• Journal of muscle and joint health
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• v.24 no.1
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• pp.47-55
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• 2017

Purpose: The purposes of this study were to examine self-efficacy, severity, social support, and self-care compliance of patients with liver cirrhosis and to identify the factors that affect their self-care compliance. Methods: A total of 160 outpatients with liver cirrhosis visiting the gastroenterology clinic at an university hospital located in Busan were enrolled in this study. Data were collected via self-report questionnaires including self-efficacy, severity of disease, social support, and self-care compliance measures. The collected data were analyzed using t-test, ANOVA, $Scheff\acute{e}-test$, Pearson correlation coefficients, and multiple linear regression analysis. Results: The factors affecting self-care compliance were self-efficacy, severity of disease, age, and sex. These factors explained 28.4% of the variance in self-care compliance of patients with liver cirrhosis. Conclusion: Therefore, nursing interventions that enhance patients' self-efficacy are needed to promote self-care compliance in patients with liver cirrhosis. In addition, patients must be taught of the importance of self-care compliance so that even young patients and those with relatively mild disease. That would also be motivated to comply with self-care instructions.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.25 no.3
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• pp.165-175
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• 2018

Purpose: The purposes of this study were to examine symptom experiences, perceived health status, disease status, and self-care compliance of patients with liver cirrhosis and to identify the factors that affect their self-care compliance. Methods: The study design was a cross-sectional design and 148 patients who were being treated at D-university hospital in Busan participated in the survey. The data were analyzed using t-test, ANOVA, Bonferroni test, Pearson correlation coefficients, and multiple linear regression analysis. Results: The factors affecting self-care compliance were symptom experiences, disease status, age, and gender. These factors explained 21.6% of the variance in self-care compliance of patients with liver cirrhosis. Conclusion: The findings indicate that nursing interventions that prevent patients' symptoms are needed to promote self-care compliance in patients with liver cirrhosis. The patient should also be helped to recognize the need for self-care compliance from an early stage.

• Journal of Korean Biological Nursing Science
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• v.11 no.2
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• pp.157-166
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• 2009

Purpose: The purpose of this study was to determine the effects of self-care program using Short message service (SMS), e-mail, or telephone call on self-care compliance and nutritional status in maintenance of hemodialysis patient. Methods: Nonequivalent pretest-posttest control experimental design was used. Ninety-six patients were allocated to control (n=24), SMS (n=24), e-mail (n=24), or telephone (n=24) group from four hospitals. Experimental groups received self-care program about hemodialysis diet, drug administration, exercise, and fistula care by SMS, e-mail, or telephone call respectively at 3 times a week for 4 weeks. Results: Subjective self-care compliance, and objective self-care compliance including interdialytic weight of SMS and telephone groups were significantly increased than those of control groups. However, nutritional status of SMS and e-mail groups were significantly improved than those of control groups in albumin and protein level. Conclusion: Self-care program using SMS and telephone call were effective on promoting self-care compliance, while SMS and e-mail were effective on improving nutritional status. The pop-up remaining effect and easy accessible effect of SMS message in busy daily life was considered as an alarm to control fluid and diet.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.7 no.3
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• pp.453-465
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• 2000

This study was designed to identify the relationship between perceived self-efficacy and self care behavioral compliance in type II diabetic patient. The subjects for this study were the 113 adults with type II diabetes that received hospital treatment or attended as outpatients in 2 general hospitals at Inchon City. The data were collected during the period from August 15 to semtember 15, 2000 by means of an interview. Collected data were analyzed by means of descriptive statistics, t-test, ANOVA, Pearson's correlation using the SPSS/PC+ program. The results of this study were as follows : 1. The mean score of self care behavioral compliance was 3.06. 2. There were statistically significant difference in self care behavioral compliance according to sex(p<0.05), age (p<0.001), BMI(p<0.05), education(p<0.001), occupation(p<0.001), experience of diabetic education(p<0.05) and complication(p<0.05). 3. The mean score of perceived self-efficacy was 3.45. Self care behavioral compliance and perceived self-efficacy had a positive correlation which was statistically significant (r=0.3879 p<0.001). 4. Stepwise multiple regression analysis was performed to identify the influencing factors for self care behavioral compliance. Education, experience of diabetic education and self-efficacy accounted for 41% of the variance in self care behavioral compliance. The results suggest that education, experience of diabetic education and self-efficacy are important variables in the compliance of self-care behavior with typeII diabetes.

