고혈압환자의 역할행위 이행에 대한 조사 연구 -일개 대학 병원 내과에 등록된 고혈압환자를 대상으로-

A Survey on Compliance with Sick Role Behavior in Patients with Hypertension -Patients with hypertension in A University Hospital Medicine OPD-

Hypertentsion is the most risky disease among chronic circulatory problems and the patients compliance with sick role behaviors regarding hypertension are considered with importance. Therefore, this study was intended to survey the compliance with sick role behaviors of hypertensive patient who have gotten treatment from the outpatient clinic, tertiary hospital and determine what aspects should be regarded to increase the extent o f their compliance with sick role behavior. Data was gathered from June 3rd to 30th-1996, and the subjects were 88 outpatients in Chonnam&#8212;University hospital, Kwang-ju , Korea. The questionnaire were used to mesure the extent of compliance behavior after testing its validite and reliability. The data was analyzed by t- test, ANOVA and Duncan s test, and the results are summarized as follows. 1. The score of compliance with sick role behavior was 57.7 over 75 and it is about level of 76.8%. 2. The varience that has the most significant difference on the complience with sick role behaviors regarding demosociological characteristics was religion and the score of complience with sick role behaviors of religious group(58.96) was higher than the one of non-religeous group(55.63)(t= -2.54, p<.05). 3. The varience that has the most significant difference in the extent of complience with sick role behaviors regarding complicated disease of hypertensive patients were drinking and smoking group. And in the non-drinking(t=3.73, p<.05) and non-smoking group(t=4.06, p<.05) has far much higher score of complience with sick role behavior. 4. In considering status of blood pressure, the patients in the third stage hypertension has highest score of complience with sick role behavior in both systolic and diastolic blood pressure and it is regarded significant statistically. 5. In considering the weight of hypertensive patients the group of 11-20% overweighed patients showed the highest score(59.16% ) on complience with sick role behavior, the group of the 31% overweighed(58.58%) was the second, the group of the normally weighed(5.79) followed and the last in order was the group of 21-30% overweighed group(t=1.35, p<.5). 6. Followed by each items the highest score on compliences with sick role behavior was ordered by regular hospital visiting (4.97 ), refraining smoking(4.75), regular tablet taking(4.65) and the worst score on complience with sick role behaviors was ordered by snack control(2.85), special diet for weight control(2.85), limited high salt diet(3.16). As a conclusion the extent of complience with sick role behaviors of hypertensive patients who have been treated in outpatient clinics in the department of internal medicine, Chunnam University Hospital was much better than the one in other type of medical organization. And the control of food that might cause bad effect on could be significantly related to the complience with sick role behavior. In this study the nursing problems turned out to the first priority was poor complience on adjusting snack and each meals for weight control.