Journal of Korean Gerontological Nursing 2010;12(2):95-107.

혈액투석노인의 스트레스와 건강관련 삶의 질과의 관계에서 자아존중감의 조절효과

심옥수

Abstract

Purpose
This study was conducted in order to investigate the relationship between stress in elderly patients on renal dialysis and health-related quality of life, especially the moderating effect of self-esteem.
Methods
The structural equation model was tested by setting the stress of elderly patients on renal dialysis as a prediction variable, their health-related quality of life as an outcome variable and their self-esteem as a moderating variable. The participants were 443 patients from Seoul and Gyeonggi province who were over 65 years of age and on renal dialysis. Measurement tools were health-related quality of life, stress, and self-esteem scales. Statistical descriptive analysis, Pearson correlation coefficients, reliability analysis, Scheffe?test and multiple regression analysis were used to analyze the data.
Results
For these patients, stress had a significant negative correlation with health-related quality of life and self-esteem had a significant positive correlation. The level of self-esteem plays a moderating role in the relationship between stress and health-related quality of life among elderly renal dialysis patients.
Conclusion
The results indicate that interventions that are effective in increasing self-esteem can help these patients cope with stress and increase their health-related quality of life.

Key words: 혈액투석, 스트레스, 건강관련 삶의 질, 자아존중감, 조절효과