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Factors Affecting to Adherence to Self-care Behaviors among Inpatients with Heart Failure in Korea

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KMID : 1221920130060020051
¿ÁÁ¾¼± ( Ok Jong-Sun ) - ¿¬¼¼´ëÇб³ °£È£´ëÇпø

°íÀϼ± ( Ko Il-Sun ) - ¿¬¼¼´ëÇб³ °£È£´ëÇÐ
À¯±ÔÇü ( Ryu Kyu-Hyung ) - ÇѸ²´ëÇб³ µ¿Åº¼º½Éº´¿ø ½ÉÀåÇ÷°ü¼¾ÅÍ
±è¼ºÇØ ( Kim Sung-Hea ) - °Ç±¹´ëÇб³º´¿ø ½ÉÀåÇ÷°ü³»°ú
ÀÓ¼­Áø ( Lim Seo-Jin ) - ¼­¿ï¾Æ»êº´¿ø ½ÉÀ庴¿¹¹æÀçÈ°¼¾ÅÍ

Abstract

Purpose: This study was to analyze adherence to self-care behaviors and identify factors affecting the adherence behaviors among inpatients with heart failure.

Methods: A total 94 hospitalized inpatients from three hospitals participated in a survey. Data were collected using structured self-reported questionnaire from November 28, 2011 to March 31, 2013 and analyzed using frequency, t-test, ANOVA, Pearson¡¯s correlation coefficients and stepwise multiple regression.

Results: The score of adherence to self-care behaviors among inpatients with heart failure was 26.02(¡¾8.84). Factors related to the adherence to self-care behaviors were living with spouse (t=-2.47, p=.019), functional state (t=2.18, p=.034), heart failure knowledge (r=-.49, p<.001), social support (r=-.35, p<.001), self-control (r=-.25, p=.016), and self-care confidence (r=-.24, p=.019). The factors affecting adherence to self-care behaviors were heart failure knowledge, self-care confidence, and social support. These factors explained 32% of the variance in adherence to self-care behaviors.

Conclusion: The adherence to self-care behaviors with heart failure can be improved if heart failure knowledge, self-care confidence, and social support are improved. Therefore, developing a nursing intervention program for patient with heart failure that is considered these factors leads to improve quality of life and prevent readmission.
KeyWords
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Adherence, Heart failure, Self care
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ÇмúÁøÈïÀç´Ü(KCI)