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NTIS 바로가기근관절건강학회지 = Journal of muscle and joint health, v.23 no.3, 2016년, pp.159 - 168
김나현 (아주대학교병원 간호부) , 박진희 (아주대학교 간호대학.간호과학연구소)
Purpose: The purpose of this study was to identify the factors influencing health-related quality of life (HRQOL) of patients with chronic obstructive pulmonary disease (COPD). Methods: A sample of 108 Patients diagnosed with COPD was recruited from outpatients, at a university hospital. Data were c...
핵심어 | 질문 | 논문에서 추출한 답변 |
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만성폐쇄성폐질환자에게 우울은 어떠한 영향을 미치는가? | , 2006). 우울은 인지적 판단력을 흐리게 하고 스스로 자가 관리할 수 있는 대처능력을 약화시켜, 의학적 치료나 중재에 대한 순응도를 감소시키며 이는 증상의 악화로 이어지게 된다 (Pooler & Beech, 2014). 증상의 악화로 인한 입원의 반복은 환자의 독립성과 자율성을 더욱 저하시키고 의료진이나 가족에 대한 의존성을 증가시키며 우울을 더 악화시키는 악순환을 반복하게 되며(Pooler & Beech, 2014), 결과적으로 건강 관련 삶의 질을 저하시킨다(Blakemore et al., 2014; Kil et al. | |
만성폐쇄성폐질환의 특징은 무엇인가? | 만성폐쇄성폐질환은 적절한 치료를 받아도 점차 진행되면서 의학적으로 완치가 되지 않는 질환으로 전 세계적으로 유병률과 사망률이 증가하고 있다. GOLD (Global Initiative for Chronic Obstructive Lung Disease)의 보고서에 따르면 2020년에는 만성폐쇄성폐질환이 전 세계 사망 원인의 3위가 될 것으로 전망된다(Global Initiative for Chronic Obstructive Lung Disease, 2015). | |
만성폐쇄성폐질환자에게 불안은 어떤 방식으로 다가오는가? | 심리적 요인 중 불안은 만성질환을 가진 대상자에게 자주 나타나는 정서적 문제이다. 만성폐쇄성폐질환자는 질병이 진행됨에 따라 기도 폐쇄의 증상으로 인해 호흡곤란이 빈번하게 발생하고 이로 인해 금방이라도 질식하거나 죽음에 이를 것만 같은 경험을 하거나 호흡곤란 등의 증상악화로 인한 입 ․ 퇴원의 반복으로 불안을 경험한다(Willgoss & Yohannes, 2013). 이러한 불안은 호흡곤란을 더욱 악화시키며 재입원, 입원기간의 연장 및 사망률에도 영향을 미친다(Pooler & Beech, 2014). |
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