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정미자 ( Chung Mi-Ja ) - 전남대학교 대학원 간호학과
이영숙 ( Lee Young-Sook ) - 전남대학교 의과대학 간호학과
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Abstract
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-서론-
1 . 연구의 필요성
과학의 발달과 사회변화에 따라 여성들의 역할이 다양해짐에 따라서 건강증진에 대한 요
구가 증가하고 있다. 여성들은 가정 내에서 가족원의 건강관리에 대한 책임자이자, 돌봄 제
공자의 이중 역할을 하기 때문에, 건강문제 발생시에는 가정 내에 심각한 긴장을 야기시킨
다. 특히 여성들은 나이가 들어감에 따라 건강문제가 증가되며, 만성 질환인 경우에도 가족
들이나 의료인들의 관심을 끌지 못하며, 저소득층이나 세대주인 여성들은 환경적인 요소들
과 복잡하게 얽혀 건강문제를 악화시킬 위험이 있다(Griffith -Kenney, 1986).
여성건강에 대한 전통적인 견해는 임신, 출산을 중심으로 한 모자건강 중심의 범주를 벗
어나지 못했기에, 생식, 출산에 관련된 독특한 여성건강 문제는 매우 복합적인 문제를 가지
고 있다. 출산과정은 정상 생리적 과정이지만 임신, 분만, 산욕과정을 거치는 동안 신체적,
생리적 변화가 크며 생식기판의 변화가 지대하여 산후에도 완전히 임신 전 상태로 회복되지
않으며, 출산 후 여성에게 발생하는 만성 증상으로는 생식기관의 복구 지연으로 인한 긴장
성 요실금, 방광루, 직장루, 자궁탈출, 성기능 저하 등이 있다(이영숙, 1993: Bergman,
Koonings & Ballard, 1989).
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This study was designed to identify the relationship between the self-care agency and
the quality of life of stress incontinence(Sl) women. The subjects for this study were 103 stress incontinence women whose son studied at high school in Kwangju and Sunchon city. The data were collected during the period from December 11 to 22,1995 by means of
a structured questionnaire.
The research tools used were by The Exercise of Self-Care Agency was measured
that has been developed by Kearney & Fleischer and modified by So Hyang-Sook(1992).
Quality of life was measured by self reporting method Quality of life measurement
instrument developed by Ro You-ja(1988). SI was measured by developed Hendrickson’s
Stress Incontinence Scale(1981) that modified by Lee Young-Sook(1993).
The collected data were analysed by descriptive statistics, t-test F-test, Pearson’s
correlation and simple regression using the SAS PC+ program.
The results are summarized as follows :
1) There were significant associations between self-care agency and clinical
characteristics, illness(t=1.196, p<.05), SI period(t=2.056, p<.05). The store range of
self-care agency was from 2.79 to 5.53 and mean score of self-care agency was 3.94.
2) There were significant associations between quality of life and subjective health
status(t=4.484, p<.0001), perineal iching sense (t=-2.592, p<.05), past vaginitis(t=-2.357,
p<.05), SI amounts(t=1.914, p<.05). The score range of quality of life was from 1.85 to
4.34 and mean score of quality of life was 3.04.
3) The relationship between self-care agency and quality of life revealed a significant
correlation(r=.374, p<.001).
4) By means of simple regression analysis, self-care agency provided predicted 14.05%
of quality of life. The equation induced for expected quality of life was as follows ;
Quality of life = 1.953+ (Self-Care Agency×0.274)
In conclusion, this study revealed that self-care agency may be a important that it
would be necessary to promote quality of life in stress incontinence women.
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KeyWords
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Stress Incontinence, quality of life, self care agency
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원문 및 링크아웃 정보
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등재저널 정보
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