An Explanatory Model for Patient Adherence of Rehabilitation in patients with Spinal Cord Injury.
- Author:
Aee Lee KIM
1
Author Information
1. College of Nursing, Sungshin Women's University, Korea. aleekim@sungshin.ac.kr
- Publication Type:Original Article
- Keywords:
Spinal cord injury;
Patient;
Rehabilitation;
Patient adherence
- MeSH:
Depression;
Humans;
Patient Compliance;
Phenothiazines;
Spinal Cord;
Spinal Cord Injuries
- From:Journal of Korean Academy of Adult Nursing
2010;22(1):90-102
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to identity factors affecting patient adherence and to develop an explanatory model for patient adherence in patients with spinal cord injury. 8 variables that were based on the previous research and a review of literature were used to construct hypothetical model. Social support, economic status, perceived barrier, patient provider relationship and rehabilitation related knowledge were the exogenous variables, depression, self-efficacy and patient adherence were the endogenous variables. METHODS: Data form 117 patients with SCI were analysed to test the hypothetical model, using SAS and LISREL 8.53 program. RESULTS: The overall fitness of the model was good (GFI=.991, AGFI=.915, NNFI=1.299, NFI=.953, p=.632) Depression, powerlessness, economic status were the strong factors influencing patient adherence. Powerlessness was significant factors for self-efficacy. CONCLUSION: To improve of patient adherence should focus on nursing intervention for depression, powerlessness and economic status.
