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NTIS 바로가기한국사물인터넷학회 논문지 = Journal of the Korea Internet of Things Society, v.4 no.1, 2018년, pp.7 - 22
전영애 (성신여자대학교 대학원 간호학과)
This descriptive investigation aims to identify a relationship between QOL, depression, and anxiety in hemodialysis patients. I conducted this research on 130 subjects aged 19 or above who have received dialysis for at least one month in the hemodialysis unit at N hospital in the city of S. However,...
핵심어 | 질문 | 논문에서 추출한 답변 |
---|---|---|
우울이란 무엇인가? | 우울은 정서적인 기분변화로부터 병적인 상태에 이르기까지의 연속선상에 있으며 침울함, 실패감, 근심, 상실감, 무력감 및 수치감을 나타내는 정서장애이다[31]. | |
투석 치료 포기는 환자에게 어떤 심리적 영향을 주는가? | 투석 치료는 생명이 연장되기는 하지만 주기적으로일생동안 받아야 하는 치료법이므로 혈액투석 환자들은 우울, 불안, 갈등, 피로감 및 성생활과 식사 등의 본능적 욕구의 좌절과 신체기능, 직업 및 가정생활의 상실 등으로 인한 환자의 생활양식이 달라지게 되고, 대상자의 삶의 질이 낮아지게 된다[3]. 또한, 치료를 포기하게 될 경우 사망하게 된다는 위협감과 생존하기 위해 평생 인공적인 투석 기계에 의존해야 한다는 절망감을 안고 살아가야 하므로 많은 스트레스에 직면하고 있고[4], 이로 인한 심리적인 불안감과 우울, 절망감 등이 가중되고 있다. | |
혈액투석 환자의 주요 신체적 증상은 무엇이 있는가? | 혈액투석 환자들은 질환과 장기적인 투석 치료로 인해 여러 가지 정신적 증상과 신체적 증상을 경험하게 된다[10,11]. 혈액투석 환자의 주요 정신적 증상으로 우울과 불안 등이 있고[11], 신체적 증상으로는 피로, 가려움, 무감각, 수면장애, 피부건조, 성욕감소와 골 질환 등이 있다[12-14]. 특히 혈액투석 환자에서 흔히 나타나게 되는 정신적 증상인 우울과 불안은 주로 부정적인 정서 상태이자 현실적 상황과 생명에 대한 위협적인 반응인 것으로[15], 이러한 부정적인 정서 상태가 지속될 경우 혈액투석 환자들은 절망감과 삶, 그리고 죽음의 갈등속에서 공포감을 느끼는 상황으로 진전되기도 한다. |
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