after IRB approval. Researchers visited patients who visited the clinic after COPD diagnosis at K university hospital located in Seoul in person. They explained objectives of research and details of questionnaire and then obtained approval. Patients were made to fill out the survey by themselves. The collected data were analyzed according to objectives of study and features of variables by using SPSS 20.0. To review the demographic difference in each level of dyspnea for elderly patients with COPD, X² test was executed. The correlation among study variables was reviewed their relevance through Pearson's product moment correlation coefficient. In order to identify the difference among quality of life, depression, powerlessness, death anxiety in each demographic statistic for the subject, after t/F verification, post-event verification was conducted by Scheffe verification. In order to compare the difference among death anxiety, depression, powerlessness, and quality of life according to breathing level of research targets, variables which show demographically significant differences were processed by ANCOVA by Dummy for analysis. Result 1) As a result of checking the level of dyspnea in general feature of study subjects, demographical features didn’t show significant difference. 2) For the correlation among study variables, death anxiety was quite related to depression (r=.295***). It was related negatively to quality of life as well (r=-.126* ). Next, depression was related positively to powerlessness level (r=.461*** ) but negatively to quality of life (r=-.430***). In addition, powerlessness showed negative relation to quality of life (r=-.477***). 3) As a result of testing difference among variables in each dyspnea, according to dyspnea level, significant difference was verifiedin death anxiety statistically. (F=16.166 p=.000) Second, according to dyspnea level, statistically significant difference was verified in depression (F=8.313, p=.000). Besides, according to be dyspnea level, statistically significant difference was found in quality of life (F=8.382, p=.000). Conclusion In this study, significant difference among death anxiety, depression, and quality of life in each level of dyspnea for elderly patients with chronic obstructive lung diseases was checked. Therefore, nursing arbitrage is considered necessary for dyspnea which aggravates quality of life, depression, and death anxiety. Specifically, it is required that the experience of dyspnea symptoms for the elderly patients with chronic obstructive lung diseases was relieved and nursing arbitrage to prevent other complications was developed and applied to the targets in order to reduce depression and death anxiety of senior patients with chronic closed lung disease and improve quality of life.
Introduction & Purpose Elderly patients with COPD show different types of physical and emotional changes by dyspnea. However, there are not much study on the relation between death anxiety, depression, powerlessness, and quality of life according to the level of dyspnea of elderly patients with COPD. This study reviewed the relation between death anxiety, depression, powerlessness, and quality of life according to the level of dyspnea of elderly patients with chronic obstructive lung diseases. This study verified physical and emotional problems for elderly patients with COPD. Also, through these, this study is to arrange fundamental data on nursing provision to improve quality of life. Method The period to collect data was from March 20, 2014 to April 10, 2014 right after IRB approval. Researchers visited patients who visited the clinic after COPD diagnosis at K university hospital located in Seoul in person. They explained objectives of research and details of questionnaire and then obtained approval. Patients were made to fill out the survey by themselves. The collected data were analyzed according to objectives of study and features of variables by using SPSS 20.0. To review the demographic difference in each level of dyspnea for elderly patients with COPD, X² test was executed. The correlation among study variables was reviewed their relevance through Pearson's product moment correlation coefficient. In order to identify the difference among quality of life, depression, powerlessness, death anxiety in each demographic statistic for the subject, after t/F verification, post-event verification was conducted by Scheffe verification. In order to compare the difference among death anxiety, depression, powerlessness, and quality of life according to breathing level of research targets, variables which show demographically significant differences were processed by ANCOVA by Dummy for analysis. Result 1) As a result of checking the level of dyspnea in general feature of study subjects, demographical features didn’t show significant difference. 2) For the correlation among study variables, death anxiety was quite related to depression (r=.295***). It was related negatively to quality of life as well (r=-.126* ). Next, depression was related positively to powerlessness level (r=.461*** ) but negatively to quality of life (r=-.430***). In addition, powerlessness showed negative relation to quality of life (r=-.477***). 3) As a result of testing difference among variables in each dyspnea, according to dyspnea level, significant difference was verifiedin death anxiety statistically. (F=16.166 p=.000) Second, according to dyspnea level, statistically significant difference was verified in depression (F=8.313, p=.000). Besides, according to be dyspnea level, statistically significant difference was found in quality of life (F=8.382, p=.000). Conclusion In this study, significant difference among death anxiety, depression, and quality of life in each level of dyspnea for elderly patients with chronic obstructive lung diseases was checked. Therefore, nursing arbitrage is considered necessary for dyspnea which aggravates quality of life, depression, and death anxiety. Specifically, it is required that the experience of dyspnea symptoms for the elderly patients with chronic obstructive lung diseases was relieved and nursing arbitrage to prevent other complications was developed and applied to the targets in order to reduce depression and death anxiety of senior patients with chronic closed lung disease and improve quality of life.
※ AI-Helper는 부적절한 답변을 할 수 있습니다.