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Korean Journal of Adult Nursing ((구)Journal of Korean Academy of Adult Nursing)


ISSN  1225-4886 (Print)
Published since 1989
Indexed in SCOPUS, CINAHL, KoreaMed, KoMCI

1995 Korean Journal of Adult Nursing ((구)Journal of Korean Academy of Adult Nursing)ALL

Page 212 ~ 227
제목 효능기대증진프로그램이 자기효능과 자가간호행위에 미치는 영향 - 본태성고혈압환자를 중심으로
Title A Study of the Effect of an Efficacy Expectation Promoting Program on Self-Efficacy and Self-Care
저자 이영휘
Author Lee Young Whee
주요어 본태성고혈압 자기효능 효능기대증진프로그램 자가간호
Keyword
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This study was conducted to investigate whether an efficacy expectation program based on the self-efficacy theory of Bandura(1977) would increase and self-care in patients with essential hypertension. The study design was a nonequivalent control group non-synchronized design. The efficacy expectation promoting program was composed of a slide/tape program and a telephone coaching program based on performance accomplishment, vicarious experience and verbal persuasion, which are all induction modes of efficacy expectation. The slide/tape program was 20 minutes long and the telephone coaching program was 10 minutes long. The efficacy expectation promoting program was used as the experimental treatment from December 28, 1993 until March 4, 1994. Ninety-eight patients from one university hospital in Seoul participated. The 98 research subjects were assigned to experimental (47 patients) and control(51 patients) groups. They were selected using a test of knowledge scale. After a pre-test, the slide/tape program was shown to the patients, three days later the telephone coaching program was repeated weekly over a four week period. At the end of this time, a mail survey was used to collect a post-test data. The Self-Efficacy Scale developed by Sherer et. al.(1982) translated by Oh(1993), and the Hypertensive Patient's Compliance Scale developed by Lee(1986) and Choi et. al.(1989) were modified by this researcher and used for data collection. The collected data were analyzed using the Chi-square test, t-test, analysis of variance and analysis of covariance. The results are as follows : 1. Hypothesis 1 ; "The group given the efficacy expectation promoting program will have a higher self- efficacy score than the group without the efficacy expectation promoting program"was supported (F=14.972,p=.000). 2. Hypothesis 2 ; "The group given the efficacy expectation promoting program will demonstrate a higher level of self-care than the group without the efficacy expectation promoting program" was divided into two sub-hypotheses : a)Sub- hypothesis 1; "The group given the efficacy expectation promoting program will have higher subjective self-care scores than the group without the efficacy expectation promoting program" was supported(F=26. 784, p=.000). b)Sub- hypothesis 2: "The group given the efficacy expectation promoting program will demonstrate a higher level of objective self-care than the group without the efficacy expectation promoting program" was supported(F=26.376, p=.000). 3. There are significance differences between self-care and sex, age, job and economic status. In conclusion, it was found that an efficacy expectation promoting program was an effective nursing intervention for increasing self-efficacy and self-care. Therefore, when a nurse is planning to increase self-care related to the therapeutic regimen in a patient with essential hypertension, he or she should always consider the concept of self-efficacy.
Page Title Author
141~165 An Ethnogaphic Study of Health Concept and Health Behavior in the Urban, Poor Elderly Lee Young Hee
166~180 The Empirical Validity of Coping Strategy Questionnaire in Korean Patients with Chronic Pain Hur Hea Kung
181~211 A Study on Elderly's Powerlessness Kim Kyung Eun, Choi Young Hee
212~227 A Study of the Effect of an Efficacy Expectation Promoting Program on Self-Efficacy and Self-Care Lee Young Whee
228~244 A Study on the Health Status of the Hospitalized Elderly Choi Gong Ok
245~258 The Effect of Preparatory Information on Uncertainty, Anxiety and Depression of Post Operative Patient with Gastric Cancer Seong Eun Hee, Hong Mi Soon
259~269 Study on the Relationship Between Social Role and Mental-emotional Health of Aged People in Korea Ro Seung Ok
270~278 A Conceptual Analysis to Fatigue Yang Kwang Hee
279~298 The Study on the Content Analysis of Caring, Supporting, Nursing Situation Lee Sook Ja, Chang Sung Ok
299~312 The Factors affecting Quality of Life of Hemodialysis Patients Kim Joo Hyun, Kim Mae Ja