임상간호연구 (Journal of Korean Clinical Nursing Research)

  • 제22권1호
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  • Pages.28-37
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  • 2016
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  • 1598-9186(pISSN)
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  • 2287-3694(eISSN)
병원간호사회 (Hospital Nurses Association)
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노인 심부전 환자의 건강 문해력에 따른 심부전 지식과 자가 간호

Relationships between Health Literacy, Knowledge and Self-Care Behaviors in Elderly Patients with Heart Failure

  • 신경민 (세브란스병원) ;
  • 추상희 (연세대학교 간호대학, 김모임간호학연구소) ;
  • 장연수 (연세대학교 간호대학, 김모임간호학연구소) ;
  • 강석민 (연세대학교 의과대학 내과학교실 심장내과)
  • Shin, Kyung Min (Department of Nursing, Severance Hospital) ;
  • Chu, Sang Hui (College of Nursing, Yonsei University, Mo-Im Kim Nursing Research Institute) ;
  • Jang, Yeon Soo (College of Nursing, Yonsei University, Mo-Im Kim Nursing Research Institute) ;
  • Kang, Seok Min (Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine)
  • 투고 : 2015.08.11
  • 심사 : 2015.10.21
  • 발행 : 2016.04.29
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초록

Purpose: This study was to investigate the relationships between among health literacy, knowledge and self-care behavior in elderly patients with heart failure(HF). Methods: 166 patients (age ${\geq}65$ years) with HF were recruited in a cardiovascular center of an university affiliated hospital. The structured questionnaire included Health literacy, Dutch Heart Failure Knowledge Scale, European Heart Failure Self-care Behavior, Self-Care of Heart Failure Index. Data were analyzed by descriptive statistics, Chi-test, Pearson correlation analysis, t-test and ANCOVA using SPSS/WIN version 21.0. Results: Participants with the high level of health literacy were more likely to be younger (p=.001), men (p=.001), with more education (p<.001), and have a job (p=.004), and with a higher economic status (p=.005). The positive correlations between the level of health literacy, knowledge, and self-care behavior were confirmed (p<.001). Participants with the high level of health literacy showed higher level of knowledge, more self-care behavior for health maintenance, and confidence. Conclusion: This study shows that the level of health literacy may influence knowledge and self-care behavior in elderly patients with HF. In order to improve self-care behaviors in elderly patients, a strategic nursing approach based on the level of patients' health literacy needs to be considered.

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참고문헌

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