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Factors Influencing Health Behavior Compliance in Adult Moyamoya Patients

성인 모야모야병 환자의 건강행위 이행에 영향을 미치는 요인

  • Kim, Bo Eun (Department of Nursing, Seoul National University Bundang Hospital) ;
  • Song, Ju-Eun (College of Nursing, Ajou University)
  • Received : 2020.09.16
  • Accepted : 2020.12.10
  • Published : 2021.02.28

Abstract

Purpose: The purpose of this study was to identify factors influencing health behavior compliance in adult patients with moyamoya. Methods: A descriptive correlation study was conducted to investigate the factors influencing health behavior compliance. Participants were 142 adult patients diagnosed with moyamoya disease who were hospitalized or visited an outpatient clinic in the Gyeonggi province. Data were collected from December 16, 2019 to April 14, 2020 using self-report questionnaires and analyzed using the IBM SPSS 26.0 Win software. Results: The hierarchical multiple regression analysis demonstrated that self-efficacy (β = .60, p < .001), social support (β = .13, p = .032), and age (β = .21, p = .005) affected the health behavior of adults with moyamoya disease. These 3 variables explained 62.0% of the variance of health behavior compliance, and the most influential factor was self-efficacy. Conclusion: Based on the results of this study, it concludes that nursing interventions should be focused on self-efficacy and social support to improve health behavior compliance with adult patients diagnosed with moyamoya disease. For that, various strategies to enhance self-efficacy and social support should be developed and actively applied in the clinical setting for adult moyamoya patients.

Keywords

Acknowledgement

We specially appreciate to Professor Sun Hyoung Bae and Eun Ji Seo for critical advice for the study.

