ORIGINAL ARTICLE Child Health Nurs Res, Vol.23,.3, July 2017: 312-318 https://doi.org/10.4094/chnr.2017.23.3.312 ISSN(Print) 2287-9110 ISSN(Online) 2287-9129 이수영 1, 김가은 2 1 한국의료선교회튼튼소아청소년병원, 2 계명대학교간호대학 Factors Influencing the Quality of Life in Mothers of Children with Precocious Puberty Suyoung Lee 1, Gaeun Kim 2 1 Korean Medical Mission, Teunteun Pediatrics Hospital, Gyeongju; 2 College of Nursing, Keimyung University, Daegu, Korea Purpose: In this study factors affecting quality of life in mothers who have children with precocious puberty were identified. Methods: The participants were 102 mothers of children with precocious puberty. From September 12 to September 30, 2016, data were collected using a structured questionnaire and analyzed using SPSS/WIN 22.0. Results: Regression analysis showed that the model s explanatory power was 45%(F=28.71, p<.001). Role stress (t=-4.83, p<.001), objective burden (t=-2.71, p<.001), and average monthly income (t=4.12, p<.001) were factors affecting quality of life among these mothers. The most influential factor was role stress (β=-.41), which showed a negative correlation. Conclusion: Role stress and objective burden were major factors that decreased the quality of life in these. The findings indicate that effective strategy programs for reducing role stress and objective burden are necessary to improve the quality of life in mothers of children with precocious puberty. Key words: Precocious puberty, Quality of life, Child, Mothers 서 론 연구의필요성, [1]., 2006 6,400 2015 75,900 10 11, Corresponding author Gaeun Kim College of Nursing, Keimyung University, 1095 Dalgubeol-daero, Dalseo-gu, Daegu 42601, Korea TEL +82-53-580-3920 FAX +82-53-580-3949 E-MAIL eun0325@kmu.ac.kr * 이논문은제1저자이수영의석사학위논문일부를발췌한것임. * This manuscript is a condensed form of the first author s master s thesis from Keimyung University. Key words 성조숙증, 삶의질, 아동, 어머니 Received 17 April 2017 Received in revised form 26 May 2017 Accepted 28 May 2017 This is an Open Access article distributed under the terms of the Creative Commons Attribution n- Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. 2006 23 2015 386 10 16 [2].,, 2 8, 9 [1]. 2,,,, [3].,,,,, [3-5].,, 2~3 [5,6],,,, [6-8]., 312 Copyright 2017 Korean Academy of Child Health Nursing
https://doi.org/10.4094/chnr.2017.23.3.312, [9]. [7,8].,,,,, [7-11]. Moon Koo[12],, [13]., [10]. Park [14]. Kwon [11],,, [10].,, [7,8,11].,, [6], [15,16].,,,.,. 연구목적,,,,.,.,,,.,. 연구방법 연구설계. 연구대상 P. 1), 2), 3), 4). G*Power 3.1.2,.05,.15,.80, 4 85, 120. 18 102 (85%). 연구도구 59,,,,. 삶의질 (World Health Organization Quality of Life, WHO- QOL-Bref )[17] Min [18] (Korean version of WHOQOL-Bref, K-WHO- QOL-Bref).,,,, 26, 5 Likert. Cronbach s α.90 [18], Cronbach s α.91. www.e-chnr.org 이수영, 김가은 313
