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http://dx.doi.org/10.5392/JKCA.2021.21.07.575

Concept Analysis of Health Motivation in Patients with Chronic Disease  

Jung, Mijung (광주여자대학교 간호학과)
Lee, Hanna (강릉원주대학교 간호학과)
Publication Information
The Journal of the Korea Contents Association / v.21, no.7, 2021 , pp. 575-586 More about this Journal
Abstract
The purpose of this study is to contribute to evidence-based nursing care for patients with chronic conditions by understanding the attributes of the health motivation concept for their health-related behaviors. Fourteen academic journals and research papers on the health-related motivation of chronically ill patients were selected according to the conceptual analysis stages of Walker and Avant, and the concept was analyzed through additional literature review. The following three factors were extracted as the attributes of health motivation of chronically ill patients: first, psychological needs for healthy behavior; second, the multidimensional state considering personal characteristics; and third, emotional strengths that can change and induce behavioral changes. Given the antecedents, attributes, and outcomes analyzed in this study, it is anticipated that the evidence-based systematic management of chronically ill patients will be possible through the application of a nursing intervention program that increases health motivation
Keywords
Health; Motivation; Chronic Disease; Concept Analysis;
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Times Cited By KSCI : 1  (Citation Analysis)
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1 R. K. AlHadlaq, M. M. Swarelzahab, S. Z. AlSaad, A. K. AlHadlaq, S. M. Almasari, S. S. Alsuwayt, and N. A. Alomari, "Factors affecting self-management of hypertensive patients attending family medicine clinics in Riyadh, Saudi Arabia," Journal of Family Medicine and Primary Care, Vol.8, No.12, pp.4003-4009, 2019.   DOI
2 J. Reeve, 동기와 정서의 이해, 박학사, 2018.
3 E. L. Deci, "On the Nature and Functions of Motivation Theories," Psychological Science, Vol.3, No.3, pp.167-171, 1992.   DOI
4 이은남, 공경란, "류마티스 관절염 환자의 재활동기에 대한 개념분석," 근관절건강학회지, 제25권, 제3호, pp.240-249, 2018.   DOI
5 표준국어대사전, https://stdict.korean.go.kr/search/searchView.do, 2021. 4. 20.
6 C. Moorman and E. Matulich, "A model of consumers' preventive health behaviors: The role of health motivation and health ability," Journal of Consumer Research, Vol.20, No.2, pp.208-228, 1993.   DOI
7 최희수, 가상현실 기반 재활훈련이 만성 뇌졸중 환자의 자기효능감과 재활동기에 미치는 효과, 인제대학교, 석사학위논문, 2016.
8 J. O. Prochaska and C. C. DiClemente, "Stages and Processes of Self-Change of Smoking : Toward An Integrative Model of Change," Journal of Consulting and Clinical Psychology, Vol.51, No.3, pp.390-395, 1983.   DOI
9 A. Bandura, "Social cognitive theory of self-regulation," Organizational Behavior and Human Decision Processes, Vol.50, No.2, pp.248-287, 1991.   DOI
10 김미옥, "동기강화면담이 공복혈당장애 환자의 건강증진생활양식, 행동변화단계, 당화혈색소값에 미치는 효과," 한국콘텐츠학회논문지, 제15권, 제11호, pp.338-346, 2015.   DOI
11 R. Amelia, "The Model of Self Care Behaviour and the Relationship with Quality Of Life, Metabolic Control and Lipid Control of Type 2 Diabetes Mellitus Patients in Binjai City, Indonesia," Open Access Macedonian Journal of Medical Sciences, Vol.6, No.9, pp.1762-1767, 2018.   DOI
12 K. F. Willis, A. Robinson, R. Wood-Baker, P. Turner, and E. H. Walters, "Participating in research: exploring participation and engagement in a study of self-management for people with chronic obstructive pulmonary disease," Qualitative Health Research, Vol.21, No.9, pp.1273-1282, 2011.   DOI
13 K. Glanz, B. K. Rimer, and F. M. Lewis, Health Behavior and Health Education Theory, Research, and Practice, 군자출판사, 2012.
