Gil Eunha, Oh Heeyoung
Department of Nursing, Daejeon Institute of Science And Technology, Daejeon, Korea.
College of Nursing, Eulji University, Daejeon, Korea.
J Korean Acad Nurs. 2018 Oct;48(5):521-533. doi: 10.4040/jkan.2018.48.5.521.
The aims of this study are to provide a theoretical framework for improving the self-care of adults with severe hypertension and to examine the practical suitability of a middle-range theory of self-care for chronic illness by validating the structural model.
Data were collected at a university hospital in D metropolitan city from July 1 to August 14, 2015. A total of 224 Korean adult patients with severe hypertension were recruited. Data were analyzed using SPSS 22.0 and AMOS 22.0.
The results show that the fit index of the hypothetical model meets the recommended level; 7 out of 8 hypothetical model paths were statistically significant. Motivation, self-efficacy, support from others, and accessibility to care showed statistical significance and explained 67.3% of the self-care process. The self-care process explained 45.3%, 63.6%, and 26.5% of quality of life, health, and illness stability, respectively.
This model can be used as a theoretical framework for improving self-care among adult Korean patients with severe hypertension. Moreover, the practical suitability and validity of the middle-range theory of self-care for chronic illness is secured.
本研究旨在为改善重度高血压成年患者的自我护理提供理论框架，并通过验证结构模型来检验慢性病自我护理的中程理论的实际适用性。
2015年7月1日至8月14日在D市的一家大学医院收集数据。共招募了224名韩国成年重度高血压患者。使用SPSS 22.0和AMOS 22.0进行数据分析。
结果表明，假设模型的拟合指数达到推荐水平；8条假设模型路径中有7条具有统计学意义。动机、自我效能感、他人支持和获得护理的便利性具有统计学意义，并解释了自我护理过程的67.3%。自我护理过程分别解释了生活质量、健康和疾病稳定性的45.3%、63.6%和26.5%。
该模型可作为改善韩国成年重度高血压患者自我护理的理论框架。此外，慢性病自我护理中程理论的实际适用性和有效性得到了保障。
