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Effects of Self-efficacy and Social Support on Health Promotion Behaviors of Patients with Stroke

뇌졸중 환자의 자기효능감, 사회적 지지와 건강증진행위

  • Jo, Yujung (College of Nursing, Ajou University) ;
  • Hyun, Myoung Sun (College of Nursing.The Research Institute of Nursing Science, Ajou University) ;
  • Park, Jin-Hee (College of Nursing.The Research Institute of Nursing Science, Ajou University)
  • 조유정 (아주대학교 간호대학) ;
  • 현명선 (아주대학교 간호대학.간호과학연구소) ;
  • 박진희 (아주대학교 간호대학.간호과학연구소)
  • Received : 2019.07.23
  • Accepted : 2019.10.12
  • Published : 2019.12.31

Abstract

Purpose: The purpose of this study was to investigate the effects of self-efficacy and social support on health promotion behaviors of patients with stroke. Methods: A sample of 123 patients with stroke was recruited from outpatient department of a hospital. Data were collected between September and October in 2015 using Health Promoting Lifestyle Profile II (HPLP-II), the Homebound Stroke Patients' Self-efficacy, and the Multidimensional Scale of Perceived Social Support (MSPSS). Results: The mean score of HPLP-II, self-efficacy, MSPSS were 2.71 out of 4, 63.87 out of 75 and 37.91 out of 60, respectively. Multiple regression analysis demonstrated that self-efficacy and family support explained 40% of the health promotion behaviors among the stroke patients. Conclusion: The results of the study revealed that self-efficacy and family support have significantly positively correlated with health promotion behaviors. These correlates should be taken into account in the development of interventions to support patients with stoke in health behavior change.

