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김행자 ( ) - 고려대학교 의과대학 간호학과
김정숙 ( ) - 고려대학교의료원 안암병원
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Abstract
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This study was attempted to find out the degree of hopelessness, the understanding selfmanagement for CAPD, recurrence of complications, and to identify the influencing factors to hopelessness of CAPD patients.
This subjects were 36 patients underwent the CAPD operation at a renal dialysis unit of K. University Medical Center, they also have been attending to same unit for a follow up care.
Data were collected from September 1993 to November 1994, but data gathering period per patient lasted for 6 months after CAPD operation.
The degree of hopelessness was measured using Hopelessness Scale developed by Beck et al. and collected data were analyzed by descriptive statistics, ttest, ANOVA, Pearson Correlation Coefficient, Stepwise Multiple Regression with the SPSS program.
The results of this study were as follows
1. The mean of hopelessness score of CAPD patients was 55.19.
2. The mean score of understanding selfmanagement for CAPD .
The mean score of basic knowledge for CAPD
´ Professor, Dept. of Nursing, Korea University
Head Nurse, Renal dialysis Unit, Anam Hospital Korea University Medical Center
was 22.08, and knowledge of CAPD management was 66.67, so the mean score of under-standing self--management for CAPD (sum of mean scores of basic knowledge for CAPD and knowledge of CAPD management) of patients was 88. 75. These mean scores were comparatively high compared to a possible range of mean scores 25.75, 100.
3. Recurrent rate of complications :
Recurrent rate of peritonitis during the 6 months after CAPD operation was 41.62 percent, and that of pericatheter infection was 13.90 percent. The above percentages were lower than the results reported in Korea and other countries.
4. Episode of complications ;
The mean tune of the first episode of pertionites was 103.86 days after CAPD operation, and that of pericatheter infection was 120.08 days. And the mean time of healing peritonitis was 5.87 days.
5. The degree of hopelessness revealed a significant difference (F=4.22, p<.05) only in level of education among the demographic characteristics of CAPD patients. Therefore, education characteristics was defined as an influencing factor of the hopelessness score.
6. The relationship among the understanding selfmanagement for CAPD (both of basic knowledge for CAPD and knowledge of CAPD management). recurrence rate of complcations (both of peritonitis and pericatheter infection) and degree of hoplessness showed a negative correlation between the knowledge score of CAPD management and the recurrence rate of
pericatherter infection(r=.294). and between the knowledge score of CAPD management and recurrence rate of complications (both of peritonitis and pericatherter infection) (r= .331).
These results revealed that the higher the score of knowledge of CAPD management, the lower recurrence rate of peritonitis and pericatherter infection.
7. In conclusion, predictable factors influencing
hopelessness in CAPD patients were factors related to complications, and recurrence rate of complications showed a negative correlation to the knowledge score of CAPD management. Therefore this study indicates that an intensive education program about CAPD management for patients could be effective in decreasing the recurrence rate of complications and the degree of hopelessness of CAPD patients.
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KeyWords
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절망감, CAPD 자가관리이해도, 합병증
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원문 및 링크아웃 정보
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등재저널 정보
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