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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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목적
본 연구는 우리나라 인구를 대표할 수 있는 조사연구인 국민건강영양조사 자료(2014년, 2016년)를 이용하여 한국 성인에서 심뇌혈관질환과 우울증의 관련성을 알아보고자 한다.
방법
국민건강영양조사에 참여한 9,651명의 대상자에 대해 빈도분석, 교차분석, 로지스틱 회귀분석을 사용하여 분석하였다. 우울증은 의사진단을 받았거나 PHQ 점수가 10점 이상인 경우를 우울증으로 정의하였고, 허혈성 심장질환(심근경색, 협심증), 뇌졸증은 의사진단을 받은 경우 각각 허혈성 심장질환. 뇌졸중이 있다고 정의하였다.
결과
주요 우울증은 9.6%로 나타났고, 허혈성 심장질환군에서의 우울증은 20.4%, 뇌졸중군에서의 우울증은 22.9%로 모두 통계적으로 유의하였다. 인구사회학적 변수, 건강관련 변수, 질병관련 변수, 독립변수를 모두 보정한 후 시행한 로지스틱 회귀분석 결과에서 우울증은 허혈성 심장질환(OR=1.91, 95% CI; 1.36-2.69), 뇌졸중(OR=1.83, 95% CI; 1.23-2.72)과 모두 유의한 관련이 있었다.
결론
심뇌혈관질환과 우울증은 관련성이 있으며, 심뇌혈관질환 환자의 예후 및 삶의 질 향상을 위해 심뇌혈관질환 환자에서의 우울증 위험요인에 대한 집중적인 관리와 심뇌혈관질환 환자의 우울증에 더 효과적인 중재 모색이 필요할 것이다.
본 연구는 우리나라 인구를 대표할 수 있는 조사연구인 국민건강영양조사 자료(2014년, 2016년)를 이용하여 한국 성인에서 심뇌혈관질환과 우울증의 관련성을 알아보고자 한다.
방법
국민건강영양조사에 참여한 9,651명의 대상자에 대해 빈도분석, 교차분석, 로지스틱 회귀분석을 사용하여 분석하였다. 우울증은 의사진단을 받았거나 PHQ 점수가 10점 이상인 경우를 우울증으로 정의하였고, 허혈성 심장질환(심근경색, 협심증), 뇌졸증은 의사진단을 받은 경우 각각 허혈성 심장질환. 뇌졸중이 있다고 정의하였다.
결과
주요 우울증은 9.6%로 나타났고, 허혈성 심장질환군에서의 우울증은 20.4%, 뇌졸중군에서의 우울증은 22.9%로 모두 통계적으로 유의하였다. 인구사회학적 변수, 건강관련 변수, 질병관련 변수, 독립변수를 모두 보정한 후 시행한 로지스틱 회귀분석 결과에서 우울증은 허혈성 심장질환(OR=1.91, 95% CI; 1.36-2.69), 뇌졸중(OR=1.83, 95% CI; 1.23-2.72)과 모두 유의한 관련이 있었다.
결론
심뇌혈관질환과 우울증은 관련성이 있으며, 심뇌혈관질환 환자의 예후 및 삶의 질 향상을 위해 심뇌혈관질환 환자에서의 우울증 위험요인에 대한 집중적인 관리와 심뇌혈관질환 환자의 우울증에 더 효과적인 중재 모색이 필요할 것이다.
목차
<목차>Ⅰ. 서론 ·················································································································11. 연구의 필요성 ··································································································12. 연구의 목적 ·····································································································33. 용어 정의 ········································································································3Ⅱ. 문헌 고찰 ·········································································································51. 심뇌혈관질환 ···································································································52. 우울증 ············································································································63. 심뇌혈관질환과 우울증의 관련성 ·······································································7Ⅲ. 연구 방법 ········································································································141. 연구 설계 ······································································································142. 연구 대상 ······································································································143. 연구 변수 ······································································································164. 자료 수집 절차 ······························································································185. 자료 분석 방법 ······························································································18Ⅳ. 연구 결과 ········································································································191. 대상자의 일반적 특성 ·····················································································192. 심뇌혈관질환과 우울증의 유병률 ······································································223. 일반적 특성에 따른 우울증의 차이 ···································································234. 심뇌혈관질환에서의 우울증 ··············································································245. 심뇌혈관질환과 우울증의 관련성 ······································································27Ⅴ. 논의 ···············································································································32Ⅵ. 결론 및 제언 ···································································································39Ⅶ. 참고 문헌 ········································································································40Abstract ··············································································································47
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