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결핵 환자의 초치료 중단위험 사정도구 개발

 The Development of a Scale Assessing the Risk of Discontinuation of Tuberculosis Treatment

성인간호학회지 2015년 27권 2호 p.156 ~ 169
KMID : 0367020150270020156
최진옥 ( Choi Jin-Ok ) - 국립마산병원

성경미 ( Sung Kyung-Mi ) - 경상대학교 간호대학

Abstract

Purpose: This study identified the reasons why tuberculosis (TB) patients withhold treatment in a bid to develop a assessment scale to select patients who needs nursing intervention in the early stage and decrease the risk of discontinuation of treatment. Sample: There were two samples. A sample of 191 patients with TB and having primary treatment and a second sample of N who were under re-treatment.

Methods: The study design included qualitative and quantitative methods. Qualitative data were collected from in-depth interviews of TB patients under re-treatment. The quantitative data were collected from 191 patients with TB under primary treatment.

Results: Exploratory factor analysis revealed 11 factors explaining 69.6% of total variance. These factors were categorized into four subgroups. A depression scale was used to establish concurrent validity. The depression scale had a positive relationship (r=54) with the discontinuing of primary treatment. The internal consistency reliability for the four subgroups was over .84. The confidence coefficient was Cronbach’s α .95. The final scale was a self-reported four Likert scale including 50 items.

Conclusion: Reliability and validity was established for the scale and the scale can be used to examine the risk of treatment discontinuation for TB. The scale is an important resource for nursing interventions in identifying and treating high risk clients.
KeyWords
결핵, 도구, 위험사정, 치료중단
Tuberculosis, Scale, Risk assessment, Withholding treatment
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학술진흥재단(KCI) KoreaMed