만성신부전 환자의 심리적 적응에서 사회비교 동기와 통제신념의 효과 = The Effcts of Social Comparison Motive and Control on Psychological Adjustment of the Hemodialysis Patients

다국어 초록 (Multilingual Abstract)

The purpose of this study is to investigate the effects of social comparison motive and control on psychological adjustment of hemodialysis patients with an end-stage renal disease and to provide basic data for effective psychological intervention to the psychological
maladjustment in hemodialysis patients. In order to do this, Self- Control Schedule, Social
Comparison Motive, and Psychosocial Adjustment to Illness Scale-Self Report are
administered to 131 hemodialysis patients with ESRD at twelve hospitals in Seoul, Busan, and
Kyung-in area. The results are as follows. Firstly, in the degree of psychological adjustment,
the upward comparison group show no significant differences from the downward comparison
group. Second, the high control group show higher levels of psychological adjustment than the
low control group. Third, the interaction effect between social comparison motive and control
on psychological adjustment show differences. That is, the upward comparison group in high
control show higher levels of psychological adjustment than the downward comparison group.
Thanks to the result of this study, the Psychological Adjustment of patients with an
end-stage renal disease, who are in the situation under which it is impossible for them to
have real expectation for perfect cures, can be dealt with more in death. Specifically speaking,
through a proper psychological intervention, when we approach the patients, it can be used in
a expansive cure for the patients

국문 초록 (Abstract)

본 연구는 혈액투석중인 만성신부전 환자의 심리적 적응에 사회비교추구 성향과 통제감이 미치는 영향력을 탐색하여 만성신부전 환자의 적응을 위한 심리적 개입의 기초를 제공하고자 하였다. 서울과 경인, 부산 지역 소재 총 12개 인공 신장실 외래를 방문한 혈액투석 환자 131명을 대상으로 연구한 결과는 다음과 같다. 첫째, 상향비교를 추구하는 집단은 하향비교를 추구하는 집단보다 심리적 적응수준이 높은 경향성을 보였으나 통계적으로 유의하지는 않았다. 둘째, 통제감이 높은 집단은 통제감이 낮은 집단에 비해 심리적 적응수준이 높았다. 마지막으로, 심리적 적응수준에 대한 사회비교추구 성향과 통제감과의 상호작용 효과는 유의하였다. 즉 통제감이 높은 수준에서 상향 비교를 추구하는 집단이 하향비교를 추구하는 집단보다 심리적 적응수준이 더 높게 나타났다. 본 연구 결과를 통해, 완치에 대한 현실적인 기대를 갖지 못하는 만성신부전증 환자에게 적절한 심리적 개입을 함으로서 그들의 심리적 적응을 도울 수 있을 것으로 기대된다.

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