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Journal of Korean Academy of Fundamentals of Nursing 1996;3(2): 183
혈액투석환자의 삶의 질에 관한 이론적 모형 구축
김주현1, 최희정2, 김정순3
1청주전문대학
2서울대학교 대학원
3서울대학교 대학원
Modeling Hemodialysis Patient's Quality of Life
Joo-Hyun Kim1, Hee-Jung Choi2, Jeong-Soon Kim3
1Chungju National College
2Seoul National Univesity
3Seoul National Univesity
Abstract
The Purpose of this study is to develop and test a nursing model which can be applied to prediction of the quality of life for the patient receiving hemodialysis. A hypothetical model was constructed on Johns & Meleis's empowerment model framework which has 3 contsructs(stress, resource, empowerment). 6 Factors(perceived stress, self-esteem as personal resource, perceived social support as social resource, perceived fertigue, perceived health status & self efficacy as empowerment) were selected to pre dict the quality of life of receiving hemodialysis patients. 4 Factors(self-esteem, perceived social support, perceived health status & self efficacy) had direct effects on the quality of life significantly. Self-esteem had indirect effect on the quality of life via perceived heath status significantly. Perceived social support had indirect effect on the quality of life via self-effcacy significantly. Perceived stress had no direct and indirect effect on the quality of life significantly. Revised model from hypothetical model showed better fit to the data by eliminating unsignificant path. From results of this study we suggest that to improve quality of life of hemodialysis patient nurses provide nursing interventions which improve self-esteem, perceived social support, self-efficacy & perceived health status.
Key words: hemodyalysis patient | quality of life | stress | empowerment model
주요어: 혈액투석환자 | 삶의 질 | 자원 | 스트레스 | 힘의 증진모형
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