|
KMID : 0806120180480050521
|
|
대한간호학회지
2018 Volume.48 No. 5 p.521 ~ p.533
|
|
|
Testing a middle-range theory of self-care of chronic illness: A validation for korean adult patients with severe hypertension
|
|
Gil Eun-Ha
Oh Hee-Young
|
|
|
Abstract
|
|
|
Purpose: The aims of this study are to provide a theoretical framework for improving the self-care of adults with severe hypertension and to examine the practical suitability of a middle-range theory of self-care for chronic illness by validating the structural model.
Methods: Data were collected at a university hospital in D metropolitan city from July 1 to August 14, 2015. A total of 224 Korean adult patients with severe hypertension were recruited. Data were analyzed using SPSS 22.0 and AMOS 22.0.
Results: The results show that the fit index of the hypothetical model meets the recommended level; 7 out of 8 hypothetical model paths were statistically significant. Motivation, self-efficacy, support from others, and accessibility to care showed statistical significance and explained 67.3% of the self-care process. The self-care process explained 45.3%, 63.6%, and 26.5% of quality of life, health, and illness stability, respectively.
Conclusion: This model can be used as a theoretical framework for improving self-care among adult Korean patients with severe hypertension. Moreover, the practical suitability and validity of the middle-range theory of self-care for chronic illness is secured.
|
|
|
KEYWORD
|
|
|
Self-Care, Hypertension, Nursing Theory, Chronic Illness
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
   
|
|