Journal of Korean Public Health Nursing (한국보건간호학회지)

Korean Society of public Health Nursing (한국보건간호학회)
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Influencing factors from the Transtheoretical Model on the Execution of Self-Management Behaviors among Community-Residing Older Adults with Hypertension

범이론 모형에 근거한 재가 고혈압 노인환자의 자기관리 행위 실천 영향요인

  • Ahn, Yang Heui (Department of Nursing, Wonju College of Medicine, Yonsei University) ;
  • Lim, Young Mi (Department of Nursing, Wonju College of Medicine, Yonsei University) ;
  • Kim, KiYon (Department of Nursing, Wonju College of Medicine, Yonsei University) ;
  • Kim, Ki-Kyoung (Department of Nursing, Wonju College of Medicine, Yonsei University) ;
  • Song, Hee-Young (Department of Nursing, Wonju College of Medicine, Yonsei University)
  • 안양희 (연세대학교 원주의과대학 간호학과, 여성건강간호센터) ;
  • 임영미 (연세대학교 원주의과대학 간호학과, 여성건강간호센터) ;
  • 김기연 (연세대학교 원주의과대학 간호학과, 여성건강간호센터) ;
  • 김기경 (연세대학교 원주의과대학 간호학과, 여성건강간호센터) ;
  • 송희영 (연세대학교 원주의과대학 간호학과, 여성건강간호센터)
  • Received : 2016.01.24
  • Accepted : 2016.04.25
  • Published : 2016.04.30
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Abstract

Purpose: This study examined the influencing factors from the Transtheoretical Model on the stage of change in the self-management behaviors, i.e. regular physical activity and diet, among community-residing adults with hypertension in a rural area. Methods: With a cross-sectional descriptive design, 134 adults who had registered and received a prescription for hypertension medication from a public health center in W city were recruited using convenient sampling. The instrument was an interviewer-administered questionnaire on the stage of change, process of change, self-efficacy, and decisional balance of physical activity and diet. The data were analyzed using descriptive statistics, 2-sample t-test, ${\chi}^2$ test, and logistic regression. Results: The results revealed significant differences in the process of change, self-efficacy, and decisional balance of physical activity and diet between those who were in the pre-execution stage (precontemplation, contemplation, preparation) and those who were in the execution stage (action and maintenance). Logistic regression showed that consciousness raising and self-efficacy were significant predictors of the execution stage in physical activity, and self-reevaluation, social liberation and self-efficacy were significant predictors in the diet. Conclusion: The relevant processes of change, differentiated according to the stage of change, along with self-efficacy, should be addressed to enhance the execution of self-management behaviors among hypertensive adults residing in the community.

Keywords

References

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