Keywords

References

  1. Bae, S. G., Lee, S. K., & Han, C. H. (2015). Influencing and mediating factors in stroke: Based on 2007-2012 Korea national health and nutrition examination survey. Journal of the Korea Academia-Industrial cooperation Society, 16(1), 418-428. https://doi.org/10.5762/KAIS.2015.16.1.418
  2. Bak, H. K. (2003). The effects of the stroke secondary prevention program on the health-promoting lifestyle and the health risk indicators of the in-house stroke patients. Unpublished doctoral dissertation, Korea University, Seoul.
  3. Brouwer-Goossensen, D., van Genugten, L., Lingsma, H. F., Dippel, D. W., Koudstaal, P. J., & den Hertog, H. M. (2018). Selfefficacy for health-related behaviour change in patients with TIA or minor ischemic stroke. Psychology & Health, 1-12. https://doi.org/10.1080/08870446.2018.1508686
  4. Callaly, E., Chroinin, D. N., Hannon, N., Marnane, M., Akijian, L., Sheehan, O., et al. (2015). Rates, predictors, and outcomes of early and late recurrence after stroke: The North Dublin population stroke study. Stroke, 47(1), 244-246. https://doi.org/10.1161/STROKEAHA.115.011248
  5. Cheng, Y. Y., Shu, J. H., Hsu, H. C., Liang, Y., Chang, S. T., Kao, C. L., et al. (2017). The impact of rehabilitation frequencies in the first year after stroke on the risk of recurrent stroke and mortality. Journal of Stroke and Cerebrovascular Diseases, 26(12), 2755-2762. https://doi.org/10.1016/j.jstrokecerebrovasdis.2017.06.047
  6. Choi, Y. O., & Lee, J. (2017). Impact of stroke knowledge, fear of recurrence on health behavior in patients with ischemic stroke. Korean Journal of Adult Nursing, 29(3), 302-312. https://doi.org/10.7475/kjan.2017.29.3.302
  7. Cottle, E. M., & James, J. E. (2008). Role of the family support person during resuscitation. Nursing Standard, 29(3), 43-47. https://doi.org/10.7748/ns.23.9.43.s40
  8. Hankey, G. J. (2014). Secondary stroke prevention. The Lancet Neurology, 13(2), 178-194. https://doi.org/10.1016/S1474-4422(13)70255-2
  9. Jeong, H. K., & Moon, S. (2017). Mediating effect of uncertainty on the relationship between social support and rehabilitation motivation in patients with stroke. Korean Journal of Adult Nursing, 29(3), 323-331. https://doi.org/10.7475/kjan.2017.29.3.323
  10. Jiang, S. S., Shen, L. P., Ruan, H. F., Li, L., Gao, L. L., & Wan, L. H. (2014). Family function and health behaviours of stroke survivors. International Journal of Nursing Sciences, 1(3), 272-276. https://doi.org/10.1016/j.ijnss.2014.05.024
  11. Jones, F., & Riazi, A. (2011). Self-efficacy and self-management after stroke: A systematic review. Disability and Rehabilitation, 33(10), 797-810. https://doi.org/10.3109/09638288.2010.511415
  12. Kang, S. M., & Yeun, E. J. (2005). An Effect of the secondary stroke prevention education program on self-care of acute ischemic stroke patients. Korean Journal of Adult Nursing, 17(4), 646-655.
  13. Kim, E. J. (2015). The effect of physical and psychological, and social factors on health promotion behavior among the stroke patients. Journal of the Korea Academia-Industrial cooperation Society, 16(12), 8525-8534. https://doi.org/10.5762/KAIS.2015.16.12.8525
  14. Kim, M. K., Lee, H. R., Kwon, J. Y., & Oh, H. S. (2013). Influencing and mediating factors in health behaviors among stroke patients. Korean Journal of Adult Nursing, 25(6), 610-621. https://doi.org/10.7475/kjan.2012.24.6.610
  15. Kim, Y. M., & Cho, J. S. (2013). Comparison of activities of daily living and quality of life of stroke patient on based CBR. Journal of Rehabilitation Research, 17, 273-289.
  16. Korean Statistical Information Service. (2018, September 9). Cause of death, Retrieved June 19, 2019, from https://nhiss.nhis.or.kr/bd/ay/bdaya001iv.do
  17. Lee, H. S. (2018). The study of stroke patient's of social support, self-efficacy and quality of life. The Journal of the Convergence on Culture Technology, 4(4), 219-225. https://doi.org/10.17703/JCCT.2018.4.4.2019
  18. Lee, J. Y., & Kim, H. S. (2014). Influences of social support, selfesteem and motivation for rehabilitation on the activities of daily living in stroke patients. Journal of East-West Nursing Research, 20(2), 145-153. https://doi.org/10.14370/jewnr.2014.20.2.145
  19. Min, S. H., & Kim, J. I. (2012). Construction of explanatory model for medication adherence in older people with chronic disease. Journal of Korean Academy of Fundamentals of Nursing, 19(4), 463-473. https://doi.org/10.7739/jkafn.2012.19.4.463
  20. Park, A. S., & Ko, E. (2017). Influences of rehabilitation motivation, self-efficacy and family support on rehabilitation adherence in stroke patients. Journal of Korean Biological Nursing Science, 19, 113-122. https://doi.org/10.7586/jkbns.2017.19.2.113
  21. Park, A. S., Ko, E., & Kang, H. S. (2016). Comparison of motivation for rehabilitation, family support and adherence to rehabilitation between depressive and non-depressive stroke patients. The Korean Journal of Rehabilitation Nursing, 19(2), 138-147. https://doi.org/10.7587/kjrehn.2016.138
  22. Park, I. H., Park, S. W., & Kwon, H. C. (2011). The correlation between quality of life and family support of stroke patients. The Journal of Occupational Therapy for the Aged and Dementia, 5(2), 41-49.
  23. Park, S. I., & Cho, B. H. (2004). A study on the activities of daily living, self-efficacy and the health promoting behavior in stroke patients. The Korean Journal of Rehabilitation Nursing, 7(2), 149-158.
  24. Park, S. J., & Lee, Y. H. (2016). Effects of perceived health status, health attitude, and health concern on health promoting behavior in adults. The Journal of the Korea Contents Association, 16(12), 192-202. https://doi.org/10.5392/JKCA.2016.16.12.192
  25. Shin, J. S., & Lee, Y. B. (1999). The effects of social supports on psychosocial well-being of the unemployed. Korean Journal of Social Welfare, 37, 241-269.
  26. Walker, S. N., Sechrist, K. R., & Pender, N. J. (1987). The health-promoting lifestyle profile: development and psychometric characteristics. Nursing Research, 36(2), 76-81. https://doi.org/10.1097/00006199-198703000-00002
  27. Walker, S. N., Sechrist, K. R., & Pender, N. J. (1995). Health promotion model-instruments to measure health promoting lifestyle: Health-promoting lifestyle profile [HPLP II](Adult version). Retrieved June 19, 2019, from https://deepblue.lib.umich.edu/bitstream/handle/2027.42/85349/HPLP_II-English_Version.pdf?sequence=3&isAllowed=y
  28. Yun, S. N., & Kim, J. H. (1999). Health-promoting behaviors of the women workers at the manufacturing industry-based on the Pender's health promotion model. Occupational Health Nursing, 8(2), 130-140.
  29. Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30-41. https://doi.org/10.1207/s15327752jpa5201_2