심부전 환자의 자가간호 증진을 위한 심장일지의 개발 및 효과open accessDevelopment and Effects of a Heart Health Diary for Self-Care Enhancement of Patients with Heart Failure
- Other Titles
- Development and Effects of a Heart Health Diary for Self-Care Enhancement of Patients with Heart Failure
- Authors
- Shim, Jae Lan; Hwang, Seon Young
- Issue Date
- Dec-2016
- Publisher
- 한국간호과학회
- Keywords
- 심부전; 건강일지; 자가간호; 자기효능감; 간호; Heart Failure; Health Diary; Self-Care; Self-Efficacy; Nursing Care
- Citation
- Journal of Korean Academy of Nursing, v.46, no.6, pp.881 - 893
- Indexed
- SCIE
SSCI
SCOPUS
KCI
- Journal Title
- Journal of Korean Academy of Nursing
- Volume
- 46
- Number
- 6
- Start Page
- 881
- End Page
- 893
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/153368
- DOI
- 10.4040/jkan.2016.46.6.881
- ISSN
- 2005-3673
- Abstract
- Purpose: The purpose of this study was to develop a heart health diary to promote self-care ability among patients with heart failure (HF), and to identify the diary’s effect on self-care adherence, self-efficacy, and physical activity.
Methods: A randomized control-group pretestposttest design was adopted using block randomization. A calender-typed health diary was developed and it included a self-care checklist and education information on HF management. The experimental group were given guided counseling and education for 8 weeks and wrote a daily health diary during that period. Data were collected from the outpatient department of a tertiary medical center from February to April 2016. To verify the hypotheses, data for the experimental group (n=28) and control group (n=33) were analysed using the independent t-test with SPSS/WIN 21.0.
Results: At the end of 8 weeks the experimental group had significantly higher scores for self-care adherence (t=-2.48, p =.016) and exercise related self-efficacy (t=-3.44, p =.001) compared to the control group.
Conclusion: The findings show that the application of a patient-directed heart health diary is an effective nursing intervention for improving HF patients’ self-care adherence and exercise self-efficacy. Strategies to promote dietary self-efficacy are necessary along with further studies including repeated research with an increasing intervention period. Healthcare providers need to encourage the utilization of a health diary for HF patients as a tool for evaluation and for implementation that leads to self-care.
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