(An) exploratory study of anxiety factors and anxiety levels experienced by hospitalized patients in army hospitals

간호학과/석사[한글] 본 연구는 군병원 입원환자들이 입원한 상황에서 경험하는 불안의 정도를 파악하여 그 요인을 규명하므로써 이에 대한 해결책과 예방책을 강구하는 데 기초자료를 제공하기 위하여 시도되었다. 연구대상은 1984년 4월24일부터 5월4일까지 약 11일간에 걸쳐 전방OO지역에 위치한 3개의 군병원에 입원하여 치료받고 있는 입원환자 196명을 대상으로 하였다. 불안요인을 측정하기 위한 연구도구로는 연구자가 22문항으로 된 질문지를 작성하고, 불안정도를 측정하기 위한 연구도구로는 Zung이 개발한 The Status Anxiety-Inventory를 사용하였다. 자료분석 방법으로는 백분율, x**2검정, 피어슨 상관관계 분석법, 단계적 중회귀 분석법을 사용하였다. 연구의 결과를 요약하면 다음과 같다. 1 .응답자 전체의 불안요인 평균은 2.897이었고, "가족의 문제가 염려될 때"가 평균점수 3.342로서 가장 높았고, "입원으로 인하여 휴가등이 취소될 때"가 평균점수 3.250으로서 두 번째로 높았으며 "앓고 있는 질병이 무슨 질병인지 모를 때"가 평균점수 3.168로서 세번째로 높게 나타났다. 2 .응답자 전체의 불안정도 평균은 2.077이었다. 3 .불안정도에 영향을 끼치는 불안요인의 범주는 "병원생활에 대해 느끼는 불안" (r=.404, p<.001), "대인관계에 대해 느끼는 불안" (r=.365, p<.001), "치료자체에 대해 느끼는 불안"(r=.289, p<.001), "가족 및 장래문제에 대해 느끼는 불안"(r=.244, p<.001) 으로 규명되었다. 4. 4개범주와 불안정도와의 다변수 상관성에서는 "병원 생활에 대해 느끼는 불안"만으로는 40.37%를 설명할 수 있었고(F=37.7676. p<.001), "대인관계에 대해 느끼는 불안"을 첨가하면 41.19%를 설명할 수 있었으며 ( F=19.7220, p<.01), "치료자체에 대해 느끼는 불안"을 첨가하면 41.76%를 설명할 수 있었고(F=13.5177, p<.01), "가족 및 장래문제에 대해 느끼는 불안"을 첨가하면 42.03 %를 설명할 수 있었다. (F=10.2431, p<.05) 5. 환자들이 입원한 상황에서 경험하는 불안의 요인과 일반적인 특성 사이에는 통계적으로 유의한 차이를 나타내지 않았으며 (p>.05), 불안정도와 일반적인 특성과의 관계에서 통계적으로 유의한 차이를 나타낸 것으로는 연령 ( x**2=51.954, p<.001). 복무기간(x**2=31.916, p<.01), 입원기간(x**2=27.144, p<.01) 및 입원한 병동별 (x**2=8.569, p<.05)이었다. [영문] The purpose of this study was to determine anxiety factors and levels of hospitalized soldiers and to examine this information in order to provide scientific data for solving and prevention of these problems. Data collection was done from April 24th to May 4th, 1984. The subjects were 196 soldiers who were hospitalized at there army hospitals located in forward areas. The research instruments were a 22 item questionnaire designed for measuring anxiety factors and Zung's Status Anxiety-lnventory, a 20 item questionnaire desired for checking the anxiety level of hospitalized soldiers. The data were interpreted by means of percentage, x**2_-test, Pearson's Correlation Coefficient and Stepwise Multiple Regress ton. The results were as follows; 1. The hospitalized soldier's mean score of anxiety factors was 2.897. The anxiety factors with highest scores were "The fear of problems in the family" (3.342)."Vacation canceled because of hospitalization" (3.250). "Unknown dia후osis" (3.168). 2. The mean score of the anxiety levels of hospitalized soldiers was 2.077. 3. Among the 4 anxiety factor's categories, the level of anxiety differed as followed. a. "The anxiety of living in the hospital" (r=.404, p<.001) b. "The anxiety of interpersonal relationships" (r=.365, p<.001). c. "The anxiety of treatment procedure" (r=.289, p<.001). d. "The anxiety of problems in the family and future promition"(r=.244. p<.001). 4. The results of use of stepwise Multiple Regression to determine the difference between the categories and anxiety levels were as follows. "The anxiety of living in the hospital" accounted for 40.37% of the anxiety level (F=37.7676, p<.001), when the category of "The anxiety of interpersonal relationships" was added, it explained 41.19%. (F=19.7220, p<.01), when "The anxiety of treatment procedure" was included, it explained 41.76% (F=13.5177, p<.71) "The anxiety of problems in the family and future promotion", the total percentage was 42.31% (F=10.2431, p<.05). 5. The testing of the relationship between the hospitalized soldier's anxiety factors and general characteristics, showed no statistical significance. The testing of the relationship between the mean scores of the soldier's anxiety level and general characteristics were found to be significant in regard to age (x**2=31.961, p<.01), duration of one's hospitalization (x**2=27.144, p<.01) and hospitalized ward (x**2=18.019, p<.05).restrictio

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