• Journal of Korean Critical Care Nursing
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• v.4 no.2
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• pp.15-25
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• 2011

Purpose: The purpose of this study was to identify compliance of kidney transplantation(=KT) recipients and the factors influencing on compliance of KT recipients. Methods: One hundred patients who visited out-patients department after KT at S hospital transplant center in Seoul were enrolled in this study. Structured questionnaires of compliance, self-efficacy and family support were used to collect data. The data was collected from April 21 to May 21 in 2011. The data were analyzed by descriptive statistics, independent t-test, ANOVA and Pearson correlation coefficient. Statistical significance was accepted to the level of p<.05. Results: The mean score of compliance was 4.37(range from 1 to 5), and that of medication compliance was the highest and that of self care compliance was the lowest. There were no differences of compliance according to characteristics of the subjects. Compliance of the subjects had positive correlation with self-efficacy(r=0.23, p<0.05) and family support(r=0.33, p<0.05). Conclusion: Based on these results, it can be concluded that the nursing intervention program to improve self care using self-efficacy and family support need to be developed.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.12 no.2
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• pp.186-194
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• 2005

Purpose: The purpose of this study was to examine self care compliance, family support, and depression in patients with congestive heart failure. Method: The participants were 105 outpatients with congestive heart failure. Data were collected using a questionnaire survey on self care compliance, family support, and depression. The collected data were analyzed using the SPSS Win 10.0 program. Result: 1. The total score for Self care compliance was 78.34 out of a possible 120 and was significantly high for people in ages between 70-79 years and people who were not employed. Exercise compliance was significantly high in men and classifications I & II of the NYHA class. Compliance with smoking and alcohol cessation were significantly high in women. Medication compliance was significantly high in the group which had experience with hospitalization. Family support was 31.75 out of a possible 40 and showed significant differences depending on spouse status and religion. Depression was 30.18 out of a possible 64 and was significantly high in the group whose educational level was above college graduation or who were under 65 years of age. Conclusion: The results suggest that nurses have to emphasize smoking and alcohol cessation for men, exercise for women and total self care compliance for patients under 65 years of age.

• Korean Journal of Adult Nursing
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• v.25 no.4
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• pp.473-482
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• 2013

Purpose: The purpose of this study was to investigate the effects of a structured preoperative instruction upon anxiety and postoperative self-care compliance. Methods: A randomized control group pre-post design was used. Sixty subjects undergoing cataract surgery were randomly assigned to one of two groups. The instruction consisted of cataract surgery procedure, sensory information, deep breathing, use of eye drop, and post op self-care regimen and was provided to the experimental group with control group receiving an usual treatment. State anxiety NRS, pulse, BP, and self-care compliance scale developed by Cho & Rho were used. Data were collected at two time periods: on the day of surgery in the clinic and prior to anesthesia in the operating room. The postoperative self-care compliance scores were measured at their second visits to the hospital after surgery. Data were analyzed using Kolmogorov Smirnov test, t-test, and Mann-Whitney U test. Results: There were significant differences between the two groups in the postoperative state anxiety (t=-3.57, p=.001) and the postoperative self-care compliance score (t=3.92, p<.001). There were no significant difference between the two groups in the postoperative blood pressure and pulse rate. Conclusion: The results of this study suggest that the structured preoperative instruction could be a nursing intervention for cataract surgery patients.

