Testing a Middle-Range Theory of Self-Care of Chronic Illness: A Validation for Korean Adult Patients with Severe Hypertension
Journal of Korean Academy of Nursing
; : 521-533, 2018.
Article
in Ko
| WPRIM
| ID: wpr-717284
Responsible library:
WPRO
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.Key words
Full text:
1
Index:
WPRIM
Main subject:
Quality of Life
/
Self Care
/
Nursing Theory
/
Chronic Disease
/
Hypertension
/
Models, Structural
/
Motivation
Limits:
Adult
/
Humans
Language:
Ko
Journal:
Journal of Korean Academy of Nursing
Year:
2018
Type:
Article