KMID : 0367020190310050573
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Journal of Korean Academic of Adult Nursing 2019 Volume.31 No. 5 p.573 ~ p.583
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Effects of the Health Literacy and Knowledge on Adherence to Self-care Behavior among Elderly with Ischemic Stroke Visiting Local General Hospitals
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Park Young-Nam
Kim Chul-Gyu
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Abstract
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Purpose: This study aims to identify the effects of health literacy and stroke knowledge on adherence to self-carebehavior among the elderly with ischemic stroke.
Methods: The participants were 92 outpatients aged 65 or olderwith ischemic stroke, who were visiting the neurology or neurosurgery departments of two general hospitals inChungcheongbuk-do between November 20, 2018, and April 9, 2019. The SPSS/WIN 23.0 program was usedto analyze descriptive statistics, independent t-tests, and one-way ANOVA, and multiple regression.
Results: Themean age of participants was 73.25¡¾5.72 and the proportion of men was 71.7%. The average score for healthliteracy, stroke knowledge, and adherence to self-care behavior were 9.26¡¾2.32, 10.34¡¾2.53, and 81.67¡¾14.72,respectively. There were statistically significant differences in adherence to self-care behavior according to livingand time since stroke. Adherence to self-care behavior and health literacy showed a statistically significant positivecorrelation with stroke knowledge. Stroke knowledge, living alone, and time since stroke(less than one year) weresignificantly related to the adherence to self-care behavior. This regression model explained 24.0% of the variancein the adherence to self-care behavior.
Conclusion: To improve the adherence to self-care behavior in the elderlywith ischemic stroke, it is necessary to develop and implement educational program for those who live alone andwho have experienced stroke less than one year previously.
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KEYWORD
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Self-care, Health literacy, Knowledge, Aged, Stroke
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