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The Effect of Social Support and Resilience on Sick Role Behavior of Hemodialysis Patients

혈액투석환자의 사회적지지, 회복탄력성이 환자역할행위 이행에 미치는 영향

  • Received : 2019.03.11
  • Accepted : 2019.05.20
  • Published : 2019.05.28

Abstract

This was a descriptive study to investigate the effect of social support and resilience on sick role behaviors of hemodialysis patients, and aims to provide base data on nursing intervention programs for improving the sick role behaviors of hemodialysis patients. The study subjects was patients with chronic kidney disease undergoing hemodialysis treatment at a general hospital in D city. The final analysis has been made on 131 questionnaires. The average of social support score was $3.93{\pm}0.84$, and resilience score was $2.67{\pm}0.80$. At last sick role behavior score was $3.99{\pm}0.80$. According to the analysis on the correlations among the study subjects' social support, resilience and sick-role behaviors, the social support had statistically and significantly positive correlation. In regression analysis, frequency of dialysis, social support and resilience have appeared to be the variables influencing sick role behavior, and the explanatory power of this model is 44.0%.

본 연구는 혈액투석환자의 사회적지지와 회복탄력성이 환자역할행위 이행에 미치는 영향을 파악하고, 혈액투석 환자의 환자역할행위 이행 증진을 위한 간호중재 프로그램의 기초자료를 제공하고자 시도되었다. 연구방법은 D광역시에 위치한 일개 종합병원에서 정기적으로 혈액투석 치료를 받고 있는 만성콩팥병 환자 131명의 설문지를 최종 분석하였다. 연구의 분석결과 혈액투석환자의 사회적지지는 $3.93{\pm}0.84$점, 회복탄력성은 $2.67{\pm}0.80$점이었고, 환자역할행위 이행은 $3.99{\pm}0.80$점으로 나타났다. 사회적지지가 높을수록 회복탄력성과 환자역할행위 이행이 증가하며 회복탄력성이 높을수록 환자역할행위 이행이 증가하는 것으로 나타났다. 대상자의 환자역할행위 이행에 영향을 미치는 요인으로 투석횟수, 사회적지지, 회복탄력성이 있었고 모형의 설명력은 44.0%이었다. 환자역할행위 이행을 증진시키기 위해서는 회복탄력성을 활용하고 사회적지지를 지속적으로 유지하는 간호중재 프로그램을 연구, 개발이 필요할 것으로 생각된다.

Keywords

Table 1. Differences in Social Support, Resilience, and Sick Role Behavior According to General Characteristics and Disease-related Characteristics of the Subject

OHHGBW_2019_v10n5_385_t0001.png 이미지

Table 2. The Social Support, Resilience, and The Sick Role Behavior in the Subjects

OHHGBW_2019_v10n5_385_t0002.png 이미지

Table 3. The Correlation between Social Support, Resilience and Sick Role Behavior of the Subject

