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KMID : 1221920130060020051
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Journal of Korean Critical Care Nursing
2013 Volume.6 No. 2 p.51 ~ p.64
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Factors Affecting to Adherence to Self-care Behaviors among Inpatients with Heart Failure in Korea
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Ok Jong-Sun
Ko Il-Sun
Ryu Kyu-Hyung
Kim Sung-Hea
Lim Seo-Jin
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Abstract
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Purpose: This study was to analyze adherence to self-care behaviors and identify factors affecting the adherence behaviors among inpatients with heart failure.
Methods: A total 94 hospitalized inpatients from three hospitals participated in a survey. Data were collected using structured self-reported questionnaire from November 28, 2011 to March 31, 2013 and analyzed using frequency, t-test, ANOVA, Pearson’s correlation coefficients and stepwise multiple regression.
Results: The score of adherence to self-care behaviors among inpatients with heart failure was 26.02(±8.84). Factors related to the adherence to self-care behaviors were living with spouse (t=-2.47, p=.019), functional state (t=2.18, p=.034), heart failure knowledge (r=-.49, p<.001), social support (r=-.35, p<.001), self-control (r=-.25, p=.016), and self-care confidence (r=-.24, p=.019). The factors affecting adherence to self-care behaviors were heart failure knowledge, self-care confidence, and social support. These factors explained 32% of the variance in adherence to self-care behaviors.
Conclusion: The adherence to self-care behaviors with heart failure can be improved if heart failure knowledge, self-care confidence, and social support are improved. Therefore, developing a nursing intervention program for patient with heart failure that is considered these factors leads to improve quality of life and prevent readmission.
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KEYWORD
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Adherence, Heart failure, Self care
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