Testing a Middle-Range Theory of Self-Care of Chronic Illness: A Validation for Korean Adult Patients with Severe Hypertension.
10.4040/jkan.2018.48.5.521
- Author:
Eunha GIL
1
;
Heeyoung OH
Author Information
1. Department of Nursing, Daejeon Institute of Science And Technology, Daejeon, Korea.
- Publication Type:Original Article
- Keywords:
Self-Care;
Hypertension;
Nursing Theory;
Chronic Illness
- MeSH:
Adult*;
Chronic Disease*;
Humans;
Hypertension*;
Models, Structural;
Motivation;
Nursing Theory;
Quality of Life;
Self Care*
- From:Journal of Korean Academy of Nursing
2018;48(5):521-533
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The aims of this study are to provide a theoretical framework for improving the self-care of adults with severe hypertension and to examine the practical suitability of a middle-range theory of self-care for chronic illness by validating the structural model. METHODS: Data were collected at a university hospital in D metropolitan city from July 1 to August 14, 2015. A total of 224 Korean adult patients with severe hypertension were recruited. Data were analyzed using SPSS 22.0 and AMOS 22.0. RESULTS: The results show that the fit index of the hypothetical model meets the recommended level; 7 out of 8 hypothetical model paths were statistically significant. Motivation, self-efficacy, support from others, and accessibility to care showed statistical significance and explained 67.3% of the self-care process. The self-care process explained 45.3%, 63.6%, and 26.5% of quality of life, health, and illness stability, respectively. CONCLUSION: This model can be used as a theoretical framework for improving self-care among adult Korean patients with severe hypertension. Moreover, the practical suitability and validity of the middle-range theory of self-care for chronic illness is secured.
