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입원한 성인환자들의 불안정도 및 내용에 관한 연구

Title
입원한 성인환자들의 불안정도 및 내용에 관한 연구
Other Titles
(A) STUDY FOR THE ANXIETY LEVEL AND ITS CONTENTS OF HOSPITALIZED ADULT PATIENTS
Authors
최현숙
Issue Date
1984
Department/Major
대학원 간호학과
Keywords
입원성인환자불안정내용
Publisher
이화여자대학교 대학원
Degree
Master
Advisors
최영희
Abstract
병원에 입원한 환자들의 불안은 환자들의 질병의 원인이나, 치료경과, 예후에까지 많은 영향을 미치기 때문에, 입원한 환자들의 간호사정시에는 불안이 중요한 요소로 인정되어 왔고, 입원한 환자들의 불안은 여러 측면에서 연구의 대상이 되어왔다. 이에 본 연구자도 환자들의 불안을 기질불안, 상태불안, 입원불안의 세 가지 측면으로 그 정도와 내용을 파악하고, 대상자의 성장발달 단계 및 일반적인 특성과 세 불안과의 관계를 분석하며, 세 가지 불안간의 관계를 파악하여, 간호원들이 환자들의 불안감소를 위한 간호중재를 하는데, 그 기초자료를 제공하고자 본 연구를 시도하였다. 1984년 3월 15일부터 4월 17일까지 5주간동안 내·외과에 입원한 20세 이상의 환자 142명을 대상으로 하여, Spielberger(1976)가 개발한 기질불안, 상태불안 척도와 Volicer와 Boha-nnon(1975)이 개발한 입원불안 척도를 사용하여, 질문지와 면담의 방법으로 자료를 수집하였다. 수집된 자료는 백분율, ANOVA, Pearson Correlation등의 통계방법으로 분석, 고찰하였는데, 그 결론은 다음과 같다. 1. 기질불안도는 43.218, 상태불안도는 43.387로서, 상태불안이 기질불안보다 약간 높았다. 2. 입원불안도는 86.275였고, 40항목중 불안도가 가장 높은 항목은 "치료결과에 대해서 설명이 없는 것이 불안하다"로 나타났다. 3. 성장발달 단계별 불안도에서는 입원불안도만이 유의한 수준(P<0.05)에서 나이가 많아질수록 높아지는 것으로 나타났다. 4. 대상자의 일반적인 특성과 불안과의 관계에서 유의한 차이(P〈0.05)를 보인 것은 성별/기질불안도(F=4.978, P=0.027)와 교육정도별/기질불안도(F=4.640, P=0.002), 입원불안도(F =2.968, P=0.022), 입원한 과별/입원불안도(F=4.600, P=0.034)였다. 5. 대상자의 기질불안, 상태불안, 입원불안간에는 각각 서로 유의한 수준(P<0.008)에서 긍정적인 상관관계를 보였다. 간호원은 환자에게 필요한 정보를 교육시키고, 이해시키는 간호중재자로서, 환자들의 성장발달 단계나 일반적인 특성에 따라, 그들의 불안정도나 내용에 차이가 있음을 고려해야하고, 그들의 불안을 입원시에 사정하여 그에 맞는 간호중재를 시도해야할 것으로 생각한다.;This study examined the degree and relationships among three anxieties-Trait anexiety, State anxiety, Hospitalization anxiety -according to adult patients' growth development step and their general characteristics. The purpose of this study is to give a basic data which. can be used in releasing adult patients' anxieties. The subjects for this study were 142 patients who were in the hospital from Mar. 15 to Apr. 17 (5 weeks), and their age was above 20. To collect the necessary data, questionaires were given to the patients, and interviews were performed. The study tools for this study are as follows: (1) 40 questionaires (developed by Spielberger) to measure Trait anxiety level and State anxiety level. (2) 40 questionaires (developed by Volicer and Bohannon ) to measure Hospitalization anxiety level, which are interpreted , modified and implemented by the investigator. The analysis of collected data was done using percentage, ANOVA, Pearson correlation . Especially, the computer was used in processing the collected data statistically. The results of this study may be summarized as follow: 1. The mean scores of Trait anxiety level and State anxiety level were 43.218, 43.387. This shows that State anxiety level was a little higher than Trait anxiety level. 2 . The mean score of Hospitalization anxiety level was 86.275. The highest one among 40 questionaires was "I am anxious when there is no explanation about the results of cure.", and its mean score was 2.761. 3. In the anxiety level according to the growth development step , only Hospitalization anxiety level got higher with age at significant level . (p<0.05) 4 . The factors which showed the significant difference in the analysis of relationship between patients ' characteristics and anxieties were as follows: (1) In the anxiety level according to sex, women patients' Trait anxiety was higher than that of men. (F=4.978, P=0.027). (2) In the anxiety level according to education, Trait anxiety level and Hospitalization anxiety level were shown to be the highest in the group of the elimentary school graduates. The higher the education level, the lower the anxiety level. (F=4.640, P=0.002, F=2.968, P=0.022) (3) In the anxiety level according to departments, surgical patients were higher than medical patients in Hospitalization anxiety level. (F=4.600, P=0.034). 5. In three anxiety levels, each showed the positive relation at the significant level.(P<0.008) Through the above results, it is considered that nurses should perform appropriate nursing intervention about anxieties by educating and persuading the necessary information about patients' anxiety level to the patients. Also, they should bear in mind that to control Hospitalization anxiety level is to release Trait anxiety level and State anxiety level, because in case that Hospitalization anxiety level is high, Trait anxiety level and state anxiety level get higher with its effects. In addition, they should know that the anxiety level get higher in case of low aducation level, old age, women patients, medical patients.
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