Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
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Factors Affecting to Adherence to Self-care Behaviors among Inpatients with Heart Failure in Korea

심부전 입원 환자의 자가관리 행위 이행에 영향을 미치는 요인

  • Ok, Jong Sun (College of Nursing, Yonsei University) ;
  • Ko, Il Sun (College of Nursing, Nursing Policy Research Institute, Yonsei University) ;
  • Ryu, Kyu Hyung (Cardiovascular Center, Hallym University Dongtan Sacred Heart Hospital) ;
  • Kim, Sung Hea (Department of Cardiovascular Medicine, Konkuk University Hospital) ;
  • Lim, Seo Jin (Cardiovascular Prevention & Rehabilitation Center, in ASAN Medical Center)
  • 옥종선 (연세대학교 간호대학원) ;
  • 고일선 (연세대학교 간호대학, 간호정책 연구소) ;
  • 유규형 (한림대학교 동탄 성심병원 심장혈관센터) ;
  • 김성해 (건국대학교 병원 심장혈관내과) ;
  • 임서진 (아산 병원 심장병 예방.재활센터)
  • Received : 2013.11.28
  • Accepted : 2013.12.10
  • Published : 2013.12.31
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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.

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