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전현례 ( Jeon Hyun-Rye ) - 계명대학교 동산병원
박정숙 ( Park Jeong-Sook ) - 계명대학교 간호대학
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Abstract
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Purpose: The purpose of this study was to develop and evaluate a self-management program based on INR monitoring for patients with cardiac valve replacement.
Methods: This program was comprised of five weekly sessions based on Sousa’s Enhance-Behavior Performance Model. The first session included individual teaching, and the other four sessions included Prothrombin Time International Normalized Ratios (PT INR) self-monitoring, telephone counseling and self-management checklist recording. Participants were patients who had cardiac valve replacement. They were randomly assigned to the experimental or control group. Sixteen in the experimental group participated in the self-management program and seventeen in the control group participated in general care. Self-management knowledge, self-efficacy, self-management behavior and PT INR were measured as dependent variables. Data were analyzed using Mann Whitney U-test, t-test and ANCOVA.
Results: The experimental group showed significantly higher post-test scores in self-management knowledge (t=5.86, p <.001), self-efficacy (F=18.32, p <.001), and self-management behavior (t=3.44, p =.002) compared to the control group. Also, the experimental group showed significantly higher frequency in maintaining the treatment range of PT INR compared to the control group (χ2=4.80, p =.028).
Conclusion: The results of the research on the self-management program based on PT INR monitoring showed that it is effective in improving self-management knowledge, self-efficacy, and self-management behavior as well as maintaining treatment range of PT INR of patients with cardiac valve replacement.
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KeyWords
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자가관리, 심장판막, 지식, 행위, 국제표준화비율
Self-management, Cardiac valve, Knowledge, Behavior, International Normalized Ratios
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원문 및 링크아웃 정보
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등재저널 정보
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