• Korean Journal of Adult Nursing
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• v.27 no.3
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• pp.251-261
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• 2015

Purpose: The aim of this study was to identify the levels of and the related factors to health literacy and health behavior compliance in patients with coronary artery disease. Methods: A cross-sectional survey was conducted with a convenience sample of 121 hospitalized patients with coronary artery disease. The structured questionnaires were used to measure the levels of health literacy and health behavior compliance. Results: The average linguistic health literacy score was $32.23{\pm}21.46$, the functional health literacy score was $6.51{\pm}5.08$, and the health behavior compliance score was $61.66{\pm}15.53$. The levels of education (${\beta}$=.35), income (${\beta}$=.27), and perceived health status (${\beta}$=.21) were found significant, explaining 41.8% of the variance in linguistic health literacy. The levels of education (${\beta}$=.23), income (${\beta}$=.27), age (${\beta}$=-.24), and family support (${\beta}$=.22) were found to be significant, explaining 50.9% of the variance in functional health literacy. The levels of education (${\beta}$=.27), family support (${\beta}$=.20), and linguistic health literacy (${\beta}$=.40) were found to be the significant factors, which explained 45.1% of the variance in health behavior compliance. Linguistic health literacy specifically explained 9.5% of health behavior compliance. Conclusion: Health literacy was associated with health behavior compliance, influencing the factors of health behavior compliance. These findings suggest that the interventions for improving health literacy are necessary to enhance health behavior compliance in patients with coronary artery disease.

• Korean Journal of Adult Nursing
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• v.24 no.2
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• pp.191-199
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• 2012

Purpose: This study was aimed at identifying levels of compliance of patients with metabolic syndrome and the factors influencing their compliance. Methods: Data were collected from patients with metabolic syndrome at K medical center in 2009 using questionnaires. The data were analyzed using ANOVA, t-test, Scheffe test, Pearson correlation, and stepwise multiple regression. Results: The mean score of health behavior compliance was 2.82 (range: 1.43~3.87). Of the factors significantly influencing compliance with health behavior, health perception, exercise efficacy, age and perceived severity explained the 42.8% variance of compliance with health behavior. The factor explaining the highest level of variance was health perception. Conclusion: It is essential for health professionals to consider the aforementioned four factors when developing interventions to increase compliance with health behavior of the patient with metabolic syndrome.

• Journal of Home Health Care Nursing
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• v.9 no.2
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• pp.103-113
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• 2002

Purpose: This study was conducted to explore the relationship among health belief. health locus of control and patients sick-role behavior compliance of diabetic mellitus patients visiting public health center. Method: The subjects of this study were 193 of the diabetic patients who were visiting 4 Public Health Center in B city. The instrument used for measuring health belief was Park's(1985). for health locus of control was Wallston. et al's(1978) and for sick-role behavior compliance was Park's(1984). The data were collected with structured questionnaires; total 58 items contained about health belief. health locus of control and sick-role behavior compliance from 1st to 31st July. 2001. The data was analyzed by the SPSS/PC programs using t-test. Pearson's correlation coefficient. ANOVA and Scheffe-test. Result: The average score of the health belief was $57.99\pm9.45$ health locus of control was $66.83\pm9.48$ and sick-role behavior compliance was $42.81\pm7.00$. Statistically significant factors influencing the health belief among social demographic characteristics were family number(F=3.818. p=0.024), monthly income(F=5.153, p=0.002), time of diagnosis(F=3.937. p=0.002) and difficult to control disease(F=5.803. p=0.000). The significant factors influencing the health locus of control were marital status(F=4.669. p=0.010). Also significant factors influencing the sick-role behavior compliance were monthly incomes(F=5.245, p=0.000). the time of diagnosis(F=4.424. p=0.001) and admission to hospital with diabetes(F=9.031. p=0.000). There was negative mild correlation comparatively between health belief and sickrole behavior compliance(r=-0.142, p<0.05) but no correlation in sensitiveness/severity, barrier, benefit(p<0.05). There was no correlation between internal. external. chance health locus of control and sick-role behavior compliance (P>0.05). Conclusion: There was a negative weak relationship between health locus of control and patient's sick role behavior compliance. Therefore further study to investigate the relating factor of the sick role behavior compliance among above of middle aged diabetes mellitus patients is necessary.

• Journal of Korean Public Health Nursing
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• v.16 no.1
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• pp.165-175
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• 2002

The purpose of this study was to examine the effects of the intensive teaching program on compliance of health behavior for patients with myocardial infarction. The subjects were 47 patients and twenty-three patients were assigned to the experimental group and twenty-four to the control. Data were collected through questionnaire surveys. As for data analyses. $\chi^2$ test, unpaired t-test. Repeated measures ANOVA were adopted using the SAS program. The results were as follows : 1. After 4 weeks 1) The compliance scores of health behavior were significantly higher in the experimental group than in the control group. 2) The experimental group was at a higher compliance score for smoking cessation. dietary health behavior, doing regular exercise, avoiding physical stress and managing mental stress than the control group. 2. After 12 weeks 1) The compliance score of health behavior was significantly higher in the experimental group than in the control group. 2) The experimental group was at a higher compliance score in smoking cessation. dietary health behavior (except abstaining from alcoholic beverages), doing regular exercise. avoiding physical stress and managing mental stress than the control group. The above findings show that the intensive teaching care program was effective In increasing compliance of health behavior in the patients with myocardial infarction.

