1. 만성질환 자가간호 중범위이론 검증: 성인 중증고혈압환자를 대상으로.
- Author
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길은하 and 오희영
- Subjects
ACADEMIC medical centers ,CHRONIC diseases ,HEALTH services accessibility ,HEALTH status indicators ,HYPERTENSION ,MOTIVATION (Psychology) ,PHILOSOPHY of nursing ,QUALITY of life ,HEALTH self-care ,SELF-efficacy ,STRUCTURAL models ,SOCIAL support ,DATA analysis software - Abstract
Purpose: The aims of this study are to provide a theoretical framework for improving the self-care of adults with severe hypertension and to examine the practical suitability of a middle-range theory of self-care for chronic illness by validating the structural model. Methods: Data were collected at a university hospital in D metropolitan city from July 1 to August 14, 2015. A total of 224 Korean adult patients with severe hypertension were recruited. Data were analyzed using SPSS 22.0 and AMOS 22.0. Results: The results show that the fit index of the hypothetical model meets the recommended level; 7 out of 8 hypothetical model paths were statistically significant. Motivation, self-efficacy, support from others, and accessibility to care showed statistical significance and explained 67.3% of the self-care process. The self-care process explained 45.3%, 63.6%, and 26.5% of quality of life, health, and illness stability, respectively. Conclusion: This model can be used as a theoretical framework for improving self-care among adult Korean patients with severe hypertension. Moreover, the practical suitability and validity of the middle-range theory of self-care for chronic illness is secured. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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