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김주현 ( ) - 국립청주전문대학
김매자 ( ) - 서울대학교 간호대학
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Abstract
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Patients with endstage renal disease confronts continuous stress due to diease and hemodialysis procedure, although they receive safe and effective treatment by developement of hemodialysis technology today.
They experience many stressors and usually their quality of life is low. Because endstage renal disease without renal transplant is incurable and irreversible and their survival depends upon dialysis machine which often cause complications and limitation in foods, fluid intake and activities.
They often loose their health resources which en-able them to adapt to diease, due to decreased financial resources by shrinked social and occupational activities, due to changes in roles and responsibility as a family members due to decreased ability to achieve longterm life goal.
This study was conducted´to identify the factors affecting quality of life of patients on hemodialysis. And this study used empowerment model by Jones & Meleis(1993) as a theoretical framework which theorized quality of life is influenced by percieved stress, self esteem and percieved social support as resource.
The subjects of this study were 107 patients on hemodialysis who visited hospitals at Cheongju city and Seoul city.
The variables and instruments used for data collection in this study were as follows :
1) Instruments measuring selfesteem, percieved social support, self efficacy and quality of life were self -reported Likert type questionnaire whichwere adapted from previous studies and modified by authors to be fit for the subjects.
2) Percieved stress scale were developed by author.
Reliability test of Cronbach´s a of the scales ranged between.70.97.
Data were analyzed with SPSS PC+program with percentage, Pearson correlation and multiple regression according to characteristics of variables.
The results were as follows :
1. Percieved stress was significantly negative correlated with quality of life of patients on hemodialysis.
2. Selfesteem was significantly correlated with quality of life of patients on hemodialysis.
3. Percieved social support was significantly correlated with quality of life of patients on hemodialysis.
4. Self efficacy was significantly correlated with quality of life of patients on hemodialysis.
5. Percieved stress was significantly negative correlated with selfesteem, percieved social sup-port and selfefficacy.
6. Selfesteem was significantly correlated with percieved social support and self efficacy
7. Percieved social support was significantly correlated with self efficacy
8. Quality of life of patients on hemodialysis was 56.85% explained by percieved stress, selfesteem, percieved social support and selfefficacy. And it was significant. The most significant variable was percieved social support.
From the above results, it can be concluded that
1) This study results could be available to improve quality of life and to promote selfesteem, percieved social support and selfefficacy and to decrease percieved stress of patients on hemodialysis.
2) Theoretical framework of this study using empowerment model of Jones and Meleis was tested by correlation between quality of life and percieved stress and selfesteem, percieved social support and self-efficacy as health resources. The validity of empowerment model could be established. Thus empowerment model could be available as nursing intervention model.
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KeyWords
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싦의 질, 지각된 스트레스, 자존감, 지각된 사회적 지지, 자기효능감
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원문 및 링크아웃 정보
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등재저널 정보
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