외래 통원 관상동맥질환 노인환자의 건강정보이해능력, 건강임파워먼트가 건강행위이행에 미치는 영향
Influence of Health Literacy and Health Empowerment on Health Behavior Practice in Elderly Outpatients with Coronary Artery Disease
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목적: 본 연구는 외래 통원치료중인 관상동맥질환 노인환자의 건강정보이해능력, 건강임파워먼트 및 건강행위이행 정도를 확인하고, 제 변수들이 건강행위이행에 미치는 영향을 살펴보기 위한 서술적 조사연구이다. 방법: 본 연구의 대상자는 65세 이상 239명의 노인 관상동맥질환자이며, 자료분석은 기술통계, t-test, ANOVA, 위계적 회귀분석을 이용하였다. 결과: 노인 관상동맥질환자의 건강행위이행에 유의한 영향을 미치는 주요 변수는 건강정보이해능력(β=.26, p<.001)과 건강임파워먼트(β=.32, p<.001)이었다. 건강정보이해능력은 일반적 및 건강관련 특성을 통제한 상태에서 4.7%p 설명력이 증가하였으며, 건강임파워먼트는 5.9%p 증가하였다. 두 변수가 건강행위이행의 35%를 설명하였다(F=7.74, p<.001). 결론: 본 연구 결과는 노인관상동맥질환자의 건강행위 이행과 건강임파워먼트 향상을 위한 프로그램 개발의 기초자료로 사용될 수 있으며, 나아가 대상자의 건강관련 전략을 세우는데 이용되어 질 수 있다.
Abstract
Purpose: The purpose of this descriptive study was to identify the influence of health literacy and health empowerment on health behavior practice in elderly patients with coronary artery disease. Methods: 239 elderly outpatients older than 65 years of age were included. The data were analyzed with descriptive statistics including independent t-test, ANOVA, and hierarchical regression. Results: Major factors having a significant impact on health behavior practice were health literacy (β=.26, p<.001) and health empowerment (β=.32, p<.001). Health literacy was increased by 4.7% after controlling for general and health-related characteristics. Health empowerment increased by 5.9% after controlling for general and health-related characteristics, and health literacy. The two variables explained 35% of the variance in health behavior practice (F=7.74, p<.001). Conclusion: The main findings of this study can be utilized as the foundation for developing programs to promote health empowerment and health behavior practice of the elderly population. Furthermore, the results of the study can also be used to establish health-related strategies.
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