Journal of Korean Academic Society of Home Health Care Nursing (가정간호학회지)

Korean Academic Society of Home Health Care Nursing (한국가정간호학회)
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Development of a Self-Management Adherence Instrument for Patients with Hypertension

고혈압 환자의 자가 관리 이행 도구개발

  • Received : 2023.01.30
  • Accepted : 2023.03.20
  • Published : 2023.04.30
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Abstract

Purpose: This study aimed to develop an instrument that measured adherence to self-management among patients with hypertension, and to verify the validity and reliability of the developed instrument. Methods: The 34 indicators that underwent the content validity test were provided to 202 subjects for investigation The collected data were analyzed using SPSS Ver. 22.0 and Amos Ver. 25.0. Results: Five factors, 'interaction,' 'lifestyle change,' 'continuing motivation,' 'medical care', and 'weight control' were extracted, and the total cumulative variance was shown to be 61.75%. The test statistic of the regression coefficient was statistically significant according to the confirmatory factor analysis. Conclusion: It is suggested that more research is needed to generalize the instrument to suit more candidates, while continuing to refine the reliability and validity of the instrument.

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References

  1. Ok JS, Ko IS, Ryu KH. Affecting Factors of Health Behavior Adherence depending on the Duration of the Hypertension Diagnosis. The Korean Journal of Rehabilitation Nursing. 2017;20(2):151-163. https://doi.org/10.7587/kjrehn.2017.151
  2. Kang SH, Ko E. Factors Associated with Medication Adherence among the Elderly with Chronic Diseases. Korean Journal of Adult Nursing. 2021;33(2):189-201. https://doi.org/10.7475/kjan.2021.33.2.189
  3. Sung HH, Gi MY, Cha JA, Cho HE, Moon AE, Yoon H. Gender difference in the relationship between lipid accumulation product index and pulse pressure in nondiabetic Korean adults: The Korean National Health and Nutrition Examination Survey 2013-2014. Clinical and Experimental Hypertension. 2022;44(2):146-153. https://doi.org/10.1080/10641963.2021.2007943
  4. Kwuan MS, Noh GY, Chang JH. A Study on Relationships between Health Literacy, Disease-related Knowledge and Compliance to MedicalRecommendations in Patients with Hypertension. Korean Society of Public Health Nursing. 2013;27(1):190-202. http://doi.org/10.5932/JKPHN.2013.27.1.190
  5. Ilene ML, Pamala DL. Chronic Illness: Impact and Interventions. 6th ed. Su. Massachusetts: Jones and Bartlett Publishers; 2006. p. 13-21. https://www.worldcat.org/ko/title/300806263
  6. Helvi AK, Carrie AS, Mary ED. The development of an instrument to measure the compliance of adolescents with a chronic disease. Journal of Advanced Nursing, 2000;32(6):1499-1506. https://doi.org/10.1046/j.1365-2648.2000.01611.x
  7. Kang S, Kim JS. Concept Analysis of Medication Adherence in the Elderly with Chronic Disease: Hybrid Model. Nursing & Health Issues. 2021;26(2):143-156. https://doi.org/10.33527/nhi2021.26.2.143
  8. Pathman, D. E, Konrad, T. R, Freed, G. L. The awarenessꠓ to-Adherence Model of the steps toclinical guidline compliance. Medical Care. 1996;34(9):873-889. https://doi.org/10.1097/00005650-199609000-00002
  9. Ok, JS. Evaluation of a Self-Care Capacity Building Program for Hypertensive Patients with Metabolic Syndrome. Korean Society for Wellness. 2021;16(1):32-41. https://doi.org/10.21097/ksw.2021.02.16.1.32
  10. Spliker B. Methods of assessing and improving patient compliance in clinical trials. In Patient Compliance in Medical Practice and Clinical Trials, New York: Raven Press Ltd; 1991. p. 37-56.
  11. Lee Hj. Factors affecting medication compliance of hypertensive patients [master's thesis]. [Seoul]: Dankook University; 2002. p. 1-60.
