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Mediating Effects of Health Belief on the Correlations among Disease-related Knowledge, eHealth Literacy, and Self-care Behaviors in Outpatients with Hypertension

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KMID : 0367020190310060638
Á¶±Ô¿µ ( Cho Gyoo-Yeong ) - ºÎ°æ´ëÇб³ °£È£Çаú

ÇÏ¸í³² ( Ha Myung-Nam ) - ºÎ°æ´ëÇб³ °£È£Çаú

Abstract

Purpose: This study aimed to identify the mediating effects of health belief on the disease-related knowledge,eHealth literacy, and self-care behavior of hypertension patients. eHealth is an emerging field of medicalinformatics, referring to the organization and delivery of health services and information using the internet andrelated technologies.

Methods: A total of 156 patients who were receiving treatment for hypertension at the bestinternal medicine clinic in Busan City participated in the study. Data collection was conducted from May 22, to June30, 2019. Collected data were analyzed with descriptive statistics, independent t-test, one-way analysis of variance,Pearson's correlation coefficient, and three-step mediated regression analysis using SPSS/WIN 25.0.

Results:Significant positive correlations were observed between disease-related knowledge and eHealth literacy (r=.19,p=.016), disease-related knowledge and health belief (r=.32, p<.001), disease-related knowledge and self-carebehavior (r=.16, p=.046), eHealth literacy and health belief (r=.17, p=.034), and health belief and self-care behavior(r=.27, p=.001). Health belief had a mediating effect (z=-2.47, p=.013) on the correlation between disease-relatedknowledge and self-care behavior.

Conclusion: To improve self-care behavior among hypertension patients,medical practitioners need to develop interventions that enhance health belief.
KeyWords
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Hypertension, Knowledge, Health literacy, Belief, Self-care
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