본 연구는 결핵환자의 자가간호수행 영향요인을 파악하기 위하여 시도되었다. 자료수집은 2012년 9월 17일부터 10월 17일까지 C시의 M병원 외래로 방문하여 치료를 받고 있는 결핵환자 216명을 대상으로 하였다. 연구도구는 자가간호수행, 건강신념(민감성 심각성, 유익성, 장애성) 및 가족지지 척도를 이용하였다. 자료분석은 SPSS/WIN 19.0 프로그램을 이용하여 기술적 통계, t-test, One-way ANOVA, Pearson's correlation coefficients, multiple regression analysis로 분석하였다. 대상자의 자가가호수행은 5점 만점에 3.76점으로 나타났다. 대상자의 성별, 결혼상태, 동거가족, 월평균 수입, 흡연 상태, 음주 상태, 결핵약 복용 기간에서 유의한 자가간호수행 차이가 있었다. 대상자의 자가간호수행은 유익성, 장애성, 가족지지와 상관관계가 있었다. 자가간호수행에 영향을 미치는 요인은 가족지지, 장애성, 월평균 수입, 흡연상태, 유익성으로 나타났다. 이러한 본 연구의 결과는 결핵환자의 자가간호수행 프로그램을 개발하는데 활용할 수 있다고 본다.
The study was done to identify factors influencing self-care in tuberculosis (here in after TB) patients. Data were collected by questionnaires from 216 TB chemotherapy as outpatients by visiting a "M" TB hospital located in the C city. Measures were self-care, health-belief(susceptibility and severity, benefit, barrier), and family support. Data were analyzed using descriptive statistics, t-test, One-way ANOVA, Pearson's correlation coefficients, and multiple regression analysis with the SPSS/WIN 19.0 version. The subjects' self-care score 3.76 out of 5. There were significant differences in self-care among the subjects due to gender, marital status, family structure with the subjects, average monthly income, smoking status, drinking status and period of taking TB drugs. There were significant correlations among benefit, barrier, family support, and self-care. According to the research, influencing factors on self-care in TB patients included family support, barrier, average monthly income, smoking status, and benefit. Findings from this study can be used as basic data to develop self-care programs for TB patients.
적절한 관리가 되지 않으면 유병률 장기화, 약제 내성 결핵 이환으로 인한 사망 등을 초래하여 심각한 문제를 야기하기 때문이다
결핵은 다른 질환과는 달리 급성기를 지나 퇴원 후에도 정확한 결핵약제의 병합과 용량, 규칙적인 투약, 적정한 치료기간 유지 등의 추후관리가 이루어져야 한다. 그이유는 적절한 관리가 되지 않으면 유병률 장기화, 약제 내성 결핵 이환으로 인한 사망 등을 초래하여 심각한 문제를 야기하기 때문이다. 그러므로 결핵환자는 입원치료 뿐 만 아니라 퇴원 후에도 지속적인 자가간호가 필요하다.
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