OHHGBW_2019_v10n5_385_t0003.png 이미지

Table 4. Regression Equation Values for the Prediction of Sick Role Behavior

OHHGBW_2019_v10n5_385_t0004.png 이미지

References

  1. Kidney Disease Improving Global Outcomes (KDIGO) Blood Pressure Work Group. (2012). KDIGO Clinical Practice Guideline for the Management of Blood Pressure in Chronic Kidney Disease. Kidney International Supplements, 2, 337-414 https://doi.org/10.1038/kisup.2012.46
  2. Y. M. Cho & K. S. Yun. (2017). The Relationship between of Uncertainty, Depression, Physiologic index and Basic Psychologic need of Hemodialysis Patient. Journal of Digital Convergence, 15(10), 281-291. https://doi.org/10.14400/JDC.2017.15.10.281
  3. Y. M. Cho, Y. H. Seo & M. J. Park. (2018). Relationship between Uncertainty in Illness, Subjective Health Status, and Compliance with Sick Role Behavior according to Levels of Health Literacy in Hemodialysis Patients. The Korean Academic Society of Adult Nursing, 30(4), 437-446. https://doi.org/10.7475/kjan.2018.30.4.437
  4. Leggat, J. E. Jr. (2005). Adherence with dialysis: a focus on mortality risk. Seminars in dialysis, 18(2), 137-141. https://doi.org/10.1111/j.1525-139X.2005.18212.x
  5. Y. S. Choi. (2008). A Study On The Relationship between perceived Social Support, and Compliance with Sick Role Behavior in Elderly Hemodialysis Patients. Master's thesis. Hanyang University, Seoul.
  6. Baines, L. S. & Jindal, R. M. (2000). Noncompliance in patiens recevig hemodialysis: an in-depth review, Nephron, 85, 1-7 https://doi.org/10.1159/000045622
  7. Al Nazly E. A., Ahmad M., Musil C. & Nabolsi M. (2013). Hemodialysis stressors and coping strategies among Jordanian patients on hemodialysis: a qualitative study. Nephrology Nursing Journal, 40(4), 321-327
  8. Kate, N., Grover, S., Kulhara, P. & Nehra, R. (2013). Relationship of caregiver burden with coping strategies, social support, psychological morbidity, and quality of life in the caregivers of schizophrenia. Asian Journal of Psychiatry. 6(5), 380-388 https://doi.org/10.1016/j.ajp.2013.03.014
  9. S. D. Weisbord, L. F. Fried, R. M. Arnold, M, J. Fine, D, J. Levenson, R. A. Peterson, & G. E. Switzer. (2005). Prevalence, Severity and Importance of Physical and Emotional Symptoms in Chronic Hemodialysis Patient. Journal of American Society Nephrology, 16, 2487-2494. https://doi.org/10.1681/ASN.2005020157
  10. M. Y. Jeon. (2015). Effect of Self-Efficacy and Social Support on the Sick Role Behavior compliance in Hemodialysis Patients. Master's thesis. Ajou University, Suwon.
  11. M. A. Choe, Y. S. Hah, K. S. Kim, M. S. Yi & J. A. Choi. (2008). A Study on Exercise Behavior, Exercise Environment and Social Support of Middle-Aged Women. Journal of Korean Academy of Nursing, 38(1), 101-110. https://doi.org/10.4040/jkan.2008.38.1.101
  12. Y. M. Cho, M. S. Choi & K. W. Sung. (2011). Factors Predicting Sick Role Behavioral Compliance in Hemodialysis Patients. Korean Journal of Adult Nursing, 23(3), 235-243.
  13. H. M. Jeon. (2017). Effect of Resilience and Family Support on Sick Role Behavior Compliance in Hemodialysis Patients. Master's thesis. Honam University, Gwangju.
  14. H. M. kim. (2003). Influence of Self-Esteem and Family-Support on Powerlessness of Hospitalized Elderly Patients with Chronic Disease. Master's thesis. Busan University, Busan.
  15. H. R. Rheu & Y. R. Kim. (2005). Social Supports and Quality of Life of Hemodialysis Patients. Korean public health research, 31(2), 184-191.
  16. O. S. Kim. (1993). A study on the correlation between perceived social support and the quality of life of hemodialysis patients. Master' thesis. Seoul University, Seoul.
  17. Gu, Q. & Day, C. (2007). Teachers resilience: A necessary condition for effectiveness. Teaching and Teacher Education, 23(8), 1302-1316 https://doi.org/10.1016/j.tate.2006.06.006
  18. Polk, L. V. (1997). Toward a middle-range theory of resilience. Advanced in Nursing Science, 19(3), 1-13 https://doi.org/10.1097/00012272-199703000-00002
  19. S. J. Shin, D. Y. Jung & E. H. Hwang. (2009). Concept Analysis of Resilience in Patients with Cardiovascular Diseases. Journal of Korean Academy of Nursing, 39(6), 788-795. https://doi.org/10.4040/jkan.2009.39.6.788
  20. Grunberg, J. (2005). The impact of logistics and resilience on compliance. Pediatric Nephrology, 20(12), 1823-1824. https://doi.org/10.1007/s00467-005-2041-3
  21. K. M. Seo. (2016). Resilience-related Factors of Dialysis Patient. Master's thesis. Dankook University, Yongin.
  22. H. M. Cho & E. K. Yoo. (2015). Effects of Depression, Family support on Resilience in Patients with Gynecological Cancer. The Jounal of Korean Society for Wellness, 10(4), 183-195.
  23. H. S. Oh. (2000). A study on the Relationship between perceived social support and Performance of Self Care by Hemodialysis Patient. Master' thesis. Daejeon University, DaeJeon.
  24. N. S. So. (2003). A study on the correlation between perceived social support and hope of hemodialysis patients. Master's thesis. Kyung Hee University, Seoul.
  25. H. M. Choi. (2011). A Study on the Effect of Family Support and Compliance of Patients' Role Behavior on Hemodialysis patients' Quality of Life. Master's thesis. Kyung Hee University, Seoul.
  26. E. S. Song. (2002). Study on the Knowledge about Hemodialysis and Compliance of Patient Role Behavior in Hemodialysis Patients. Master's thesis. Chosun University, Gwangju.
  27. K. H. Kim. (1996). A Study on the Influencing Factors to the Quality of Life of the Hemodialysis patients. Master's thesis. Kyung Hee University, Seoul.
  28. Connor, K. M., & Davidson, J. R. T. (2003). Development of a new resilience scale; the Connor-Davidson Resilience Scale(CD-RISC). Depression anxiety, 18(2), 76-82. https://doi.org/10.1002/da.10113
  29. H. S. Beak, K. U. Lee, E. J. Cho, M. Y. Lee & K. S. Choi. (2010). Reliability and Validity of the Korean Version of the Connor-Davidson Resilience Scale. Psychiatry Investigation, 7(2), 109-115. https://doi.org/10.4306/pi.2010.7.2.109
  30. K. Y. Hong. (1999). A study of the Relationships among Dialysis Related Knowledge, Self Efficacy and Compliance of Patient Role Behavior in Hemodialysis Patients. Master's thesis. Hanyang University, Seoul.
  31. H. M. Cho & E. K. Yoo. (2014). The Factors Influencing the Resilience among Hemodialysis Patients. Korean Journal of Adult Nursing, 26(6), 614-620. https://doi.org/10.7475/kjan.2014.26.6.614
  32. J. W. Hong. (2015). Factors Related to Patient Compliance among Hemodialysis Patients. Master's thesis. Inje University, Gimhae.
  33. Y. M. Cho & K. W. Sung. (2012). The Association of Compliance with Sick Role Behavior with Satisfaction of Basic Psychological Needs Among Hemodialysis Patients. Korean Journal of Health Promotion, 12(1), 58-65.