Journal of East-West Nursing Research (동서간호학연구지)

East-west Nursing Research Institute, Kyung Hee University (경희대학교 동서간호학연구소)
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Mediating Effect of Illness Perception on the Relationship between Family Function and Health Behavior in Patients with Risk Factors for Metabolic Syndrome

대사증후군 위험군의 가족기능과 건강행위의 관계에서 질병인식의 매개효과

  • Received : 2019.11.05
  • Accepted : 2019.11.25
  • Published : 2019.11.30
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Abstract

Purpose: This study aimed to examine the mediating effect of illness perception on the relationship between family function and health behavior of patients with risk factors for metabolic syndrome. Methods: This is a cross-sectional correlational study. Data were collected from 160 patients using self-administered questionnaires including the Illness Perception Questionnaire-Revised, Family APGAR, and the Health Behavior Scale. The data were analyzed using Pearson's correlation coefficients, independent t-test and multiple linear regression analysis by the SPSS 23.0 program. Results: Health behavior was significantly correlated with family function (r=.30, p<.001) and illness perception of controllability by treatment (r=-.21, p=.007). Family function was a significant predictor of health behavior and illness perception, and the influence of family function on health behavior was partially mediated by illness perception of controllability by treatment. Conclusion: The findings of this study indicate that family function is a critical factor affecting health behavior and illness perception, and illness perception of controllability by treatment mediates the influence of family function on health behavior. It is necessary to develop a psycho-cognitive intervention program for enhancing supportive family function and for modifying negative illness perceptions to improve health behavior in patients with risk factors for metabolic syndrome.

