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KMID : 0367020040160020316
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Journal of Korean Academic of Adult Nursing
2004 Volume.16 No. 2 p.316 ~ p.326
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Self-efficacy and Compliance in Patients with Chronic Heart Failure: The Effect of a Self-management Program using Decision Tree
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Kim Cho-Ja
Kim Gi-Yon
Jang Yeon-Soo
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Abstract
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Purpose: The purpose of this study was to identify effects of a self-management program on self-efficacy and compliance in patients with CHF. Hypothesis: 1) Patients with CHF who are provided with a self-management program will show higher self-efficacy scores than a control group. 2) Patients who are provided with a self-management program will show higher compliance scores than a control group.
Method: This study was designed as a nonequivalent non-synchronized pre-posttest control group. There were eight patients in the experimental group, and twelve in the control group. According to NYHA classification, all patients belonged under the classesⅡ to Ⅳ. Data were collected using the instruments developed by the researchers. Data were analyzed using descriptive statistics and Mann Whitney U test.
Result: There were significant differences in self-efficacy scores and compliance scores between the experimental and control group.
Conclusion: By utilizing the program, patients were able to monitor their symptoms routinely, comply with therapeutic regimen, and feel better able to positively influence their disease. Therefore, better compliance means fewer readmissions of patients with CHF.
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