심부전 환자의 자가간호 증진을 위한 심장일지의 개발 및 효과

• Published in: Journal of Korean Academy of Nursing Vol. 46; no. 6; pp. 881 - 893
• Main Authors: 심재란(Shim, Jae Lan), 황선영(Hwang, Seon Young)
• Format: Journal Article
• Language: Korean
• Published: 한국간호과학회 2016
• Subjects: Nursing Care; Health Diary; Self-Efficacy; 간호; Self-Care; 심부전; 건강일지; 자가간호; Heart Failure; 자기효능감
• ISSN: 2005-3673; 2093-758X

Purpose: The purpose of this study was to develop a heart health diary to promote self-care ability among patients with heart failure (HF), and to identify the diary's effect on self-care adherence, self-efficacy, and physical activity. Methods: A randomized control-group pretest-posttest design was adopted using block randomization. A calender-typed health diary was developed and it included a self-care checklist and education information on HF management. The experimental group were given guided counseling and education for 8 weeks and wrote a daily health diary during that period. Data were collected from the outpatient department of a tertiary medical center from February to April 2016. To verify the hypotheses, data for the experimental group (n=28) and control group (n=33) were analysed using the independent t-test with SPSS/WIN 21.0. Results: At the end of 8 weeks the experimental group had significantly higher scores for self-care adherence (t=-2.48, p =.016) and exercise related self-efficacy (t=-3.44, p =.001) compared to the control group. Conclusion: The findings show that the application of a patient-directed heart health diary is an effective nursing intervention for improving HF patients' self-care adherence and exercise self-efficacy. Strategies to promote dietary self-efficacy are necessary along with further studies including repeated research with an increasing intervention period. Healthcare providers need to encourage the utilization of a health diary for HF patients as a tool for evaluation and for implementation that leads to self-care.