CAJ | 학술논문

目的：了解维持性血液透析患者自我管理水平与生存质量的现状，并探讨两者的相关性。方法采用自我管理行为评定量表和世界卫生组织生存质量测定量表简表（World Health Organization Quality of Life－brief， WHOQOL－BREF）对59例维持性血液透析患者进行调查。结果本组59例维持性血液透析患者自我管理行为总分为（86．99±16．41）分， WHOQOL－BREF总分为（40．56±6．15）分。维持性血液透析患者饮食与液体摄入、身体活动、心理社会行为、治疗行为和自我管理行为总分均与生存质量呈正相关（P＜0．05）。结论提高患者控制液体摄入和配合治疗依从性行为，鼓励患者积极参与力所能及的体育锻炼和社会活动，以提高患者自我管理水平，进而提高患者的生存质量。
목적：료해유지성혈액투석환자자아관리수평여생존질량적현상，병탐토량자적상관성。방법채용자아관리행위평정량표화세계위생조직생존질량측정량표간표（World Health Organization Quality of Life－brief， WHOQOL－BREF）대59례유지성혈액투석환자진행조사。결과본조59례유지성혈액투석환자자아관리행위총분위（86．99±16．41）분， WHOQOL－BREF총분위（40．56±6．15）분。유지성혈액투석환자음식여액체섭입、신체활동、심리사회행위、치료행위화자아관리행위총분균여생존질량정정상관（P＜0．05）。결론제고환자공제액체섭입화배합치료의종성행위，고려환자적겁삼여력소능급적체육단련화사회활동，이제고환자자아관리수평，진이제고환자적생존질량。
Objective To explore the correlations and status of self-management level and the quality of life of patients undergoing maintenance hemodialysis. Method The self-management behavior rating scale and World Health Organization Quality of Life-brief (WHOQOL-BREF) were used among 59 patients undergoing hemodialysis for the investigation. Results The score by WHOQOL-BREF was (40.56 ± 6.15) and that by the self-management behavior rating scale was (86.99 ± 16.41). The self-management level and the quality of life were positively correlated. Conclusion The measures including enhancing fluid intake, improving patient's compliance, encouraging them to actively participate in physical exercise and social activities can be done to improve their self-management and ultimately improve their quality of life.