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심부전 환자의 자가간호 증진을 위한 심장일지의 개발 및 효과

Title
심부전 환자의 자가간호 증진을 위한 심장일지의 개발 및 효과
Other Titles
Development and Effects of a Heart Health Diary for Self-Care Enhancement of Patients with Heart Failure
Author
황선영
Keywords
심부전; 건강일지; 자가간호; 자기효능감; 간호; Heart Failure; Health Diary; Self-Care; Self-Efficacy; Nursing Care
Issue Date
2016-12
Publisher
KOREAN SOC NURSING SCIENCE
Citation
JOURNAL OF KOREAN ACADEMY OF NURSING, v. 46, NO. 6, Page. 881-893
Abstract
Purpose: The purpose of this study was to develop a heart health diary to promote self-care ability among patients with heart failure (HF), and to identify the diary's effect on self-care adherence, self-efficacy, and physical activity. Methods: A randomized control-group pretest posttest design was adopted using block randomization. A calender-typed health diary was developed and it included a self-care checklist and education information on HF management. The experimental group were given guided counseling and education for 8 weeks and wrote a daily health diary during that period. Data were collected from the outpatient department of a tertiary medical center from February to April 2016. To verify the hypotheses, data for the experimental group (n=28) and control group (n=33) were analysed using the independent t-test with SPSS/WIN 21.0. Results: At the end of 8 weeks the experimental group had significantly higher scores for self-care adherence (t=-2.48, p=.016) and exercise related self-efficacy (t=-3.44, p=.001) compared to the control group. Conclusion: The findings show that the application of a patient-directed heart health diary is an effective nursing intervention for improving HF patients' self-care adherence and exercise self-efficacy. Strategies to promote dietary self-efficacy are necessary along with further studies including repeated research with an increasing intervention period. Healthcare providers need to encourage the utilization of a health diary for HF patients as a tool for evaluation and for implementation that leads to self-care.
URI
https://synapse.koreamed.org/DOIx.php?id=10.4040/jkan.2016.46.6.881https://repository.hanyang.ac.kr/handle/20.500.11754/101594
ISSN
2005-3673; 2093-758X
DOI
10.4040/jkan.2016.46.6.881
Appears in Collections:
COLLEGE OF NURSING[S](간호학부) > NURSING(간호학부) > Articles
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