| 심부전 입원 환자의 자가관리 행위 이행에 영향을 미치는 요인 |
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옥종선, 고일선, 유규형, 김성해, 임서진 |
1연세대학교 간호대학원
2연세대학교 간호대학, 간호정책 연구소
3한림대학교 동탄 성심병원 심장혈관센터
4건국대학교 병원 심장혈관내과
5아산 병원 심장병 예방.재활센터 |
| Factors Affecting to Adherence to Self-care Behaviors among Inpatients with Heart Failure in Korea |
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Jong Sun Ok, Il Sun Ko, Kyu Hyung Ryu, Sung Hea Kim, Seo Jin Lim |
1College of Nursing, Yonsei University
2College of Nursing, Nursing Policy Research Institute, Yonsei University
3Cardiovascular Center, Hallym University Dongtan Sacred Heart Hospital
4Department of Cardiovascular Medicine, Konkuk University Hospital
5Cardiovascular Prevention & Rehabilitation Center, in ASAN Medical Center |
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| Abstract |
Purpose
This study was to analyze adherence to self-care behaviors and identify factors affecting the adherence behaviors among inpatients with heart failure.
Methods
A total 94 hospitalized inpatients from three hospitals participated in a survey. Data were collected using structured self-reported questionnaire from November 28, 2011 to March 31, 2013 and analyzed using frequency, t-test, ANOVA, Pearson's correlation coefficients and stepwise multiple regression.
Results
The score of adherence to self-care behaviors among inpatients with heart failure was $26.02({pm}8.84)$. Factors related to the adherence to self-care behaviors were living with spouse (t=-2.47, p=.019), functional state (t=2.18, p=.034), heart failure knowledge (r=-.49, p<.001), social support (r=-.35, p<.001), self-control (r=-.25, p=.016), and self-care confidence (r=-.24, p=.019). The factors affecting adherence to self-care behaviors were heart failure knowledge, self-care confidence, and social support. These factors explained 32% of the variance in adherence to self-care behaviors.
Conclusion
The adherence to self-care behaviors with heart failure can be improved if heart failure knowledge, self-care confidence, and social support are improved. Therefore, developing a nursing intervention program for patient with heart failure that is considered these factors leads to improve quality of life and prevent readmission. |
| Key Words:
Adherence, Heart failure, Self care |
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