CAJ | 학술논문

目的：探讨肺结核患者希望水平现况水平及其影响因素分析。方法采用方便抽样的方法，选取2011年5月-2013年5月收治的肺结核患者85例为研究对象，评价工具为一般资料调查表， Herth希望量表、社会支持量表、家庭关怀度及Jalowies应对方式量表。结果85例肺结核患者Herth总评分为（35．48±2．96）分，其中低等水平28例（32．90％），中等水平42例（49．40％），高等水平15例（17．60％）。经单因素分析可知，性别、年龄、病情、收入水平、年平均住院次数、功能缺陷程度与肺结核患者希望水平关系密切。患者希望水平与家庭关怀度、社会支持及Jalowies量表中的寻求支持、乐观、姑息、面对、逃避、宿命因子呈正相关，而与Jalowies量表中的依靠自我呈负相关。结论本组肺结核患者希望水平处于中低水平，通过提高患者家庭关怀度、社会支持及改变患者应对方式对提高肺结核患者希望水平具有积极的作用。
목적：탐토폐결핵환자희망수평현황수평급기영향인소분석。방법채용방편추양적방법，선취2011년5월-2013년5월수치적폐결핵환자85례위연구대상，평개공구위일반자료조사표， Herth희망량표、사회지지량표、가정관부도급Jalowies응대방식량표。결과85례폐결핵환자Herth총평분위（35．48±2．96）분，기중저등수평28례（32．90％），중등수평42례（49．40％），고등수평15례（17．60％）。경단인소분석가지，성별、년령、병정、수입수평、년평균주원차수、공능결함정도여폐결핵환자희망수평관계밀절。환자희망수평여가정관부도、사회지지급Jalowies량표중적심구지지、악관、고식、면대、도피、숙명인자정정상관，이여Jalowies량표중적의고자아정부상관。결론본조폐결핵환자희망수평처우중저수평，통과제고환자가정관부도、사회지지급개변환자응대방식대제고폐결핵환자희망수평구유적겁적작용。
Objective To explore the current situation of the hope level in pulmonary tuberculosis patients and analyze the influencing factors .Methods Eighty-five pulmonary tuberculosis patients from May 2011 to May 2013 were chosen according to the convenience sampling method , and were surveyed by the general information questionnaire , Herth hope scale , social support scale , family APGAR and Jalowies coping inventory.Results The total score of Herth was (35.48 ±2.96), and the cases of the low level were 28 cases (32.90%), and the cases of the middle level were 42 cases (49.40%), and the cases of the high level were 15 cases (17.60%).The One-Way ANOVA analysis showed that the gender , age, illness, income level, average times of hospitalization every year , degree of functional defects have close relation to the hope level in pulmonary tuberculosis patients .The hope level in patients was positively related with the family care , social support and the factors of Jalowies coping inventory including seeking support , optimistic, palliative, face, escape and fate , and was negative correlation with self-reliance belonged to Jalowies scales .Conclusions The hope level in pulmonary tuberculosis patients is at the middle or low level .To increase the patients ’ family care and social support , and change the coping style have positive effect on improving the hope level in pulmonary tuberculosis patients .