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.
journal_name
J Korean Acad Nursjournal_title
Journal of Korean Academy of Nursingauthors
Gil E,Oh Hdoi
10.4040/jkan.2018.48.5.521subject
Has Abstractpub_date
2018-10-01 00:00:00pages
521-533issue
5eissn
2005-3673issn
2093-758Xpii
48.521journal_volume
48pub_type
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