PURPOSE
To evaluate heart failure knowledge and adherence to self-care behaviors, and to identify factors affecting adherence to self-care behaviors among Korean patients with heart failure.
METHODS
Correlational research using the European Heart Failure Self-care Behavior Scale, the Duke Activity Status Index, the Dutch Heart Failure Knowledge Scale, the New York Heart Association Functional Classification, and the Medical Outcomes Study Social Support Survey was conducted. A total of 280 outpatients with heart failure responded to the five questionnaires.
RESULTS
The mean scores for self-care adherence and heart failure knowledge were 31.98 +/- 6.81 and 8.78 +/- 2.53, respectively, indicating lower adherence and knowledge than those previously reported. Subjects with lower functional status, more social supports, and greater knowledge of heart failure are more likely to adhere to prescribed regimens.
CONCLUSION
Nurses should focus on patient education and support to improve their adherence to self-care behaviors.

Citations

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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.