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심부전 환자의 신체적·심리적 증상이 운동이행에 미치는 영향: 운동 자기효능감의 매개효과를 중심으로

Influence of Physical and Psychological Symptoms on Exercise Adherence in Patients with Heart Failure: Focused on the Mediating Effects of Self-efficacy

기본간호학회지 2019년 26권 1호 p.52 ~ 61
진혜경, 김종현, 김민주,
소속 상세정보
진혜경 ( Jin Hye-Kyung ) - 동아대학교 의과대학 간호학과
김종현 ( Kim Jong-Hyun ) - BHS 한서병원
김민주 ( Kim Min-Ju ) - 동아대학교 의과대학 간호학과

Abstract


Purpose: The aim of this study was to examine the mediating effect of self-efficacy in the relationship of physical and psychological symptoms to exercise adherence in patients with heart failure.

Methods: The participants in this study were 186 patients with heart failure in two hospitals located in Busan. The measures included questions about general and disease characteristics, physical symptoms, psychological symptoms, self-efficacy for exercise, and exercise adherence. Data were analyzed using t-test, ANOVA, Pearson correlation coefficients, simple and multiple regression using Baron and Kenny steps for mediation.

Results: There were significant differences in age, gender and comorbidity on exercise adherence. There were also significant correlations among physical and psychological symptoms, self-efficacy for exercise, and exercise adherence. Self-efficacy for exercise showed partial mediating effects in the relationship between physical symptoms and exercise adherence.

Conclusion: Based on the findings of this study, the enhancement of self-efficacy for exercise may positively affect the exercise compliance of the patients with health failure, even while they are experiencing physical symptoms. Therefore, it is necessary to develop effective strategies to enhance self-efficacy for exercise.

키워드

심부전; 운동; 자기효능감
Heart failure; Exercise; Self-efficacy

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