당뇨병성 족부궤양 과거 병력 환자의 발 관리 자가간호행위 영향요인 : 분위회귀분석 적용 = Factors Influencing Foot Self-care Behaviors of Patients with a History of Diabetic Foot Ulcer : A Quantile Regression Analysis

다국어 초록 (Multilingual Abstract)

Purpose: This study aimed to investigate the degree of foot care knowledge, stigma, anxiety, depression, social support, and foot self-care behavior of patients with a history of diabetic foot ulcer and determine the influencing factors of foot self-care behavior by quantile regression analysis.
Methods: This is a descriptive correlation study involving 130 individuals with a history of diabetic foot ulcer who are regularly receiving outpatient treatment at J University Hospital. Data on demographic and disease-related characteristics was collected using structured questionnaires and electronic medical records from August to November 2022. For data analysis, descriptive statistics, independent t-test, one-way analysis of variance, Scheffé test, Pearson correlation coefficient, multiple regression analysis, and quantile regression analysis were performed using the SPSS/WIN 28.0 program.
Result: The average score of foot self-care behavior was 82.00±10.79 of 125 points. In multiple linear regression analysis, foot care knowledge, stigma, depression (severe), and social support were significant factors. In the quantile regression analysis, foot care knowledge (in 10%, 25%, 50%, 75%, and 90%), stigma (in 50%, 75%, and 90%), depression (severe) (in 75% and 90%), and social support (in 25%, 50%, 75%, and 90%) were significant factors.
Conclusion: We confirmed the influences of all factors according to the levels of foot self-care behavior. The affecting factors according to the levels of foot self-care behavior should be considered in designing effective programs to enhance foot self-care behaviors among patients with a history of diabetic foot ulcers.

목차 (Table of Contents)

• 1. 서론 1
• 1.1. 연구의 필요성 1
• 1.2. 연구목적 6
• 1.3. 용어의 정의 6
• 2. 문헌고찰 9
• 2.1 당뇨병성 족부궤양 과거 병력 환자의 발 관리 자가간호행위 9
• 2.2. 당뇨병성 족부궤양 과거 병력 환자의 발 관리 자가간호행위 영향요인 16
• 3. 연구방법 25
• 3.1. 연구설계 25
• 3.2. 연구대상 25
• 3.3. 연구도구 26
• 3.4. 자료 수집 방법 30
• 3.5. 윤리적 고려 30
• 3.6. 자료 분석 방법 31
• 3.7. 연구의 제한점 31
• 4. 연구결과 32
• 4.1. 대상자의 일반적 특성 32
• 4.2. 대상자의 연구변수 수준 37
• 4.3. 대상자의 인구사회학적 특성에 따른 발 관리 자가간호행위의 차이 39
• 4.4. 대상자의 질병관련 특성에 따른 발 관리 자가간호행위의 차이 40
• 4.5. 대상자의 발 관리 지식, 낙인, 불안, 우울, 사회적지지와 발 관리 자가간호행위 간의 상관관계 42
• 4.6. 대상자의 발 관리 자가간호행위 수준별 영향요인 45
• 5. 논의 48
• 6. 결론 및 제언 61
• 참고문헌 63
• 부록 77