Purpose The purpose of this study was to explore and describe the process of illness adaptation of patients with Atrial Fibrillation (AF). Methods Data were collected from December 2017 to July 2018 through individual in-depth interviews with thirteen patients with AF. Verbatim transcripts were analyzed using the grounded theory methodology developed by Corbin and Strauss. Results The core category about the illness adaptation process of patients with AF was identified as “living a life managing the silent insurrection of the heart.” The process of illness adaptation of patients with AF consisted of four phases: “withdrawal”, “transition”, “practice”, and “adeptness”. Conclusion An in-depth understanding of the illness adaptation process of patients with AF will guide nurses in proactively developing and implementing effective nursing interventions to better support patients with AF in Korea.
PURPOSE The purpose of this study was to examine the relationships between treatment belief, personal control, depressive mood, and health-related quality of life in patients with hemodialysis based on self-regulation theory. METHODS Data were collected from 220 patients at 27 local hemodialysis clinics in Seoul during 2013 and 2014. The Revised Illness Perception Questionnaire, the Hospital Anxiety and Depression Scale, and Medical Outcomes Study Short Form-12 were used to measure outcome variables. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation, and multiple regression using the 'enter' method. RESULTS Treatment belief and personal control scored 3.58 and 3.54 out of 5 points respectively, on average. Treatment belief and personal control of kidney disease were negatively correlated with depressive mood and positively correlated with health-related quality of life. According to the regression analysis, treatment belief, monthly income, and personal control were discovered to account for 21.8% of the variance in depressive mood, where as depressive mood, monthly income, treatment belief, and age were found out to account for 40.6% of the variance in health-related quality of life. CONCLUSION Our study demonstrated significant positive relationships between treatment belief and illness outcome in hemodialysis patients. Interventions aimed to provide the necessary information and trust to maximize the effectiveness of treatment need be developed to improve patients outcomes.
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