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"Health locus of control"

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"Health locus of control"

Original Articles
A Study of the Health Promoting Lifestyle of the Elderly
Yun Jung Oh
J Korean Acad Adult Nurs 2000;12(1):64-76.   Published online March 31, 2000
The purpose of this study was to identify the major factors affecting performance in health promoting lifestyle of the elderly. The subjects for this study were 244 elderly person over the age of 60, living in K country, Kyongnam. Data were collected from August 31 to September 30, 1998. The collected data were analyzed with an SPSS program using frequency, percent, mean, cronbach alpha, t-test, ANOVA, Pearson' coefficients of correlation, Duncan test, and stepwise multiple regression. The results are summarized as follows. 1) The average score of performance in the health promoting lifestyle was 2.73. The variable with the highest degree of performance was regular diet(3.29), whereas the one with the lowest degree was self-control(2.22). 2) Performance in the health promoting lifestyle was significantly correlated with self esteem(r=.28, p=0.00), internal health locus of control(r=.58, p=0.00), powerful others health locus of control(r=.48, p=0.00), chance health locus of control(r=.25, p=0.00), perceived health status(r=.53, p=0.00). 3) Performance in the health promoting lifestyle was significantly correlated with such demographic variables as education level (F=9.47, P=0.00), marital status(F=2.63, P=0.05) and previous occupation(F=3.85, P=0.00). 4) The combination of internal health locus of control, powerful others health locus of control and perceived health status explained 43.4percent of the variance of health promoting lifestyle On the basis of this study, other factors affecting others health promoting lifestyle should be identified.
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Sick-role Behavioral Compliance and Influencing Factors in Patients with Diabetes
Kyung Shin Paek, Yeon Hee Choi
J Korean Acad Adult Nurs 1998;10(3):480-491.   Published online December 31, 1998
The purpose of this study was to identify the relationships between self-efficacy, self-esteem, health locus of control and sick-role behavioral compliance in diabetic patients and to identify the influencing factors for sick-role behavioral compliance. The subjects for study were 244 NIDDM patients from 2 hospitals, who were visiting the outpatient clinic in Taegu. Data were collected from Sep. 18.th to Oct. 5th 1996. In data analysis, SPSS/PC+ programs were utilized for descriptives, as well as Pearson correlation coefficient, t-test, ANOVA and stepwise multiple regression. The results were as follows : 1. The average score for the sick-role behavioral compliance was 50.38, for the self-efficacy was 1337.17, for the self-esteem was 27.81, for the internal health locus of control was 28.79, for the chance health locus of control was 20.55, for the powerful others health locus of control was 28.70. 2. The relationships between self-efficacy, self-esteem, health locus of control and sick-role behavioral compliance were significant. Sick-role behavioral compliance were significantly related to self-efficacy(r=0.36, 0.000), to self-esteem (r=0.19, p=0.001), to internal health locus of control(r=0.28, p=0.000), to powerful others health locus of control (r=0.28, p=0.000). 3. In the relationship between general characteristics and sick-role behavioral compliance there were significant differences in a job (t=-2.01, p=0.045), experience of diabetic education(t=2.32, p=0.022). 4. Stepwise multiple regression analysis was performed to identify the influencing factors for sick-role behavioral compliance. Self-efficacy, self-esteem, internal health locus of control, having or not having a job and experience of diabetic education accounted for 24% of the variance in sick-role behavioral compliance. The self-efficacy was the most predictive factor (R2=13%) followed by internal health locus of control, job, self-esteem and experience of diabetic education. The results suggest that self-efficacy is an important variable in the compliance of diabetic patients. For improvement in sick-role behavioral compliance nursing intervention needs to be directed at promoting self-efficacy.
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A study on Compliance in Self-Medication of Pulmonary Tuberculosis patients
Kyung Ja Kang, Young Sook Tae, Byoung Sook Lee, Sue Kyung Sohn, Hee Jung Yang, Kyung Hee Mok
J Korean Acad Adult Nurs 1998;10(3):446-459.   Published online December 31, 1998
This study was made to identify compliance in self-medication, and factors influencing the self-medication of pulmonary TB patients. Self-medication of pulmonary TB patients is a very important factor for the cure of the patients. In this study, variables were used from three theories of health behavior. These were the Health Belief Model, Health Locus of Control, Theory of Planned Behavior. These were included to examine their effect on self-medication. Data were collected during the period from July 1 to August 20, 1994 using a structured questionnaire. And they were analyzed by mean, standard deviation, ANOVA, Pearson Correlation Coefficient, and Multiple Regression analysis using the SAS program. The result were as follows : 1. The mean on the self-medication scores ranging from 6.0 to 12.0 was 10.93. The mean for the self-evaluation scores of the self-medication ranging from 50.0 to 100.0 was 86.51. 2. There were significant associations between the scores on self-medication and age(F=2.34, p=0.033), and method of treatment(F=4.65, P=0.018). And there were significant associations between the self-evaluation scores of self-medication and age (F=3.79, P=0.000), and presence of TB patients among family(F=4.92, P=0.000). 3. (a) The relationship between the scores on self-medication and perceived barrier in health belief revealed a significant correlation(r=-.2046, p=0.0082). (b) The relationship between the scores on self-medication and other-dependency in LOC revealed a significant correlation(r=0.2322, p=0.0018). (c) The relationship between the self-evaluation score of self-medication and other-dependency in LOC revealed a significant correlation(r=0.1946, p=0.0122). (d) The relationship between the attitude in self-medication of the subjects and the self-evaluation score of self-medication revealed a significant correlation(r=0.2102, p=0.0066). 4. (a) 14.8% of the score of compliance in self-medication of the subjects was explained by five variables : Behavioral Intention, Duration of Treatment, Age, Perceived Sensitivity and Perceived Sensitivity and Perceived Barrier. (b) 8.7% of the score of self-evaluation of self-medication was explained by three variables : Perceived Control, Perceived Sensitivity, and Age. In conclusion : This study provides insights and information which may be valuable for motivation and instruction to improve compliance in self-medication among pulmonary TB patients.
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