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Journal of Korean Academy of Fundamentals of Nursing 2011;18(4): 520
만성B형간염 환자의 자가관리이행에 대한 영향요인
인제대학교 간호학과
Factors Influencing Self-Management Compliance of Patients with Chronic Hepatitis B
Jin-Hyang Yang
Department of Nursing, Inje University
Purpose: Patients with chronic hepatitis B need lifelong health care because of progressive liver damage. The purpose of this study was to identify factors associated with self-management compliance among patients with chronic hepatitis B.
Methods: The research was a cross-sectional, descriptive design using questionnaires. The participants were 118 patients with chronic hepatitis B from outpatient department in a tertiary hospital. Their ages ranged from 20 to 64. Data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with PASW statistics 19.0 program.
Results: There were statistically significant differences in self management compliance by gender, age, job, alcohol consumption, and smoking. A positive correlation existed between self-management compliance, awareness of the importance of management, and self efficacy. Stepwise multiple regression analysis for self-management compliance revealed that the most powerful predictor was self efficacy. Self efficacy, age, and alcohol consumption explained 37.5% of the variance.
Conclusion: The results indicate a need to promote self-management compliance with these participants. The findings also suggest that consideration be given to characteristics of age and alcohol consumption in developing strategies for enhancing self efficacy and developing programs to promote self-management for patients with chronic hepatitis B.
Key words: Chronic hepatitis B | Self care | Patient compliance | Self efficacy
주요어: 만성B형간염 | 자가관리 | 환자이행 | 자기효능감