Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지

An Explanatory Model for Health-Promoting Behaviors in Patients Living at Home who have Post Stroke Hemiplegia

재가 편마비 환자의 건강증진행위 설명모형

  • Published : 2006.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: A structural equation model was analyzed to explore the determinants of health-promoting behaviors in patients living at home in Korea who had post stroke hemiplegia. Method: Demographic characteristics, activities of daily living, religiosity, family support, self-efficacy, acceptance of disability, perceived barriers to health-promoting activities, depression, and health-promoting behavioral data was collected from 239 patients using self-report questionnaires. Result: Variables that have a direct effect on health-promoting behaviors were self-efficacy and family support. Depression, acceptance of disability, perceived barriers, activities of daily living and religiosity also influenced health-promoting behaviors in an indirect way. Conclusion: It is imperative to explore strategies for patients with post stroke hemiplegia to identify and maximize their resources, develop their self-efficacy, improve their emotional state, and enhance their physical activity and spiritual growth, which would maximize health-promoting behaviors.

Keywords

References

  1. Bak, H. K. (2003). The effects of the stroke secondary prevention program on the health-promoting lifestyle and the health risk indicators of the in-house stroke patients. Unpublished doctoral dissertation, Korea University, Seoul
  2. Cho, A. R. (1997). Effects of self-focused attention on disability acceptance and depression in people with physical disabilities. Unpublished master's thesis, Yonsei University, Seoul
  3. Cho, B. H. (2001). The effect of a multidisciplinary team approach on the rehabilitation of stroke survivors. Unpublished doctoral dissertation, The Catholic University, Seoul
  4. Choi, H. S. (1996). Relationship between the level of physical function of stroke patients (Barthel Index) and their psychological and social adaptation. Unpublished master's thesis, Chung Ang University, Seoul
  5. Cho, Y. I. (2004). A structural model for health promotion behaviors and the quality of life of patients with type 2 diabetes mellitus. Unpublished doctoral dissertation, Kyung Hee University, Seoul
  6. Gu, M. O. (1992). A structural model for self care behavior and metabolic control in diabetic patient. Unpublished doctoral dissertation, Seoul National University, Seoul
  7. Ham, M. Y., Choi, K. S., & Ryu, E. J. (2000). Analysis of nursing studies about stroke research in Korea. Korean J Rehabil Nurs, 3(2), 154-168
  8. Harrison, T. (2006). Health promotion for persons with disabilities: What does the literature reveal? Fam Community Health, 29(1 suppl), 12S-19S https://doi.org/10.1097/00003727-200601001-00004
  9. Jang, S. H., Kang, P. S., Lee, K. S., Kim, S. B., & Yun, S. H. (2002). Change in health behaviors of patients before and after stroke. Korean J Rural Med, 27(1), 9-19
  10. Jeong, M. Y. (2001). A structural model of the self-regulatory behavior of hypertensives. Unpublished doctoral dissertation, Kyung Hee University, Seoul
  11. Kaiser, S. B., Wingate, S. B., Freeman, C. M., & Chandler, J. L. (1987). Acceptance of physical disability and attitudes toward personal appearance. Rehabil Psychol, 32, 51-58
  12. Kang, H. S. (1984). An experimental study of the effects of reinforcement education for rehabilitation on hemiplegia patients' self-care activities. Unpublished doctoral dissertation, Yonsei University, Seoul
  13. Kim, H. J. (2004). Effects of health promotion program for stroke patients at home. Unpublished doctoral dissertation, Keimyung University, Daegu
  14. Kim, I. J., Suh, M. J., Kim, K. S., & Cho, N. O. (1999). The relationship between the characteristics of social support and post-stroke depression. Korean J Rehabil Nurs, 2(2), 206-214
  15. Kim, K. S., Seo, H. M., Kim, E. J., Jeong, I. S., Choe, E. J., & Jeong, S. I. (2000). Effects of 5 weeks self-help management program on reducing depression and promoting activity of daily livings, grasping power, hope and self-efficacy. Korean J Rehabil Nurs, 3(2), 196-211
  16. Lee, M. S. (2004). Relating factors and health promoting behaviors of stroke patients. Unpublished master's thesis, Catholic University, Pusan
  17. Lee, J. Y. (2005). A structural model for health promotion behavior and the quality of life of patients with ischemic heart disease. Unpublished doctoral dissertation, Kyung Hee University, Seoul
  18. Lim. S. O. (2002). A structural model for quality of life in stroke patients. Unpublished doctoral dissertation, Kyung Hee University, Seoul
  19. Mun, Y. H. (2004). The effects of self-help management program for post stroke patients at home. J Korean Community Nurs, 15(2), 218-227
  20. Park, H. J. (1999). A study about the effects of the religiosity on the unemployed. Unpublished master's thesis, Ewha Woman's University, Seoul
  21. Park, M. S. (2001). Effects of self-efficacy and self-esteem on the health promoting behaviors of stroke patients. Unpublished master's thesis, Soonchunhyang University, Chungnam
  22. Park, S. I. (2004). A study on the activities of daily living, self-efficacy and the health promoting behavior in stroke patients. Unpublished master's thesis, Chonnam National University, Gwang-Ju
  23. Pender, N. J. (1996). Health promotion in nursing practice (3rd ed.). Stamford, Connecticut: Appleton & Lange
  24. Pender, N. J., Murdaugh, C. L, & Parsons, M. A. (2006). Health promotion in nursing practice (5th ed.). Upper Saddle River, New Jersey: Pearson Education Inc
  25. Robinson-Smith, G., & Pizzi, E. R. (2003). Maximizing stroke recovery using patient self-care self-efficacy. Rehabil Nurs, 28(2), 48-51 https://doi.org/10.1002/j.2048-7940.2003.tb02028.x
  26. Roh, K. H. (2002). The effect of home rehabilitation exercise program of home stayed chronic hemiplegic stroke patients. Unpublished doctoral dissertation, The Catholic University, Seoul
  27. Shin. S. C., Kim, M. K., Yun, K. S., Kim, J. H., Lee, M. S., Moon, S. J., Lee, M. J., Lee, H. Y., Yoo, K. J. (1991). The Center for Epidemiologic Studies-Depression Scale(CES-D): Its use in Korea- standardization and factor structure of CES-D-. J Korean Neuropsychiatr Assoc, 30(4), 752-767
  28. Shon, Y. H. (2001). A predictive model for health promotion behavior of korean patients on hemodialysis. Unpublished doctoral dissertation, Yonsei University, Seoul
  29. Stuifbergen, A. K., & Becker, H. A. (1994). Predictors of health-promoting lifestyles in persons with disabilities. Res Nurs Health, 17, 3-13 https://doi.org/10.1002/nur.4770170103
  30. Stuifbergen, A. K., Seraphine, A., & Roberts, G. (2000). An explanatory model of health promotion and quality of life in chronic disabling conditions. Nurs Res, 49(3), 122-129 https://doi.org/10.1097/00006199-200005000-00002
  31. Walker, S. N., Sechrist, K. P., & Pender, N. J. (1987). The health-promoting lifestyle profile: Development and psychiatric characteristics. Nurs Res, 36(2), 76-81 https://doi.org/10.1097/00006199-198603000-00004
  32. Yoon, E. J. (2001). The model explaining variance in health promoting behavior and quality of life in women with osteoporosis. Unpublished doctoral dissertation, Kyung Hee University, Seoul
  33. Yu, S. J., Kim, H. S., Kim, K. S., & Baik, H. G. (2001). The effects of community-based self-help management program by strengthening self-efficacy of post stroke elderly patients. Korean J Rehabil Nurs, 4(2), 187-197