학회지

Korean Academic Society of Home Health Care Nursing

학회지보기

  • 학회지
  • 학회지보기

고혈압 환자의 자가 관리 이행 도구개발

Development of a Self-Management Adherence Instrument for Patients with Hypertension

곽미경 (강원관광대학교 간호학과)

언어 :

권호 : v.30, no.1, 37-47,

발행일자 : 2023년 4월

PDF 원문보기

초록

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.

키워드

참고문헌 (30)

  • 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

    http://dx.doi.org/10.7587/kjrehn.2017.151

    원문상세

  • 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

    http://dx.doi.org/10.7475/kjan.2021.33.2.189

    원문상세

  • 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

    http://dx.doi.org/10.1080/10641963.2021.2007943

    원문상세

  • 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

    http://dx.doi.org/10.5932/JKPHN.2013.27.1.190

    원문상세

  • 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

  • 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

    http://dx.doi.org/10.1046/j.1365-2648.2000.01611.x

    원문상세

  • 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

    http://dx.doi.org/10.33527/nhi2021.26.2.143

    원문상세

  • 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

    http://dx.doi.org/10.1097/00005650-199609000-00002

    원문상세

  • 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

    http://dx.doi.org/10.21097/ksw.2021.02.16.1.32

    원문상세

  • 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.

  • Lee Hj. Factors affecting medication compliance of hypertensive patients [master's thesis]. [Seoul]: Dankook University; 2002. p. 1-60.

  • 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.

    http://dx.doi.org/10.1097/00005650-198601000-00007

    원문상세

  • 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.

    http://dx.doi.org/10.1111/j.1751-7176.2008.07572.x

    원문상세

  • 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.

    http://dx.doi.org/10.1185/03007990802619425

    원문상세

  • 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

    http://dx.doi.org/10.1891/0739-6686.18.1.48

    원문상세

  • 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

    http://dx.doi.org/10.4040/jnas.1995.25.4.696

    원문상세

  • 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

    http://dx.doi.org/10.7739/jkafn.2017.24.1.1

    원문상세

  • Robert FD. Scale development: theory and applications. 3rd ed. London: Sage; 2012. p. 73-115.

  • Lynn MR. Determination and quantification of content validity. Nursing Research. 1986;35(6):382-385. https://www.ncbi.nlm.nih.gov/pubmed/3640358

    http://dx.doi.org/10.1097/00006199-198611000-00017

    원문상세

  • Kim HJ, Huh J. Statistical Analysis of Social Science. Seoul: Samyeongsa; 2003. p. 10-50.

  • Diana L, Jennifer B. Oxford Advanced Learner's Dictionary. 10th. ed. London: Oxford University Press; 2020.

  • Lee HS, Lym JH. Structural Equation Model Analysis and AMOS 6.0. Seoul: Beopmunsa; 2007. p. 30-59.

  • 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.

  • 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

    http://dx.doi.org/10.7812/tpp/07-057

    원문상세

  • 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

  • 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

    http://dx.doi.org/10.7475/kjan.2022.34.6.523

    원문상세

  • 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

  • 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

    http://dx.doi.org/10.7475/kjan.2019.31.6.638

    원문상세

  • 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

    http://dx.doi.org/10.5762/KAIS.2013.14.3.1359

    원문상세

  • 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

    http://dx.doi.org/10.7475/kjan.2018.30.1.60

    원문상세
유관기관