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간이식 수혜자의 자기관리 구조모형 : Structural Equation Modeling of Self-Management of Liver Transplant Recipients

Cited 9 time in Web of Science Cited 10 time in Scopus
Authors

전미경; 박연환

Issue Date
2017-10
Publisher
한국간호과학회
Citation
Journal of Korean Academy of Nursing, Vol.47 No.5, pp.663-675
Abstract
Purpose: The purpose of this study was to construct and test a structural equation model of self-management of liver transplant recipients based on self-determination theory. Methods: Participants were 275 outpatients who received liver transplantation. A structured self-report questionnaire was used to assess health care providers' autonomy support, transplant-related characteristics, illness consequence perception, autonomy, competence, family relatedness, depression and self-management. Collected data were analyzed using SPSS/WIN 24.0 and AMOS 24.0 program. Results: The modified model showed a good fitness with the data: GFI=.96, RMSEA=.06, CFI=.96, NFI=.93, TLI=.93, PGFI=.43, PNFI=.49. The health care providers' autonomy support, competence, family relatedness and depression were factors with a direct influence on the self-management of liver transplant recipients. The health care providers' autonomy support and illness consequence perception had an indirect influence through competence, family relatedness and depression. However, the transplant-related characteristics and autonomy did not have a significant effect on self-management. This model explained 59.4% of the variance in self-management. Conclusion: The result suggests that continuous education must be done to promote the competence of liver transplant recipients and to encourage the patient to positively perceive their current health condition with a view that enhances one's self-management. Additionally, the liver transplant recipients should be screened for depression, which would affect self-management. Most of all, health care providers, who have the most influence on self-management, should improve therapeutic communication and try to form a therapeutic relationship with the liver transplant recipients.
ISSN
2005-3673
URI
https://hdl.handle.net/10371/204110
DOI
https://doi.org/10.4040/jkan.2017.47.5.663
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  • College of Nursing
  • Dept. of Nursing
Research Area Chronic Disease in Elderly Population, Evidence-Based Nursing Intervention

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