Format

Send to

Choose Destination
J Korean Acad Nurs. 2018 Oct;48(5):521-533. doi: 10.4040/jkan.2018.48.5.521.

[Testing a Middle-Range Theory of Self-Care of Chronic Illness: A Validation for Korean Adult Patients with Severe Hypertension].

[Article in Korean]

Author information

1
Department of Nursing, Daejeon Institute of Science And Technology, Daejeon, Korea.
2
College of Nursing, Eulji University, Daejeon, Korea. hoh123@eulji.ac.kr.

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.

KEYWORDS:

Chronic Illness; Hypertension; Nursing Theory; Self-Care

PMID:
30396190
DOI:
10.4040/jkan.2018.48.5.521

Supplemental Content

Full text links

Icon for Korean Society of Nursing Science
Loading ...
Support Center