심부전 환자의 증상경험, 불확실성, 불확실성 평가, 자가관리행위 간의 관계 (The Relationships among Symptom Experience, Uncertainty, Appraisal of Uncertainty and Self-care Behavior in Patients with Heart Failure)

서지정보

· 발행기관 : 이화여자대학교 이화간호과학연구소
· 수록지 정보 : Health & Nursing / 32권 / 1호 / 9 ~ 20페이지
· 저자명 : 이민애, 강윤희

초록

Purpose: The purpose of this study was to investigate the relationships among symptom experience, uncertainty, appraisal of uncertainty and self-care behavior of heart failure patients. Method: Data were collected from 85 patients who were diagnosed with heart failure at a tertiary hospital in Seoul. Structured Questionnaires were used to measure the study variables. The data were analyzed by SPSS statistics 25.0 program using descriptive statistics, independent t-test, one-way ANOVA, Tukey HSD post hoc test, Pearson's correlation coefficients, and hierarchical multiple regression analysis. Result: Symptom experience showed significantly positive relationships with uncertainty (r=.30, p=.005) and danger appraisal (r=.36, p=.001). Uncertainty showed significantly positive relationships with danger appraisal (r=.40, p <.001), and self-care behavior (r=.25, p=.021). Monthly income explained 10.0% of self-care behavior (F=2.88, p=.019), and when symptom experience, uncertainty, and appraisal of uncertainty were added, explained 16.0% of self-care behavior(F=2.84, p=.006). The only significant factor influencing self-care behavior was uncertainty (β = .32, p = .007). Conclusion: Therefore, the results are meaningful for the development of nursing interventions to improve self-care behavior, as recognizing the differences between the level of uncertainty depending on symptom experience and effort to reduce the uncertainty which is appraised of danger through a close assessment of uncertainty and symptom experience.

영어초록

Purpose: The purpose of this study was to investigate the relationships among symptom experience, uncertainty, appraisal of uncertainty and self-care behavior of heart failure patients. Method: Data were collected from 85 patients who were diagnosed with heart failure at a tertiary hospital in Seoul. Structured Questionnaires were used to measure the study variables. The data were analyzed by SPSS statistics 25.0 program using descriptive statistics, independent t-test, one-way ANOVA, Tukey HSD post hoc test, Pearson's correlation coefficients, and hierarchical multiple regression analysis. Result: Symptom experience showed significantly positive relationships with uncertainty (r=.30, p=.005) and danger appraisal (r=.36, p=.001). Uncertainty showed significantly positive relationships with danger appraisal (r=.40, p <.001), and self-care behavior (r=.25, p=.021). Monthly income explained 10.0% of self-care behavior (F=2.88, p=.019), and when symptom experience, uncertainty, and appraisal of uncertainty were added, explained 16.0% of self-care behavior(F=2.84, p=.006). The only significant factor influencing self-care behavior was uncertainty (β = .32, p = .007). Conclusion: Therefore, the results are meaningful for the development of nursing interventions to improve self-care behavior, as recognizing the differences between the level of uncertainty depending on symptom experience and effort to reduce the uncertainty which is appraised of danger through a close assessment of uncertainty and symptom experience.

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