14 S. Notaras and J. Conti, "A qualitative analysis of eating behaviour change for patients with diabetes and non-dialysis dependent chronic kidney disease stages 4-5," Journal of Renal Care, Vol.44, No.4, pp.219-228, 2018.   DOI
15 K. Resnicow, P. J. Teixeira, and G. C. Williams, "Efficient allocation of public health and behavior change resources: The "Difficulty by Motivation" matrix," AJPH PUBLIC HEALTH OF CONSEQUENCE, Vol.107, No.1, pp.55-57, 2017.
16 J. Hunt, "Motivational interviewing and people with diabetes," European Diabetes Nursing, Vol.8, No.2, pp.68-73b, 2011.   DOI
17 강경자, 송미순, "관상동맥질환자를 위한 동기증진 교육.상담 프로그램이 건강행위변화에 미치는 효과," 임상간호연구, 제16권, 제2호, pp.5-16, 2010.
18 A. Grimaldi, "How to help the patient motivate himself?," Diabetes & Metabolism, Vol.38, No.3, pp.S59-S64, 2012.   DOI
19 B. Tanisha Jowsey, "What motivates Australian health service users with chronic illness to engage in self-management behaviour?," Health Expectations, Vol.17, No.2, pp.267-277, 2011.   DOI
20 P. S. Jansons, L. Robins, T. P. Haines, and L. O'Brien, "Barriers and enablers to ongoing exercise for people with chronic health conditions: Participants' perspectives following a randomized controlled trial of two interventions," Archives of Gerontology and Geriatrics, Vol.76, No.15, pp.92-99, 2018.   DOI
21 C. L. Murphy, B. J. Sheane, and G. Cunnane, "Attitudes towards exercise in patients with chronic disease: the influence of comorbid factors on motivation and ability to exercise," Postgraduate Medical Journal, Vol.87, No.1024, pp.96-100, 2011.   DOI
22 정대근, "건강한 삶의 질 향상을 위한 호흡운동의 효과 비교분석: 만성폐쇄성폐질환을 중심으로," 한국엔터테인먼트산업학회논문지, 제10권, 제2호, pp.105-112, 2016.
23 C. Sarfo-Walters and E. A. Boateng, "Perceptions of patients with end-stage kidney disease (ESKD) and their informal caregivers on palliative care as a treatment option: a qualitative study," BMC Palliative Care, Vol.19, No.1, pp.1-8, 2020.   DOI
24 S. C. Parham, D. J. Kavanagh, M. Shimada, J. May, and J. Andrade, "Qualitative analysis of feedback on functional imagery training: A novel motivational intervention for type 2 diabetes," Psychology & Health, Vol.33, No.3, pp.416-429, 2018.   DOI
25 J. Warren, B. Smalley, and N. Barefoot, "Higher Motivation for Weight Loss in African American than Caucasian Rural Patients with Hypertension and/or Diabetes," Ethnicity & Disease, Vol.26, No.1, pp.77-84, 2016.   DOI
26 E. L. Deci and R. M. Ryan, Self-determination theory, Sage publications ltd, 2012.
27 정은경, 2020 만성질환 현황과 이슈, 질병관리청, 2020.
28 김나영, "만성질환 유병 수와 사회경제적 조건관계 분석: 중고령자," 한국경제학보, 제22권, 제1호, pp.39-48, 2015.
29 조경숙, "우리나라 만성질환의 발생과 관리 현황," 주간 건강과 질병, 제14권, 제4호, pp.166-177, 2021.
