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김숙영 ( ) - 경인여자전문대학 간호과
서연옥 ( Suh Yeon-Ok ) - 순천향대학교 의과대학 간호학과
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Abstract
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In chronic illness patients, health promotion and self-care are important strategies for rnaintaining and improving health. Self-care behaviors of hypertensive patient are affected by various variables.
The purpose of this study was to investigate the relationships between three cognitive-perceptual resources-self efficacy, hardiness and perceived barriers and selfcare in hypertensive patients.
The subjects for the study were 102 patients who admitted to K medical center or visited to out-patient ward. The instruments used for this study included a survey of general characteristics, self-care, self efficacy, health related hardiness and perceived barriers.
Analysis of data was done by use of mean, t-test, ANOVA, Pearson correlation coefficient and multiple regression.
The results of this study are summarized as follows :
1) The average score for the self-care was 56.18, for the hardiness was 120.90, for the self efficacy was 59.46 and for the perceived barriers was 34.60.
2) The relationships between the variables of self-care and cognitive-perceptual resource-self efficacy, hardiness, perceived barriers were significant. Self-care was significantly related to hardiness(r=.47, p<.001), suggesting that the per-son with high hardiness got higher self care scores. Self-care was significantly related to perceiv-ed barriers (r=.41, p<.001), suggesting that the person with high perceived barriers got higher self care scores. A slight but significant correlation was also found between self-care and self efficacy(r=.26, p<.01).
3) In the relationship between general characteristics variables and self-care there were significant differences in gender(t=2.46, p<.05), job(t=3.72, p<. 05), duration of illness(t=4.92, p<.05).
4) Stepwise multiple regression analysis was performed to examine the relationship between self-care and in-dependent variables (self-efficacy, hardiness, perceived barriers) and selected general characteristics variables-job, duration of illness. These variables ac-counted for 36% of the variance in self-care score (F=13.34, P<.000). The hardiness vas the most predictive factor (R2=19%) followed by job and perceived barriers.
The finding of this study have implications for education of hypertensive patients and health care providers. For chronically ill patients adhere to self-care, we should focus on determining their personal resources such as hardiness and perceived barriers.
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KeyWords
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자가간호, 강인성, 자기효능, 지각된 장애성
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원문 및 링크아웃 정보
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등재저널 정보
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