혈액투석을 받는 노인 환자의 환자역할행위이행에 영향을 미치는 요인

• Published in: 근관절건강학회지 Vol. 30; no. 3; pp. 157 - 167
• Main Authors: 허영규(Heo, Young-Kyu), 이현주(Lee, Hyun-Ju)
• Format: Journal Article
• Language: Korean
• Published: 대한근관절건강학회 2023
• Subjects: 간호학; 일상생활수행능력; Activities of daily living; 노인; 사회적 지지; Renal dialysis; Aged; Sick role; 투석; 환자역할; Social support
• ISSN: 1975-9398; 2288-789X
• DOI: 10.5953/JMJH.2023.30.3.157

Purpose: The purpose of this study was to measure the relationship among activities of daily living, ego integrity, social support and the compliance of patient-role behavior in elderly patients receiving hemodialysis, including the effect of these variables on the compliance of patient-role behavior. Methods: A descriptive survey was conducted with 150 elderly patients over 65 years of age who were also receiving hemodialysis. Data was collected from September 28 to November 13, 2021 and analyzed using t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple regression analysis with SPSS/WIN 26.0. Results: The results show that patient compliance had significant correlations with ego integrity (r=.63, p<.001) and social support (r=.28, p=.001). The other factors influencing patient compliance were the sub-domains of ego integrity, such as the acceptance of the past and the presence (β=.46, p<.001) and attitudes toward life (β=.26 p<.001), with an explanatory power of approximately 35.0% (F=17.21, p<.001). Conclusion: This study confirms that the ego integrity of elderly patients receiving hemodialysis has an effect on the compliance of patient role behavior. Nursing intervention programs that improve the ego integrity of elderly hemodialysis patients could help improve the compliance of patient-role behavior, which is an important factor in the disease management process.