  12. Morisky DE, Green LW, Levine DM. Concurrent and predictive validity of a self-reported measure of medication adherence. Medical Care, 1986;4(1):67-74. https://doi.org/10.1097/00005650-198601000-00007
  13. Morisky DE, Ang A, Krousel-Wood M, Ward HJ. predictive validity of a medication adherence measure in an outpatient setting. Journal of Clinical Hypertension. 2008;10(5):348-354. https://doi.org/10.1111/j.1751-7176.2008.07572.x
  14. McHorney CA. The adherence estimator: a brief, proximal screener for patient propensity to adhere to prescription medications for chronic disease. Current Medical Research and Opinion. 2009;25(10):215-238. https://doi.org/10.1185/03007990802619425
  15. Dunbar JJ, Erlen JA, Schlenk E, Ryan C, Sereika SM, Doswell WM. Adherence in chronic disease. In Annual Review of Nursing Research. 2000;18(1):48-90. https://doi.org/10.1891/0739-6686.18.1.48
  16. Lee YW. A study on the development and effects of slides/tape program for the hypertensive patients' Self-Care. Journal of Korean Academy of Nursing. 1995; 25(4):696-708. https://doi.org/10.4040/jnas.1995.25.4.696
  17. An N, Jun YH, Song YS. Psychometric Properties of the Hypertension Self-Care Behavior Scale for Elders with Hypertension in Korea. Korean Academy of Fundamentals of Nursing. 2017;24(1):1-8. DOI : https://doi.org/10.7739/jkafn.2017.24.1.1
  18. Robert FD. Scale development: theory and applications. 3rd ed. London: Sage; 2012. p. 73-115.
  19. Lynn MR. Determination and quantification of content validity. Nursing Research. 1986;35(6):382-385. https://www.ncbi.nlm.nih.gov/pubmed/3640358 https://doi.org/10.1097/00006199-198611000-00017
  20. Kim HJ, Huh J. Statistical Analysis of Social Science. Seoul: Samyeongsa; 2003. p. 10-50.
  21. Diana L, Jennifer B. Oxford Advanced Learner's Dictionary. 10th. ed. London: Oxford University Press; 2020.
  22. Lee HS, Lym JH. Structural Equation Model Analysis and AMOS 6.0. Seoul: Beopmunsa; 2007. p. 30-59.
  23. Kim SH. Nurses' communication, trust in nurses, and satisfaction of nursing service perceived by inpatients [master's thesis]. Seoul: Seoul National University; 2013. p. 35-45.
  24. Oyekan E, Nimalasuriya A, Martin J, Scott R, Dudl RJ, Green K. The B-SMART appropriate medication-use process: a guide for clinicians to help patients-part 1: barriers, solutions, and motivation. The Permanente Journal. 2009; 13(1):62-69. https://doi.org/10.7812/tpp/07-057
  25. Oh JH, Lim NY. A Study on the Relationships between Family Support, Self-efficacy, and Compliance in Chronic Arthritis. The Journal of Rheumatology Health. 2005;12(1):28-38. http://www.riss.kr/link?id=A75965131
  26. Kim HJ, Song GS. The Development of a Specific Quality of Life Scale for Hypertensive Patients: Methodological Study. Korean Journal of Adult Nursing. 2022;34(6):523-536. https://doi.org/10.7475/kjan.2022.34.6.523
  27. Choi YA, Park JH(1999). Correlations among Family Support, Self-Esteem and Compliance with Preventive Health Behavior in Elderly People. Korean Academy of Fundamentals of Nursing. 1999;6(1):141-153. https://koreascience.kr/article/JAKO199934718165587.page
  28. Cho GY, Ha MN. Mediating Effects of Health Belief on the Correlations among Disease-related Knowledge, eHealth Literacy, and Self-care Behaviors in Outpatients with Hypertension. Korean Journal of Adult Nursing. 2019;31(6):638-649. https://doi.org/10.7475/kjan.2019.31.6.638
  29. Shin ES, Kwon IS, Cho YC. Investigation of Blood Pressure, Serum Lipids, and Obesity Indices according to Smoking Status in Middle-Aged Males. Journal of the Korea Academia -Industrial Cooperation Society. 2013;14(3):1359-1366.  https://doi.org/10.5762/KAIS.2013.14.3.1359
  30. Song RY, Park MK. Motivation Factors for Stages of Behavioral Change among Individuals with Metabolic Syndrome. Korean Journal of Adult Nursing. 2018;30(1):60-69. https://doi.org/10.7475/kjan.2018.30.1.60