• Journal of muscle and joint health
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• v.18 no.1
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• pp.39-49
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• 2011

Purpose: The purpose of this study was to identify the effects of CD-ROM education on anxiety and self-care compliance in patients undergoing spinal surgery. Method: This study used a nonequivalent control time difference design. A sample of 51 participants received both CD-ROM education (n=25) or booklet education (n=26) regarding spinal surgery procedure and postoperative self-care. The data were collected using a self-administered questionnaire containing State-Trait Anxiety Inventory (STAI Form Y-2), Visual analog scale, and self-care compliance. Result: The level of trait anxiety in the experimental group was not significantly different from that in the control group (t=-6.44, p=.523). The level of state anxiety in the experimental group was significantly lower than in that the control group according to time changes (F=4.17, p=.018). State anxiety showed significantly negative correlation to self-care compliance (r=-.30, p=.034). Conclusion: The education program using CD-ROM for spinal surgery patients can be applied to nursing practice for relieving state anxiety and promoting self-care compliance.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.5 no.2
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• pp.313-323
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• 1998

This study was a descriptive research on the level of self-care available to continous ambulatory peritoneal dialysis patients (hereinafter referred to as 'CAPD patient') related to the specific area of infection management. The method employed for the collection of data was a modified instrument of the self-care survey essentially based on Young Sook Choi's instrument. The relevant data was collected from september 1, 1996 to september 30, 1996. The subjects were provided with an open-ended question regarding the reasons behind why they did not seek self-care. The answers provided about self-care compliance were analyzed by SPSS for frequency, percentage, mean, t-test, ANOVA. Reasons for non-compliance were analyzed by content analysis. The results of the study were as follows : 1. The percentage of patients engaging in self-care were according to the following self performed tasks : preparation of dialysis : 30.58 points Dialysate exchange procedures : 49.40 points - Two bag type : 50.50 points - Spike type : 48.80 points - Neo type : 48.90 points Catheter exit site care : 25.13 points More specifically, in relation to the preparation of dialysis as referred to above, those patients engaging in self care was relatively high with respect to the cleaning of the dialysis before use and for the preservation of peritosol. However, in dialysate exchange procedures, data revealed that those patients engaging in self-care are relatively low with respect to putting on a mask during the performance of peritosol exchange. Similary in peritosol exchange procedure and catheter exit care, low levels of self-care performance were found in the area of putting on a mask during the peritosol exchange procedures and catheter line testing procedures, respectively. 2. In general characteristics, there appeared to be no distinction in self-care compliance among CAPD patients. 3. The main reasons for non-compliance were based in the following factor : intellectual, attitude, enviromental surrounding and physical. As a result of the foregoing finding, nurses should provide adequate assistance to promote self-care compliance by CAPD patients by checking the preparation of dialysis, dialysate exchange procedure, and catheter exit site care which recieved low point in this research.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.22 no.2
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• pp.280-290
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• 2015

Purpose: The purpose of this study was to identify nursing students' knowledge, self-confidence in compliance, and compliance with standard precautions, and to identify predicting factors of compliance with standard precautions. Method: From May 18 to June 15, 2012, data were collected via questionnaire surveys from 222 nursing students of 2 colleges in G-province. Descriptive statistics, t-tests, Pearson correlation coefficients, and multiple regression analyses were used with SPSS 22.0 to analyze the data. Results: The average knowledge score was $0.89{\pm}0.08/1.0$, $3.59{\pm}0.57/4.0$ for self-confidence in compliance, and $0.91{\pm}0.11/1.0$ for compliance. Significant positive correlations were observed between knowledge and self-confidence in compliance(r=.14, p=.040), and between self-confidence in compliance and compliance(r=.25, p=.008). Self-confidence in compliance and blood and body fluid exposure were significant factors of compliance(F=5.46, p<.001). Conclusion: To increase nursing students' compliance with standard precautions, continuous efforts must be made to enhance self-confidence in compliance and decrease blood and body fluid exposure.