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만성 심부전 환자의 자가간호 이행 관련요인

 Factors Influencing Adherence to Self Care in Patients with Chronic Heart Failure

성인간호학회지 2011년 23권 3호 p.244 ~ 254
KMID : 0367020110230030244
손연정 ( Son Youn-Jung ) - 순천향대학교 의과대학 간호학과

김선희 ( Kim Sun-Hee ) - 고려대학교 간호대학
김기연 ( Kim Gi-Yon ) - 연세대학교 원주의과대학 간호학과

Abstract

Purpose: The objective of this study was to evaluate adherence to self-care and identify associated factors in outpatients with Heart Failure (HF).

Methods:Using a cross-sectional design, a convenience sample of 249 outpatient clinic patients were recruited at S university hospital. Between October 2009 and December 2009, data were collected through questionnaires and medical record review.

Results: The total mean score of adherence to self-care was 18.07±3.56 out of a possible 45 points. Among self-care dimensions, adherence to medication and low salt diet was high, while lower adherence was reported in contact with health professionals if symptoms such as weight gain, edema and fatigue were presented. Multivariate analysis adjusted for other socio-demographic and clinical factors showed that disease knowledge related to heart failure (p＜.001) and left ventricular ejection fraction (p=.027) were independent predictors of adherence to self-care. These factors explained 23% of total variance in the adherence to self-care.

Conclusion: Heart failure patients with higher disease knowledge and those who have good systolic function may be more likely to engage in adherence to self-care than those with lack of disease knowledge and low contractility. Further research is needed to confirm these results and identify other predictors of adherence to self-care.
KeyWords
심부전, 자가간호, 이행
Heart failure, Self-care, Patient compliance
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학술진흥재단(KCI) KoreaMed