References

  1. Kim DK, Chang SA, Park TK. Moyamoya disease: Cardiologist's perspectives. Journal of Lipid and Atherosclerosis. 2016;5(2):115-120. https://doi.org/10.12997/jla.2016.5.2.115
  2. Health Insurance Review & Assessment Service (HIRA). Healthcare Bigdata Hub. Disease subclassification statistics (I675) [Internet]. Wonju: HIRA; 2019 [cited 2020 Apr 1]. Available from: https://opendata.hira.or.kr/op/opc/olap4thDsInfo.do.
  3. Lee SU, Kim T, Kwon OK, Bang JS, Ban SP, Byoun HS, et al. Trends in the incidence and treatment of cerebrovascular diseases in Korea: Part II. Cerebral infarction, cerebral arterial stenosis, and moyamoya disease. Journal of Korean Neurosurgical Society. 2020;63(1):69-79. https://doi.org/10.3340/jkns.2018.0182
  4. Yang J, Hong JC, Oh CW, Kwon OK, Hwang G, Kim JE, et al. Clinicoepidemiological features of asymptomatic moyamoya disease in adult patients. Journal of Cerebrovascular and Endovascular Neurosurgery. 2014;16(3):241-246. https://doi.org/10.7461/jcen.2014.16.3.241
  5. Seo EK. Diagnosis and treatment of moyamoya disease. The Ewha Medical Journal. 2013;36(1):9-17. https://doi.org/10.12771/emj.2013.36.1.9
  6. Kim JE, Pang CH. Diagnosis and treatment of adult moyamoya disease. Journal of the Korean Medical Association. 2019;62(11):577-585. https://doi.org/10.5124/jkma.2019.62.11.577
  7. Yeom IS. Development and effects of salutogenesis program for adolescents with moyamoya disease [dissertation]. Seoul: Korea University; 2019. p. 1-169.
  8. Kim M, Park W, Chung Y, Lee SU, Park JC, Kwon DH, et al. Development and validation of a risk scoring model for postoperative adult moyamoya disease. Journal of Neurosurgery. Forthcoming 2020 May 8. https://doi.org/10.3171/2020.2.JNS193221
  9. Lee HW, Hong SC. Complications associated with surgical treatment of moyamoya disease and their management. Journal of Korean Neurosurgical Society. 2000;29(8):1136-1139.
  10. Chae JK, Song JS, Shin TJ, Hyun HK, Kim JW, Jang KT, et al. Dental management of a patient with moyamoya disease under general anesthesia: Case report. The Journal of Korea Assosiation for Disability and Oral Health. 2019;15(1):40-44. https://doi.org/10.12655/KADH.2019.15.1.40
  11. Kim T, Oh CW, Bang JS, Kim JE, Cho WS. Moyamoya disease: Treatment and outcomes. Journal of Stroke. 2016;18(1):21-30. https://doi.org/10.5853/jos.2015.01739
  12. Hwang YS. Clinical features of moyamoya disease: An overview. In: Cho BK, Tominaga T, editors. Moyamoya Disease Update. Tokyo: Springer; 2010. p. 107-109.
  13. Lee CL. Knowledge, uncertainty, and quality of life in patients with adult moyamoya disease [master's thesis]. Seoul: Yonsei University; 2018. p. 1-72.
  14. Kim MK, Lee HR, Kwon JY, Oh HS. Influencing and mediating factors in health behaviors among stroke patients. Korean Journal of Adult Nursing. 2013;25(6):610-621. https://doi.org/10.7475/kjan.2012.24.6.610
  15. Park YN, Kim CG. Effects of the health literacy and knowledge on adherence to self-care behavior among elderly with ischemic stroke visiting local general hospitals. Korean Journal of Adult Nursing. 2019;31(5):573-583. https://doi.org/10.7475/kjan.2019.31.5.573
  16. Ryu GW, Yang YS, Choi M, Shim KW. Lived experiences of adult patients with moyamoya disease: A qualitative case study. Japan Journal of Nursing Science. 2020;17(3):e12332. https://doi.org/10.1111/jjns.12332
  17. Noh GY, Choi J, Kwon MS. A test of extended technology acceptance model on health information seeking on the internet. Korean Journal of Broadcasting and Telecommunication Studies. 2013;27(5):49-85.
  18. Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review. 1977;84(2):191-215. https://doi.org/10.1037//0033-295x.84.2.191
  19. Cho SH, Yun KS. Influence of uncertainty, physiologic risk factors, self-efficacy on self-management in stroke patients. Journal of Muscle and Joint Health. 2016;23(2):114-124. https://doi.org/10.5953/JMJH.2016.23.2.114
  20. Ryu S, Kim HY, Na EH. Factors influencing self-care adherence after stroke for life care promotion. Journal of the Korea Entertainment Industry Association. 2018;12(4):305-314. https://doi.org/10.21184/jkeia.2018.6.12.4.305
  21. Jo Y, Hyun MS, Park JH. Effects of self-efficacy and social support on health promotion behaviors of patients with stroke. Journal of Muscle and Joint Health. 2019;26(3):167-174. https://doi.org/10.5953/JMJH.2019.26.3.167
  22. Lee HS. The study of stroke patient's of social support, self-efficacy and qualty of life. The Journal of the Convergence on Culture Technology. 2018;4(4):219-225. https://doi.org/10.17703/JCCT.2018.4.4.219
  23. Cobb S. Social support as a moderator of life stress. Psychosomatic Medicine. 1976;38(5):300-314. https://doi.org/10.1097/00006842-197609000-00003
  24. Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 6th ed. Boston (MA): Pearson; 2011. p. 1-368.
