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의사결정 틀을 이용한 만성 심부전 환자의 자기관리프로그램이 자기효능, 자기관리 이행에 미치는 효과

 Self-efficacy and Compliance in Patients with Chronic Heart Failure: The Effect of a Self-management Program using Decision Tree

성인간호학회지 2004년 16권 2호 p.316 ~ 326
KMID : 0367020040160020316
김조자 ( Kim Cho-Ja ) - 연세대학교 간호대학

김기연 ( Kim Gi-Yon ) - 연세대학교 원주의과대학 간호학과
장연수 ( Jang Yeon-Soo ) - 미국 가톨릭대학교

Abstract

Purpose: The purpose of this study was to identify effects of a self-management program on self-efficacy and compliance in patients with CHF. Hypothesis: 1) Patients with CHF who are provided with a self-management program will show higher self-efficacy scores than a control group. 2) Patients who are provided with a self-management program will show higher compliance scores than a control group.

Method: This study was designed as a nonequivalent non-synchronized pre-posttest control group. There were eight patients in the experimental group, and twelve in the control group. According to NYHA classification, all patients belonged under the classesⅡ to Ⅳ. Data were collected using the instruments developed by the researchers. Data were analyzed using descriptive statistics and Mann Whitney U test.

Result: There were significant differences in self-efficacy scores and compliance scores between the experimental and control group.

Conclusion: By utilizing the program, patients were able to monitor their symptoms routinely, comply with therapeutic regimen, and feel better able to positively influence their disease. Therefore, better compliance means fewer readmissions of patients with CHF.
KeyWords
자기관리, 자기효능, 이행, 심부전
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학술진흥재단(KCI) KoreaMed