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References

  1. Expert panel on detection, evaluation, and treatment of high blood cholesterol in adults. Third report of the national cholesterol education program (NCEP) expert panel on detection, evaluation and treatment of high blood cholesterol in adults (adult treatment panel III) final report. Circulation. 2002;106:3143-421. https//doi.org/10.1161/circ.106.25.3143
  2. Jeong KS. Korea health statistics 2015. Korea national health and nutrition examination survey (KNHANES VI-3). Seoul: Korea Centers for Disease Control & Prevention; 2016 December. Report No.: 11-1351159-000027-10
  3. Jellinger PS, Handelsman Y, Rosenblit PD, Bloomgarden ZT, Fonseca VA, Garber AJ, et al. American association of clinical endocrinologists and American college of endocrinology guidelines for management of dyslipidemia and prevention of cardiovascular disease. Endocrine Practice. 2017;23(suppl 2):1-87. https://doi.org/10.4158/EP171764.APPGL
  4. Koh G, Woo JT. Prevention of metabolic syndrome. Journal of the Korean Medical Association. 2005;48(12):1188-94. https//doi.org/10.5124/jkma.2005.48.12.1188
  5. Noh EY, Kwon HY. The effects of family health and stress coping behavior on psychological well-being according to family health levels of middle-aged women. Journal of Education and Culture. 2019;25(2):399-414. https://doi.org/10.24159/joec.2019.25.2.399
  6. Hong YS, Han KS. A Structural equation model on family strength of married working women. Journal of Korean Academy of Nursing. 2015;45(6):900-9. http//dx.doi.org/10.4040/jkan.2015.45.6.900
  7. Kweon YR, Jeon HO. Effects of perceived health status, self-esteem and family function on expectations regarding aging among middle-aged women. Journal of Korean Academy of Nursing. 2013;43(2):176-84. http://dx.doi.org/10.4040/jkan.2013.43.2.176
  8. Bennich BB, Roder ME, Overgaard D, Egerod I, Munch L, Knop FK, et al. Supportive and non-supportive interactions in families with a type 2 diabetes patient: An integrative review. Diabetology and Metabolic Syndrome. 2017;9:57. http://dx.doi.org/10.1186/s13098-017-0256-7
  9. Jiang S-S, Shen L-P, Ruan H-F, Li L, Gao L-L, Wan L-H. Family function and health behaviours of stroke survivors. International Journal of Nursing Sciences. 2014;1(3):272-6. https//doi.org/10.1016/j.ijnss.2014.05.024
  10. Rodriguez-Sanchez E, Perez-Penaranda A, Losada-Baltar A, Perez-Arechaederra D, Gomez-Marcos MA, Patino-Alonso MC, et al. Relationships between quality of life and family function in caregiver. BMC Family Practice. 2011;12(1):19. https//doi.org/10.1186/1471-2296-12-19
  11. Ban KO, Park JW. Analysis of family function and mental health state for low-income middle-aged women. Korean Academic Society of Rehabilitation Nursing. 2010;13(2):132-9.
  12. Cohen S. Social relationships and health. American Psychologist. 2004;59(8):676-84. http://dx.doi.org/10.1037/0003-066X.59.8.676
  13. Kim EY, Oh KJ. Effects of the familial risk factors on emotional and behavioral problems of adolescents: The mediating effects of executive function. Studies on Korean Youth. 2014;25(2):79-113. http://dx.doi.org/10.14816/sky.2014.05.73.79
  14. Jeong KS, Heo JE, Tea YS. Relationships among distress, family support, and health promotion behavior in breast cancer survivors. Asian Oncology Nursing. 2014;14(3):146-54. http://dx.doi.org/10.5388/aon.2014.14.3.146
  15. Yeom JH, Shin YS. Influence of social support and illness perception on depression among hospitalized older adults prior to discharge from an acute care hospital. Korean Journal of Adult Nursing. 2017;29(3):246-255. https//doi.org/10.7475/kjan.2017.29.3.246
  16. Park AS, Ko E, Kang HS. Comparison of motivation for rehabilitation, family support and adherence to rehabilitation between depressive and non-depressive stroke patients. The Korean Journal of Rehabilitation Nursing. 2016;19(2):138-47. http://dx.doi.org/10.7587/kjrehn.2016.138
  17. Leventhal H, Brissett L, Leventhal EA. The common-sense model of self-regulation of health and illness. In: Cameron LD, Leventhal H, editors. London, UK. Routledge. 2003:42-65. https://doi.org/10.4324/9780203553220
  18. Choi MG, Yoon SS, Oh JH. Development and validation of K-IPQ (Korean Illness Perception Questionnaire). Journal of Health Communication. 2016;11(2):123-43. http://dx.doi.org/10.15715/kjhcom.2016.11.2.123
  19. Hagger MS, Orbell S. A meta-analytic review of the common-sense model of illness representations. Psychology and Health. 2003;18(2):141-84. https://doi.org/10.1080/088704403100081321
  20. Cha J. Structural equation modeling of self-management in patients with hemodialysis. Journal of Korean Academy of Nursing. 2017;47(1):14-24. https://doi.org/10.4040/jkan.2017.47.1.14
  21. Song R, Park M. Motivation factors for stages of behavioral change among individuals with metabolic syndrome. Korean Journal of Adult Nursing. 2018;30(1):60-9. https://doi.org/10.7475/kjan.2018.30.1.60
  22. Kang JS, Kang HS, Yun EK, Choi HR. Factors influencing health behavior compliance of patients with metabolic syndrome. Korean Journal of Adult Nursing. 2012;24(2):191-9. https://doi.org/10.7475/kjan.2012.24.2.191
  23. Kim HJ, Lee MK. The relationship between illness perception and health behaviors among patients with tuberculosis: Mediating effects of selfefficacy and family support. Korean Journal of Adult Nursing. 2017;29(6):626-36. https://doi.org/10.7475/kjan.2017.29.6.626
  24. Grundy SM, Brewer HB Jr, Cleeman JI, Smith SC Jr, Lenfant C. Definition of metabolic syndrome: Report of the national heart, lung, and blood institute/American Heart Association conference on scientific issues related to definition. Circulation. 2004;109(3):433-8. https://doi.org/10.1161/01.cir.0000111245.75752.c6
  25. Cohen J. (1988). Statistical Power Analysis for the Behavioral Sciences. New York, NY: Routledge Academic.
  26. Smilkstein G. The cycle of family function: A conceptual model for family medicine. The Journal of Family Practice. 1980;11:223-32.
  27. Song R, June KJ, Kim CG, Jun MY. Comparisons of motivation, health behaviors, and functional status among motivation enhancement exercise program participants. Public Health Nursing. 2004;21(4):361-71. https://doi.org/10.1111/j.0737-1209.2004.21410.x
  28. Moss-Morris R, Weinman J, Petrie KJ, Horne R, Cameron LD, Buick D. The revised illness perception questionnaire (IPQ-R). Psychology and Health. 2002;17(1):1-16. https://doi.org/10.1080/08870440290001494
  29. Halm EA, Mora P, Leventhal H. No symptoms, no asthma: The acute episodic disease belief is associated with poor self-management among inner-city adults with persistent asthma. Chest. 2006;129(3):573-80. https://doi.org/10.1378/chest.129.3.573
  30. Abubakari AR, Jones MC, Lauder W, Kirk A, Anderson J, Devendra D. Associations between knowledge, illness perceptions, self-management and metabolic control of type 2 diabetes among African and Europeanorigin patients. Journal of Nursing and Healthcare of Chronic Illness. 2011;3(3):245-56. https://doi.org/10.1111/j.1752-9824.2011.01098.x