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KMID : 0367020100220010090
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Journal of Korean Academic of Adult Nursing
2010 Volume.22 No. 1 p.90 ~ p.102
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An Explanatory Model for Patient Adherence of Rehabilitation in patients with Spinal Cord Injury
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Kim Aee-Lee
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Abstract
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Purpose: The purpose of this study was to identity factors affecting patient adherence and to develop an explanatory model for patient adherence in patients with spinal cord injury. 8 variables that were based on the previous research and a review of literature were used to construct hypothetical model. Social support, economic status, perceived barrier, patient provider relationship and rehabilitation related knowledge were the exogenous variables, depression, self-efficacy and patient adherence were the endogenous variables.
Methods: Data form 117 patients with SCI were analysed to test the hypothetical model, using SAS and LISREL 8.53 program.
Results: The overall fitness of the model was good(GFI=.991, AGFI=.915, NNFI=1.299, NFI=.953, p=.632) Depression, powerlessness, economic status were the strong factors influencing patient adherence. Powerlessness was significant factors for self-efficacy.
Conclusion: To improve of patient adherence should focus on nursing intervention for depression, powerlessness and economic status.
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KEYWORD
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Spinal cord injury, Patient, Rehabilitation, Patient adherence
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