  25. Bandura A. Self-efficacy: The exercise of control. New York (NY): Freeman; 1997. p. 1-604.
  26. Kim EJ. 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. 2015;16(12):8525-8534. https://doi.org/10.5762/KAIS.2015.16.12.8525
  27. Son YJ, Park YR. The relationships of family support, self-efficacy and self-care performance in patients with chronic illness. Journal of Korean Academy of Adult Nursing. 2005;17(5):793-801.
  28. Kang MK, Kang SM, Kim SY. Moderating roles of public services in the quality of life of hemodialysis patients within the context of social support. The Journal of the Korea Contents Association. 2013;13(11):277-287. https://doi.org/10.5392/JKCA.2013.13.11.277
  29. Zhou R, Duan L, Wang G, Zhang Q, Zhao Y, Liu Y, et al. Nursing care for 200 adult patients with ischemic Moyamoya undergoing EDAS. Journal of Nursing. 2010;12. https://en.cnki.com.cn/Article_en/CJFDTotal-NFHL201012017.htm
  30. Eiser C. Psychological effects of chronic disease. Journal of Child Psychology and Psychiatry, and Allied Disciplines. 1990;31(1):85-98. https://doi.org/10.1111/j.1469-7610.1990.tb02274.x
  31. Kang SM, Yeun EJ. An effect of the secondary stroke prevention education program on self-care of acute ischemic stroke patients. Korean Journal of Adult Nursing. 2005;17(4):646-655.
  32. Kim CG, Park HA. Development and evaluation of a web-based education program to prevent secondary stroke. Journal of Korean Academy of Nursing. 2011;41(1):47-60. https://doi.org/10.4040/jkan.2011.41.1.47
  33. Bak HK. The effects of the health promotion program on functional status of the in-house stroke patients. The Korean Journal of Rehabilitation Nursing. 2003;6(2):213-225.
  34. Tae YS. A study on the correlation between perceived social support and depression of the cancer patients [master's thesis]. Seoul: Ewha Womans University; 1985. p. 1-67.
  35. Lim SA, Kim IO. Influence of depression among HIV-infected people and social support on quality of life. The Korean Journal of Health Psychology. 2013;18(2):363-378. https://doi.org/10.17315/kjhp.2013.18.2.007
  36. Kim RI, Yong JS. Relationships among self-care, self-efficacy, and social support in patients with chronic obstructive pulmonary disease. The Journal of Korean Academic Society of Nursing Education. 2005;11(2):270-277.
  37. Anderson ES, Wojcik JR, Winett RA, Williams DM. Social-cognitive determinants of physical activity: The influence of social support, self-efficacy, outcome expectations, and self-regulation among participants in a church-based health promotion study. Health Psychology. 2006;25(4):510-520. https://doi.org/10.1037/0278-6133.25.4.510
  38. Lee WJ, Lee JW. The effect of stress and sense of coherence on health behavior compliance in outpatients with stroke. Journal of the Korea Academia-Industrial Cooperation Society. 2020;21(1):232-239. https://doi.org/10.5762/KAIS.2020.21.1.232
  39. Kang KJ, Yu SJ, Seo HM, Yu M, Park MS, Jang HC. Factors influencing self management behavior for patients with type 2 diabetes: Comparison of difference between the elderly and adults. Journal of Korean Biological Nursing Science. 2012;14(2):112-121. https://doi.org/10.7586/jkbns.2012.14.2.112
  40. Gil E, Oh H. Testing a middle-range theory of self-care of chronic illness: A validation for Korean adult patients with severe hypertension. Journal of Korean Academy of Nursing. 2018;48(5):521-533. https://doi.org/10.4040/jkan.2018.48.5.521
  41. Oh BH. Psychosocial aspects of normal ageing. Journal of the Korean Medical Association. 2004;47(4):351-358. https://doi.org/10.5124/jkma.2004.47.4.351
  42. Park MG, Ha Y. Effectiveness of a self-management program using goal setting based on a G-AP for patients after a stroke. Journal of Korean Academy of Nursing. 2014;44(5):581-591. https://doi.org/10.4040/jkan.2014.44.5.581
  43. Robinson E, DiIorio C, DePadilla L, McCarty F, Yeager K, Henry T, et al. Psychosocial predictors of lifestyle management in adults with epilepsy. Epilepsy & Behavior. 2008;13(3):523-528. https://doi.org/10.1016/j.yebeh.2008.05.015
  44. Son YJ, Song EK. Impact of health literacy on disease-related knowledge and adherence to self-care in patients with hypertension. Journal of Korean Academy of Fundamentals of Nursing. 2012;19(1):6-15. https://doi.org/10.7739/jkafn.2012.19.1.006
  45. Jang DE, Shin JH. Self-care performance of middle-aged stroke patients in Korea. Clinical Nursing Research. 2019;28(3):263-279. https://doi.org/10.1177/1054773817740670
  46. Kim JS. A grounded theory approach to the experience of leaders in self-help group for parents of children with cancer. Korean Journal of Social Welfare. 2005;57(2):405-434.
  47. Yeom I, Kim DS, Lee EY, Kim HS. The characteristics of intellectual and psychological in the children with moyamoya disease. Child Health Nursing Research. 2015:21(2):123-130. https://doi.org/10.4094/chnr.2015.21.2.123