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척수장애인의 간헐적 자가도뇨에 대한 적응, 우울, 삶의 질의 관계

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Alternative Title
The Impacts of Intermittent Self-Catheterization on the Adaptation, Depression, and the Quality of life of Patients with Spinal Cord Injuries
Abstract
The purpose of this study is to analyze the impacts of intermittent
self-catheterization on the adaptation, depression, and the quality of life of
patients with spinal cord injury and to provide basic data for future research
to develop an intervention for enhancing the quality of life of patients with
spinal cord injury. Data were collected through a survey of 126 spinal cord
injury patients who were listed on the Korean Spinal Cord Injury Association
and were taking intermittent self-catheterization treatment. The survey used
a self-reported questionnaire which addressed of the participants'
demographic characteristics, individual experience on their disease and
intermittent self-catheterization, and intermittent self-catheterization on the
adaptation, depression, and quality of life. For data analysis, this study
utilized Cronbach's alpha, descriptive statistics, t-test, ANOVA, factor
analysis, and Pearson's correlation coefficient and stepwise multiple regression
using the PASW 20.0 program.
The major findings are as follows: Firstly, the mean score of intermittent self-catheterization on the adaptation was 58.98. The mean score of the
perceived ease of use was the highest ranked one followed by discreetness
of management, discreetness of conduct, psychological well-being,
convenience, and ease of conduct. The mean score of depression was 17.19,
which indicated the situation of mild depression. The mean score of the
quality of life was 56.16. Physical health, environmental aspects, psychological,
overall quality of life and general health, and social relationships ranked in
order. Secondly, the intermittent self-catheterization on the adaptation was
significantly different in spouse (p=.019), Type of Insurance(p=.021) and
self-catheterization related to complication experience (p=.014), In addition, the
quality of life was significantly different in religion (p=.002), and Occupation
(p=.001). Thirdly, the intermittent self-catheterization on the adaptation was
significantly related to depression (p<.001) and the quality of life (p=.017).
Depression was also statistically significant in terms of the quality of life
(p<.001). Lastly, multiple regression showed that the depression and religion
were the influential factors to improve quality of life (p<.001), which
explained 19.5% of the total variance of the quality of life.
The findings of this study demonstrate intermittent self-catheterization
should be conducted more comprehensively. Secondly, performance rates of
intermittence self-catheterization skill should be analyzed to investigate the
levels of intermittent self-catheterization on the adaptation. Thirdly, the
questionnaire should be more articulated with considering the differences
between Western and Korean culture to test the validity and reliability of this
study.
Author(s)
송지현
Issued Date
2014
Awarded Date
2015. 2
Type
Dissertation
URI
http://dcoll.jejunu.ac.kr/jsp/common/DcLoOrgPer.jsp?sItemId=000000007076
Alternative Author(s)
Ji-Hyeun Song
Department
대학원 간호학과
Table Of Contents
...
Degree
Master
Publisher
제주대학교 대학원
Citation
송지현. (2014). 척수장애인의 간헐적 자가도뇨에 대한 적응, 우울, 삶의 질의 관계
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General Graduate School > Nursing
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