• Journal of Korean Academy of Nursing
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• v.32 no.1
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• pp.50-61
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• 2002

The purpose of this study was to investigate the effects of cardiac rehabilitation teaching program on knowledge level and compliance of health behavior for the patients with myocardial infarction. Method: The subjects were 47 patients 23 were assigned to the experimental group and 24 were for the control. The cardiac rehabilitation teaching program is a individualized teaching program which was delivered to the experimental group during hospitalization period by present researcher. Data were collected through questionnaire surveys for knowledge level and compliance of health behavior from September 15, 1999 to December 31, 2000. The collected data was analyzed by using the SAS program. Results: 1. With regard to the knowledge scores 1) The total knowledge level in the experimental group was significantly higher than in the control group. 2) As to the knowledge domains, nature of disease, risk factors, diet, medication, exercise, and daily activities were significantly higher in score in the experimental group than in the control group. 2. With regard to the compliance of health behavior 1) The average compliance with good health behavior was significantly higher in the experimental group than in the control group. 2) As to the health behavior domains smoking cessation, diet, stress management, regular exercise, and other measures for lifestyle modification were significantly higher in score in the experimental group than in the control group. 3. The pre-treatment knowledge score was positively correlated to the post-treatment knowledge score and post- treatment knowledge score was positively correlated to the post-treatment compliance of health behaviors. Conclusion: The above findings indicate that the cardiac rehabilitation teaching program for the experimental group was effective in increasing level of knowledge and improvement of compliance with good health behavior of patients with myocardial infarction.

• Journal of East-West Nursing Research
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• v.24 no.2
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• pp.101-109
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• 2018

Purpose: The purpose of this study was to construct and test a structural equation model of health behavior compliance among patients with percutaneous coronary intervention based on self-determination theory. Methods: A total of 227 participants who received follow-up care after percutaneous coronary intervention were recruited. A structured questionnaire was used to assess health providers' autonomous support, basic psychological needs, autonomous motivation, controlled motivation, type D personality, and health behavior compliance. Collected data were analyzed using SPSS 21.0 and AMOS 21.0 program. Results: The final hypothetical model showed a good fitness with data: GFI=.94, RMSEA=.07, CFI=.96, NFI=.92, TLI=.94. The results revealed that autonomous support of health care providers, basic psychological needs, and autonomous motivation, and D-type personality accounted for 51.8% of health behavior compliance. Conclusion: The findings of this study indicate that enhanced autonomous support of health care providers is essential to promote patients' basic psychological needs and autonomous motivation. This leads to maximized compliance to the health behaviors among patients who underwent percutaneous coronary intervention. We recommend that health care institutions establish various measures to foster the special environments in which health care providers can actively provide and utilize autonomous support for their patients.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.17 no.1
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• pp.99-108
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• 2010

Purpose: This study was done to measure the degree of the hostility, perceived social support and health behavior compliance among patients with coronary artery disease and to identify the relationship among those variables. Methods: The participants were 145 hospitalized patients with coronary artery disease. Data were collected from December 15, 2007 to March 15, 2008 using a questionnaire and medical record. Results: Mean scores for hostility, perceived social support and health behavior compliance were 54.80, 53.03 and 59.38 respectively. Differences in the degree of hostility were significant for marital status and serum total cholesterol. There were significant differences in the degree of health behavior compliance according to body mass index, serum total cholesterol, smoking, drinking, exercise and regular diet. Health behavior compliance was correlated with hostility and perceived social support, and hostility was correlated with perceived social support. Conclusion: Intensive programs to enhance perceived social support but to reduce hostility are warranted to improve health behavior in patients with coronary artery disease.

• Korean Journal of Health Education and Promotion
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• v.4 no.2
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• pp.9-31
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• 1987

This study was conducted because of the investigator's concern for the high incidence and fatal nature of cancer in prime years of human life. The purpose of this study was to investigate risk factors on compilance for preventive health behavior of cancer. The data on which the analysis was based come from a survey of 828 married men & women, 40-59 years old. The instrument of the study were 'Health Belief Model' by Becker. The Data was analyzed using X--test, t-test, ANOVA, Pearson's Correlation Coefficient, Stepwise Multiple Regression. The followings were the result; 1. The examined group had a higher scores than the non-examined group in health belief variables. (p<0.001) 2. The higher level of health belief variables, the higher level of compliance for preventive health behavior is. (p<0.001) 3. The Stepwise Multiple Regression of compliance for preventive health behavior on the variables in the health belief model; Approximataly 65.5% of the variance of compliance for preventive health behavior was accounted for by health concern, susceptibility and barriers in combination. This meant that other factors seemed to influence preventive health behavior since the linear combination of variables failed to explain the remaining 34.5% of preventive health behavior of cancer. It tended to cost doubt on the usefulness of 5 variables in this model. Therefore further study to investigate the influential factors preventive health behavior of cancer is necessary.

• Korean Journal of Health Education and Promotion
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• v.23 no.1
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• pp.125-141
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• 2006

Objective: Today The human need for health promotion and maintenance is increasing. Health professionals have a great responsibility for helping clients to practice good health behavior. We need to define compliance which is best fit in the philosophy of the health discipline. The purpose of this study is to clarify the concept of compliance. Methods: Concept analysis is the act of examining parts, phenomenon and the interrelated parts of a whole. The process of concept approach described by Walker and Avant (1995). Is this study, a concept analysis of compliance was performed to comprehensively understand and develop effective health intervention methods: Result & Conclusion: The defining attributes of compliance identified in this study are as follows; the ability to complete or perform what is needs, to be malleability, to take initiative, to be adaptability and to be flexibility. 1) Be gentle and easily changeable (Malleability) 2) To take the initiative, a first step, or move towards an end or aim (Initiative) 3) Be able to change their ideas and behavior in order to deal with new situation (Adaptability) 4) Be able to change easily and adapt to different conditions and circumstances (Flexibility) Finally, the implication of these findings for further research and health promotion intervention are discussed.

• Journal of Korean Academy of Nursing
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• v.51 no.1
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• pp.80-91
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• 2021

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.