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Effects of the Health Literacy and Knowledge on Adherence to Self-care Behavior among Elderly with Ischemic Stroke Visiting Local General Hospitals

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KMID : 0367020190310050573
¹Ú¿µ³² ( Park Young-Nam ) - Çϳªº´¿ø ³úÁ¹ÁßÁýÁßÄ¡·á½Ç

±èö±Ô ( Kim Chul-Gyu ) - ÃæºÏ´ëÇб³ °£È£Çаú

Abstract

Purpose: This study aims to identify the effects of health literacy and stroke knowledge on adherence to self-carebehavior among the elderly with ischemic stroke.

Methods: The participants were 92 outpatients aged 65 or olderwith ischemic stroke, who were visiting the neurology or neurosurgery departments of two general hospitals inChungcheongbuk-do between November 20, 2018, and April 9, 2019. The SPSS/WIN 23.0 program was usedto analyze descriptive statistics, independent t-tests, and one-way ANOVA, and multiple regression.

Results: Themean age of participants was 73.25¡¾5.72 and the proportion of men was 71.7%. The average score for healthliteracy, stroke knowledge, and adherence to self-care behavior were 9.26¡¾2.32, 10.34¡¾2.53, and 81.67¡¾14.72,respectively. There were statistically significant differences in adherence to self-care behavior according to livingand time since stroke. Adherence to self-care behavior and health literacy showed a statistically significant positivecorrelation with stroke knowledge. Stroke knowledge, living alone, and time since stroke(less than one year) weresignificantly related to the adherence to self-care behavior. This regression model explained 24.0% of the variancein the adherence to self-care behavior.

Conclusion: To improve the adherence to self-care behavior in the elderlywith ischemic stroke, it is necessary to develop and implement educational program for those who live alone andwho have experienced stroke less than one year previously.
KeyWords
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Self-care, Health literacy, Knowledge, Aged, Stroke
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ÇмúÁøÈïÀç´Ü(KCI) KoreaMed