Child Health Nurs Res, Vol.23,.3, July 2017: 312-318 어머니의역할스트레스 Pearlin Schooler [19] Jun[20] (Parental Stress Inventory, PSI) Jun[19]. 7 4 Likert, Pearlin Schooler[19] Cronbach s α.75, Jun[20] Cronbach s α.85, Cronbach s α.86. 부담감 Montgomery [21] Oh[22]. 9 13 22 5 Likert. Montgomery [21] Cronbach s α.85, Cronbach s α.86, Cronbach s α.71, Cronbach s α.80, Cronbach s α.79. 죄책감 Kwon [11],,,, 4 5 Likert. Kwon [11] Cronbach s α.87, Cronbach s α.76. 자료수집방법 K (IRB : ***25-201606-HR-63-02),, 2016 9 12 30., 10~15. 자료분석방법 SPSS/WIN 22.0,,, t-test, ANOVA.,,, Pearson s correlation coefficients,,, stepwise multiple regression analysis. (Variance Inflation Factor, VIF) Durbin-Watson. 연구결과 성조숙증아동어머니의삶의질및일반적특성 39.17 ± 3.94, 6.7. (43.1%) 300~400 (42.2%), 300 (39.2%), 400 (18.6%). 59.8%, 60.8% (Table 1). 5 3.28 ± 0.30 3.36 ± 0.67, 3.22 ± 0.67, 3.20 ± 0.79 (Table 2). 성조숙증아동어머니의일반적특성에따른삶의질. 300 3.17 ± 0.20, Table 1. Frequency according to General Characteristics Characteristics Categories Age (year) 30~39 40~49 Education Monthly income (10,000 won/month) Job Religion High school graduation Diploma graduation Bachelor graduation <300 300~400 >400 n (%) or M±SD 53 (52.0) 49 (48.0) 39.17± 3.94 33 (32.4) 44 (43.1) 25 (24.5) 40 (39.2) 43 (42.2) 19 (18.6) 41 (40.2) 61 (59.8) 40 (39.2) 62 (60.8) Role stress 2.54 ± 0.42 Guilt 3.31 ± 0.44 Objective burden 3.45 ± 0.18 314 www.e-chnr.org
https://doi.org/10.4094/chnr.2017.23.3.312 300~400 3.29 ± 0.31, 400 3.53 ± 0.31 (F =11.55, p<.001) (Table 3). (Table 2). 성조숙증아동어머니의역할스트레스, 부담감, 죄챔감, 삶의질간의상관관계, (r = -.59, p<.001), (r = -.48, p<.001), (r = -.48, p<.001), (r =.02, p>.05)(table 3). 성조숙증아동어머니의삶의질에미치는영향요인,,, (stepwise multiple regression analysis). (Variance Inflation Factor, VIF) 10, (tolerance) 0.1, Durbin Watson 1.80., (F =28.71, p<.001). (β=-.41, p<.001), (β=.26, p=.001), (β=-.22, p=.008) (Table 4).,,,, 45 %. 논의.. Table 2. Quality of Life according to General Characteristics Characteristics Categories M±SD Quality of life p Scheffé test Age (year) 30~39 40~49 3.28± 0.34 3.28±0.26.925 Education High school graduation Diploma graduation Bachelor graduation 3.20± 0.21 3.29±0.31 3.38±0.37.088 Monthly income (10,000 won/month) <300 a 300~400 b >400 c 3.17±0.20 3.28±0.32 3.53±0.31 <.001 c>b>a Job 3.33± 0.34 3.25±0.27.161 Religion 3.32± 0.38 3.25±0.23.272 Table 3. Correlations of Factors Influencing Quality of Life Variables Role stress Quality of life Role stress Guilt Objective burden r (p) r (p) r (p) r (p) -.59 (<.001) Guilt -.48 (<.001).70 (<.001) Objective burden -.48 (<.001).48 (<.001).40 (<.001) Subjective burden.02 (.813).33 (<.001).35 (<.001).40 (<.001) www.e-chnr.org 이수영, 김가은 315
Child Health Nurs Res, Vol.23,.3, July 2017: 312-318 Table 4. Factors Influencing Quality of Life Variables Unstandardized coefficients Standardized coefficients t p Multicollinearity B SE β Tolerance VIF Role stress -.29.06 -.41-4.83 <.001.430 2.325 Monthly income.10.03.26 3.43.001.912 1.097 Guilt -.09.07 -.13-1.29.200.487 2.054 Objective burden -.37.13 -.22-2.71.008.754 1.327 R 2 =.47, Adjusted R 2 =.45, F=28.71, p<.001. VIF=Variance influence factor.., Kim[23] Cho Moon[24]. 6.78, 2,,. 5 3.28 Park [14], Lee [25],., 4 2.54, Nam Yang[9], Moon Koo[12]., [6]. 5 3.34 [26], [27],., Montgomery [21],., Kwon [11]. [11,15],..., [26,28],,.,,. [7,8],,. 316 www.e-chnr.org
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