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복막투석환자를 위한 모바일 인스턴트 메신저를 활용한 맞춤형 식이교육프로그램의 효과

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Author(s)
이현정
Issued Date
2021
Keyword
복막투석 식이 교육 모바일 환자이행 Peritoneal dialysis Diet education Mobile Patient compliance
Abstract
Purpose: The study was conducted to develop a tailored diet education program using mobile instant messenger for peritoneal dialysis patients to examine its effects on diet-related self-efficacy, dietary self-care compliance, and physiological indicators.

Methods: : This study applied Cox’s (1982) interaction model of client health behavior to produce health outcomes by promoting positive diet-related health behaviors through interaction between patients and a nurse as expert. This was a quasi-experimental research with a non-equivalent control group pre-post test design. The data collection period was from May to August 2020. To prevent the spread of treatment, the experimental group was divided into A university hospital located in G city, and the control group was divided into B university hospital in J city and C general hospital in M city; participants were 43 patients (21 in experimental group, 22 in control group) attending the renal clinic, undergoing peritoneal dialysis. Based on Cox’s (1982) elements of client professional, the experimental group underwent a tailored diet education program using mobile instant messenger for 5 weeks. The first session involved an orientation and face-to-face education using a booklet, second and third session involved a dietary guide video transmission through mobile instant messenger, and personal and telephone consultations, and fourth and fifth session involved individual diet education, counseling, and Q&A in real time by sending photos of dietary meal every day before eating to ensure that the participants comply with the correct diet.
The control group received face-to-face diet education using a leaflet. The measurements were diet-related self-efficacy, dietary self-care compliance, and physiological indicators (hemoglobin, albumin, serum potassium, serum phosphorus, blood urea nitrogen, and serum creatinine).
Measurements were made at pre-test, post-test1 (immediately after treatment), and post-test2 (4 weeks after treatment).
The data were analyzed using SPSS/WIN 23.0, and the homogeneity of the two groups was examined using the Chi-square test, Fisher's exact test, and independent t-test. Hypothesis testing of the education program’s effects were performed using the repeated measures ANOVA; if the sphericity assumption was not satisfied, the results were done using a multivariate analysis.
Results: The experimental group compared with the control group in dietary self-care compliance in time (F=25.06, p<.001), between groups (F=12.20, p=.001), and interactions between times and groups (F=15.29, p<.001); indicating a statistically significant difference in all. In the post-hoc, the two groups was statistically significant differences in the posttest1-pretest (t=1.87, p=.000) and the post-test2–pretest (t=1.43 p<.005). Additionally, the experimental group compared with the control group indicated a significant difference in interactions between times and groups (F=7.55, p=.001) in hemoglobin level than the control group. In the post-hoc, the experimental group and the control group was statistically significant differences in the posttest1-pretest (t=3.92, p=.000) and the posttest2-pretest (t=2.49, p<.017).

Conclusion: This study findings confirmed that a tailored diet education program using mobile instant messenger is an effective strategies to preventing complications and helping patients perform dietary self-care compliance through systematic and continuous interactions with nurse as an expert on the dietary management of peritoneal dialysis patients.
Alternative Title
Effects of Tailored Diet Education Program for Peritoneal Dialysis Patients using Mobile Instant Messenger
Alternative Author(s)
Lee, Hyun jung
Department
일반대학원 간호학과
Advisor
강희영
Awarded Date
2021. 2
Table Of Contents
ABSTRACT ⅵ

Ⅰ. 서론 1
1. 연구의 필요성 1
2. 연구의 목적 4
3. 연구 가설 5
4. 용어 정의 6

Ⅱ. 이론적 기틀 8
1. Cox의 대상자 건강행위의 상호작용 모델 8
2. 연구의 개념적 기틀 10

Ⅲ. 연구방법 12
1. 연구설계 12
2. 연구대상자 및 표집방법 14
3. 연구도구 16
4. 연구 진행 절차 17
1) 식이교육프로그램의 개발 17
(1) 문헌고찰 17
(2) 대상자 심층면담 및 요구도 조사 18
(3) 중재프로그램 개발 및 전문가 내용타당도 검증 19
2) 프로그램 적용 22
(1) 사전조사 22
(2) 실험처치 22
(3) 사후조사 1 23
(4) 사후조사 2 23
5. 자료 분석 방법 24
6. 윤리적 고려 25

Ⅳ. 연구결과 26
1. 일반적 및 질병관련 특성, 종속변수의 사전 동질성 검정 26
1) 일반적 및 질병관련 특성에 대한 동질성 검정 26
2) 대상자의 종속변수에 대한 사전 동질성 검정 29
2. 가설 검정 30

Ⅴ.논의 43
1. 복막투석환자를 위한 모바일 인스턴트 메신저를 활용한 식이교육프로그램의 효과 43
2. 간호학적 의의 49
3. 연구의 제한점 50

Ⅵ.결론 및 제언 51
1. 결론 51
2. 제언 52

참고문헌 53

부록 57

감사의 글 70
Degree
Doctor
Publisher
조선대학교 대학원
Citation
[1]이현정, “복막투석환자를 위한 모바일 인스턴트 메신저를 활용한 맞춤형 식이교육프로그램의 효과,” 조선대학교 대학원, 2021.
Type
Dissertation
URI
https://oak.chosun.ac.kr/handle/2020.oak/19212
http://chosun.dcollection.net/common/orgView/200000371913
Appears in Collections:
General Graduate School > Theses(Ph.D)(일반대학원)
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