개인 및 가족 자기관리 이론에 기반한 복합 만성질환 노인의 자기관리행위 영향 요인: 횡단적 조사연구
Factors influencing self-management behaviors in older people with multiple chronic conditions based on the individual and family self-management theory: A cross-sectional study
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Purpose: This study aimed to identify factors that influence self-management behaviors in older people with multiple chronic conditions based on the Individual and Family Self-Management Theory. Methods: Data were collected in metropolitan cities B and Y in South Korea from September 2 to October 4, 2023. A total of 149 older people with multiple chronic conditions completed a structured questionnaire. Data were analyzed using descriptive statistics, independent t-test, one-way analysis of variance, and stepwise multiple regression analysis. Results: The mean age of the subjects was 73.9±7.3 years, and 65.8% were women. As a result of stepwise multiple regression analysis, the factors influencing self-management behavior were family functioning (β=.32, p<.001), self efficacy (β=.24, p<.001), subjective economic status (β=.15, p<.05), duration of chronic disease (β=-.14, p<.012). This regression model was explained by 56% of the self-management behaviors. Conclusion: The findings suggest that continuous and comprehensive approaches to improving family functioning, increasing individual confidence in health care, and addressing economic barriers lead to more effective management of chronic conditions.
Abstract
Purpose: This study aimed to identify factors that influence self-management behaviors in older people with multiple chronic conditions based on the Individual and Family Self-Management Theory. Methods: Data were collected in metropolitan cities B and Y in South Korea from September 2 to October 4, 2023. A total of 149 older people with multiple chronic conditions completed a structured questionnaire. Data were analyzed using descriptive statistics, independent t-test, one-way analysis of variance, and stepwise multiple regression analysis. Results: The mean age of the subjects was 73.9±7.3 years, and 65.8% were women. As a result of stepwise multiple regression analysis, the factors influencing self-management behavior were family functioning (β=.32, p<.001), self efficacy (β=.24, p<.001), subjective economic status (β=.15, p<.05), duration of chronic disease (β=-.14, p<.012). This regression model was explained by 56% of the self-management behaviors. Conclusion: The findings suggest that continuous and comprehensive approaches to improving family functioning, increasing individual confidence in health care, and addressing economic barriers lead to more effective management of chronic conditions.
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