30 T. Jowsey, C. Pearce-Brown, K. A. Douglas, and L. Yen, "What motivates Australian health service users with chronic illness to engage in self-management behaviour?," Health Expectations, Vol.17, No.2, pp.267-277, 2014.   DOI
31 Noncommunicable diseases, https://www.who.int/health-topics/noncommunicable-diseases#tab=tab_1, 2021. 5. 20.
32 이은옥, K. Hesook Suzie, 박영숙, 송미순, 이인숙, 박연환, "만성질환으로 인한 가족기능 변화 모형 : 완성된 확장기 가족을 대상으로," 대한간호학회지, 제29권, 제3호, pp.467-484, 1999.   DOI
33 T. Chang, Y. Zhang, Y. Shan, S. Liu, X. Song, Z. Li, L. Du, Y. Li, and D. Gao, "A study on the information-motivation-behavioural skills model among Chinese adults with peritoneal dialysis," Journal of Clinical Nursing, Vol.27, No.9-10, pp.1884-1890, 2018.   DOI
34 A. H. T. Davis, "Exercise Adherence in Patients with Chronic Obstructive Pulmonary Disease: An Exploration of Motivation and Goals," Rehabilitation Nursing, Vol.32, No.3, pp.104-111, 2007.   DOI
35 M. Fishbein, "A reasoned action approach to health promotion," Medical Decision Making, Vol.28, No.6, pp.834-844, 2008.   DOI
36 I. Ajzen, "The theory of planned behavior," Organizational Behavior and Human Decision Processes, Vol.50, No.2, pp.179-211, 1991.   DOI
37 이은옥, 임난영, 박현애, 이인숙, 김종임, 배정이, 이선미, 간호연구와 통계분석, 수문사, 2009.
38 L. O. Walker and K. C. Avant, Strategies for theory construction in nursing, Prentice Hall, 2010.
39 D. L. Huber, Leadership, nursing care management (3rd ed), Saunders Elsevier, 2006.
40 차명화, 김유경, "건강기능식품 소비가치와 구매의도의 관계에 대한 건강동기, 건강염려, 식품몰입의 조절효과," 한국식품영양과학회지, 제37권, 제11호, pp.1435-1442, 2008.   DOI
41 김연주, 동기유발을 이용한 치료적 중재가 만성 뇌졸중 환자의 기능회복과 삶의 질에 미치는 효과, 대구대학교, 박사학위논문, 2011.
42 R. E. Franken, 인간의 동기, 시그마프레스, 2007.
43 Merriam-Webster dictionary [Internet], https://www.merriam-webster.com/dictionary/motivation, 2021. 4. 21.
44 O. Kahkonen, P. Kankkunen, T. Saaranen, H. Miettinen, H. Kyngas, and M. Lamidi, "Motivation is a crucial factor for adherence to a healthy lifestyle among people with coronary heart disease after percutaneous coronary intervention," Journal of Advanced Nursing, Vol.71, No.10, pp.2364-2373, 2015.   DOI
45 손연정, 박영례, "만성질환자의 가족지지, 자기효능감 및 자가간호수행간의 관계," 성인간호학회지, 제17권, 제5호, pp.793-801, 2005.
46 J. Zhang and P. N. Bennett, "The perception of people with chronic kidney disease towards exercise and physical activity: a literature review," Renal Society of Australasia Journal, Vol.15, No.3, pp.97-104, 2019.   DOI
47 송미순, "건강증진개념을 적용한 만성질환 노인 자기관리 교육 모형 개발," 노인간호학회지, 제6권, 제2호, pp.228-242, 2004.
48 김혜숙, 박종, 정은, "지역사회 건강관리담당자의 만성질환 관리실태," 농촌의학.지역보건, 제34권, 제3호, pp.334-345, 2009.
49 D. J. Bem, Self-perception theory, Elsevier, 1972.
50 X. Xu, M. Millar, and D. Mellor, "Examining the structural validity of health motivation scale in physical activity," Anthropology, Vol.2, No.3, pp.234-236, 2014.
51 K. Lukaschek, N. Schneider, M. Schelle, U. B. Kirk, T. Eriksson, I. Kunnamo, A. Rochfort, C. Collins, and J. Gensichen, "Applicability of Motivational Interviewing for Chronic Disease Management in Primary Care Following a Web-Based E-Learning Course: Cross-Sectional Study," JMIR Mental Health, Vol.6, No.4, pp.1-9, 2019.