지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Purpose: The objective of this study was to evaluate adherence to self-care and identify associated factors in outpatients with Heart Failure (HF). Methods: Using a cross-sectional design, a convenience sample of 249 outpatient clinic patients were recruited at S university hospital. Between October 2009 and December 2009, data were collected through questionnaires and medical record review. Results: The total mean score of adherence to self-care was 18.07±3.56 out of a possible 45 points. Among self-care dimensions, adherence to medication and low salt diet was high, while lower adherence was reported in contact with health professionals if symptoms such as weight gain, edema and fatigue were presented. Multivariate analysis adjusted for other socio-demographic and clinical factors showed that disease knowledge related to heart failure (p＜.001) and left ventricular ejection fraction (p=.027) were independent predictors of adherence to self-care. These factors explained 23% of total variance in the adherence to self-care. Conclusion: Heart failure patients with higher disease knowledge and those who have good systolic function may be more likely to engage in adherence to self-care than those with lack of disease knowledge and low contractility. Further research is needed to confirm these results and identify other predictors of adherence to self-care.
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연구방법
연구결과
논의
결론 및 제언
REFERENCES
참고문헌 (30)
참고문헌 신청
1. [학술지(정기간행물)] - Bandura, A. / 2004 / Health promotion by social cognitive means / Health Education & Behavior 31 : 143 ~ 164
2. [학술지(정기간행물)] - Cameron, J. / 2009 / Measuring self-care in chronic heart failure: A review of the psychometric properties of clinical instruments / Journal of Cardiovascular Nursing 24 : 10 ~ 22
3. [학술지(정기간행물)] - Chochinov, H. M. / 1997 / Are you depressed? Screening for depression in the terminally ill / American Journal of Psychiatry 154 : 674 ~ 676
4. [학술지(정기간행물)] - Chriss, P. M. / 2004 / Predictors of successful heart failure self-care maintenance in the first three months after hospitalization / Heart & Lung 33 : 345 ~ 353
5. [학술지(정기간행물)] - Clark, A. M. / 2010 / Understanding and promoting effective self-care during heart failure / Current Treatment Options in Cardiovascular Medicine 12 (1) : 1 ~ 9
2. [학술지(정기간행물)] - Cameron, J. / 2009 / Measuring self-care in chronic heart failure: A review of the psychometric properties of clinical instruments / Journal of Cardiovascular Nursing 24 : 10 ~ 22
3. [학술지(정기간행물)] - Chochinov, H. M. / 1997 / Are you depressed? Screening for depression in the terminally ill / American Journal of Psychiatry 154 : 674 ~ 676
4. [학술지(정기간행물)] - Chriss, P. M. / 2004 / Predictors of successful heart failure self-care maintenance in the first three months after hospitalization / Heart & Lung 33 : 345 ~ 353
5. [학술지(정기간행물)] - Clark, A. M. / 2010 / Understanding and promoting effective self-care during heart failure / Current Treatment Options in Cardiovascular Medicine 12 (1) : 1 ~ 9
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UCI(KEPA) : I410-ECN-0101-2013-512-000248982