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KMID : 0367020210330010056
Journal of Korean Academic of Adult Nursing
2021 Volume.33 No. 1 p.56 ~ p.66
Mediating Effects of Self-Care Competence on the Relationship between Uncertainty and Quality of Life in Stroke Patients
Jo Eun-Hee

Lee Su-Jin
Jo Jung-Hwa
Abstract
Purpose: This study investigates the mediating effects of self-care competence on the relationship betweenuncertainty and quality of life in stroke patients.

Methods: This study adopts a descriptive research approach using158 patients diagnosed with ischemic or hemorrhagic stroke through brain Magnetic Resonance Imaging (MRI)or Computed Tomography (CT). The data collection period was from May 20, 2020 to September 29, 2020. Thedata were analyzed using descriptive statistics, Pearson¡¯s correlation coefficient analysis, and a three-stepregression analysis using Baron and Kenny¡¯s method for mediation.

Results: The mean scores for uncertainty,self-care competence, and quality of life were 3.07¡¾0.49, 3.66¡¾1.07, and 3.54¡¾0.93, respectively. Self-carecompetence was found to completely mediate the relationship between uncertainty and quality of life (z=-5.31,p<.001), and its explanatory power was 77.2%.

Conclusion: To improve the quality of life among stoke patientsin uncertain situations, it is necessary to improve their self-care competence and develop step-by-step anddifferentiated self-care competence enhancement programs through multidisciplinary collaboration.
KEYWORD
Stroke, Uncertainty, Quality of life, Self-care competence
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