고혈압 환자의 자가 관리 이행 도구개발
Development of a Self-Management Adherence Instrument for Patients with Hypertension
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Purpose: This study aimed to develop an instrument that measured adherence to self-management among patients with hypertension, and to verify the validity and reliability of the developed instrument. Methods: The 34 indicators that underwent the content validity test were provided to 202 subjects for investigation The collected data were analyzed using SPSS Ver. 22.0 and Amos Ver. 25.0. Results: Five factors, ‘interaction,’ ‘lifestyle change,’ ‘continuing motivation,’ ‘medical care’, and ‘weight control’ were extracted, and the total cumulative variance was shown to be 61.75%. The test statistic of the regression coefficient was statistically significant according to the confirmatory factor analysis. Conclusion: It is suggested that more research is needed to generalize the instrument to suit more candidates, while continuing to refine the reliability and validity of the instrument.
Abstract
Purpose: This study aimed to develop an instrument that measured adherence to self-management among patients with hypertension, and to verify the validity and reliability of the developed instrument. Methods: The 34 indicators that underwent the content validity test were provided to 202 subjects for investigation The collected data were analyzed using SPSS Ver. 22.0 and Amos Ver. 25.0. Results: Five factors, ‘interaction,’ ‘lifestyle change,’ ‘continuing motivation,’ ‘medical care’, and ‘weight control’ were extracted, and the total cumulative variance was shown to be 61.75%. The test statistic of the regression coefficient was statistically significant according to the confirmatory factor analysis. Conclusion: It is suggested that more research is needed to generalize the instrument to suit more candidates, while continuing to refine the reliability and validity of the instrument.
참고문헌 (30)
- 옥종선, "진단기간에 따른 고혈압 환자의 건강 행위 이행에 영향을 미치는 요인", 재활간호학회지, 20(2), pp.151~163 (2017), 한국재활간호학회[DOI]
- 강숙희, "만성질환 노인의 약물복용이행 영향요인", 성인간호학회지, 33(2), pp.189~201 (2021), 한국성인간호학회[DOI]
- Sung HH, "Gender difference in the relationship between lipid accumulation product index and pulse pressure in nondiabetic Korean adults : The Korean National Health and Nutrition Examination Survey 2013-2014", Clinical and Experimental Hypertension, 44(2), pp.146~153 (2022)[DOI]
- 권명순, "고혈압 환자의 건강 문해력과 질환관련 지식 및 치료지시 이행에 관한 연구", 한국보건간호학회지, 27(1), pp.190~202 (2013), 한국보건간호학회
- Ilene ML, "Chronic Illness: Impact and Interventions", pp.13~21 (2006), Jones and Bartlett Publishers
- Helvi AK, "The development of an instrument to measure the compliance of adolescents with a chronic disease", Journal of Advanced Nursing, 32(6), pp.1499~1506 (2000)[DOI]
- 강숙, "만성질환 노인의 약물이행에 대한 개념분석: 혼종모형", Nursing and Health Issues(간호와 보건연구), 26(2), pp.143~156 (2021), 간호과학연구소[DOI]
- Pathman, D. E, "The awarenessꠓto-Adherence Model of the steps toclinical guidline compliance", Medical Care, 34(9), pp.873~889 (1996)[DOI]
- 옥종선, "대사증후군을 동반한 고혈압 환자를 위한 자가간호 역량 강화 프로그램의 효과 평가", 한국웰니스학회지, 16(1), pp.32~41 (2021), 한국웰니스학회[DOI]
- Spliker B, "Patient Compliance in Medical Practice and Clinical Trials", pp.37~56 (1991), Raven Press Ltd
- Lee Hj, "Factors affecting medication compliance of hypertensive patients", master, pp.2002
- Morisky DE, "Concurrent and predictive validity of a self-reported measure of medication adherence", Medical Care, 4(1), pp.67~74 (1986)
- Morisky DE, "predictive validity of a medication adherence measure in an outpatient setting", Journal of Clinical Hypertension, 10(5), pp.348~354 (2008)
- McHorney CA, "The adherence estimator : a brief, proximal screener for patient propensity to adhere to prescription medications for chronic disease", Current Medical Research and Opinion, 25(10), pp.215~238 (2009)
- Dunbar JJ, "Adherence in chronic disease", Annual Review of Nursing Research, 18(1), pp.48~90 (2000)[DOI]
- Lee YW, "A study on the development and effects of slides", tape program for the hypertensive patients’ Self-Care, 1995, pp.25(4), 696~708
- 안나, "노인 고혈압 자가간호행위 측정도구의 타당도와 신뢰도 검증", 기본간호학회지, 24(1), pp.1~8 (2017), 기본간호학회[DOI]
- Robert FD, "Scale development: theory and applications", pp.73~115 (2012), Sage
- Lynn MR, "Determination and quantification of content validity", Nursing Research, 35(6), pp.382~385 (1986)
- Kim HJ, "Statistical Analysis of Social Science", pp.10~50 (2003), Samyeongsa
- Diana L, "Oxford Advanced Learner's Dictionary" (2020), Oxford University Press;
- Lee HS, "Structural Equation Model Analysis and AMOS 6", pp.30~59 (2007), Beopmunsa
- 김세현, "입원환자가 지각한 간호사의 의사소통과 신뢰 및 간호서비스 만족", 석사, 간호학과 간호학전공, pp.2013
- Oyekan E, "The B-SMART appropriate medication-use process : a guide for clinicians to help patients-part 1 : barriers, solutions, and motivation", The Permanente Journal, 13(1), pp.62~69 (2009)[DOI]
- Oh JH, "A Study on the Relationships between Family Support, Self-efficacy, and Compliance in Chronic Arthritis", The Journal of Rheumatology Health, 12(1), pp.28~38 (2005)[DOI]
- 김호진, "고혈압 환자 특이형 삶의 질 측정도구 개발", 성인간호학회지, 34(6), pp.523~536 (2022), 한국성인간호학회[DOI]
- Choi YA, "Correlations among Family Support, Self-Esteem and Compliance with Preventive Health Behavior in Elderly People", Korean Academy of Fundamentals of Nursing, 6(1), pp.141~153 (1999)
- 조규영, "고혈압 환자의 질병 관련 지식, 인터넷 건강정보 이해능력과 자가간호이행의 관계에서 건강신념의 매개효과", 성인간호학회지, 31(6), pp.638~649 (2019), 한국성인간호학회[DOI]
- 신은숙, "중년기 남성 근로자의 흡연상태에 따른 혈압, 혈청지질 및 비만지표의 검토", 한국산학기술학회논문지, 14(3), pp.1359~1366 (2013), 한국산학기술학회[DOI]
- 송라윤, "대사증후군 대상자의 건강행위 이행단계에 따른 행동변화 동기요인", 성인간호학회지, 30(1), pp.60~69 (2018), 한국성인간호학회[DOI]