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http://dx.doi.org/10.5932/JKPHN.2016.30.1.105

Influencing factors from the Transtheoretical Model on the Execution of Self-Management Behaviors among Community-Residing Older Adults with Hypertension  

Ahn, Yang Heui (Department of Nursing, Wonju College of Medicine, Yonsei University)
Lim, Young Mi (Department of Nursing, Wonju College of Medicine, Yonsei University)
Kim, KiYon (Department of Nursing, Wonju College of Medicine, Yonsei University)
Kim, Ki-Kyoung (Department of Nursing, Wonju College of Medicine, Yonsei University)
Song, Hee-Young (Department of Nursing, Wonju College of Medicine, Yonsei University)
Publication Information
Journal of Korean Public Health Nursing / v.30, no.1, 2016 , pp. 105-121 More about this Journal
Abstract
Purpose: This study examined the influencing factors from the Transtheoretical Model on the stage of change in the self-management behaviors, i.e. regular physical activity and diet, among community-residing adults with hypertension in a rural area. Methods: With a cross-sectional descriptive design, 134 adults who had registered and received a prescription for hypertension medication from a public health center in W city were recruited using convenient sampling. The instrument was an interviewer-administered questionnaire on the stage of change, process of change, self-efficacy, and decisional balance of physical activity and diet. The data were analyzed using descriptive statistics, 2-sample t-test, ${\chi}^2$ test, and logistic regression. Results: The results revealed significant differences in the process of change, self-efficacy, and decisional balance of physical activity and diet between those who were in the pre-execution stage (precontemplation, contemplation, preparation) and those who were in the execution stage (action and maintenance). Logistic regression showed that consciousness raising and self-efficacy were significant predictors of the execution stage in physical activity, and self-reevaluation, social liberation and self-efficacy were significant predictors in the diet. Conclusion: The relevant processes of change, differentiated according to the stage of change, along with self-efficacy, should be addressed to enhance the execution of self-management behaviors among hypertensive adults residing in the community.
Keywords
Hypertension; Self-management; Self-efficacy; Stage of change;
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