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Influence of Uncertainty, Physiologic Risk Factors, Self-efficacy on Self-management in Stroke Patients

±Ù°üÀý°Ç°­ÇÐȸÁö 2016³â 23±Ç 2È£ p.114 ~ 124
KMID : 0123520160230020114
Á¶¼÷Èñ ( Cho Sook-Hee ) - ±¹¸³¸ñÆ÷´ëÇб³ °£È£Çаú

À±°æ¼ø ( Yun Kyung-Soon ) - µ¿½Å´ëÇб³ °£È£Çаú

Abstract

Purpose: The purpose of this study was to investigate the level of uncertainty, physiological risk factors, self-efficacy, and self-management among stroke patients and to identify factors influencing their self-management.

Methods: A descriptive correlational design was used for this study. A convenience sample of 149 patients with stroke were enrolled at C national university hospital from February to April in 2016. Data were collected using a structured questionnaire and electronic medical record. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlations, and multiple regression analysis with the SPSS/WIN 21.0 program.

Results: There were significant negative correlations between uncertainty and self-efficacy (r=-.56, p<.001); between uncertainty and self-management (r=-.56, p<.001); and between total cholesterol and self-management (r=-.23, p=.005). There were significant positive correlations between self-efficacy and self-management (r=.78, p<.001); between uncertainty and total cholesterol (r=.24, p=.003). The significant factors influencing self-management were uncertainty and self-efficacy. Theses variables explained 62.7% of the variance in self-management.

Conclusion: The results suggest that intervention programs to reduce the level of uncertainty and to increase the level of self-efficacy among patients would improve the self-management of stroke patients.
KeyWords
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Uncertainty, Self-efficacy, Self-care, Risk factors, Stroke
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