계명대학교 의학도서관 Repository

심장판막수술 후 프로트롬빈 INR 모니터링형 자가관리프로그램 개발 및 적용

Metadata Downloads
Author(s)
전현례박정숙Jeon, Hyun RyePark, Jeong Sook
Keimyung Author(s)
Park, Jeong Sook
Department
Dept. of Nursing (간호학)
Journal Title
대한간호학회지
Issued Date
2015
Volume
45
Issue
4
Keyword
Self-managementCardiac valveKnowledgeBehaviorInternational Normalized Ratios
Abstract
Purpose: The purpose of this study was to develop and evaluate a self-management program based on INR monitoring for patients
with cardiac valve replacement. Methods: This program was comprised of five weekly sessions based on Sousa’s Enhance-Behavior
Performance Model. The first session included individual teaching, and the other four sessions included Prothrombin Time International
Normalized Ratios (PT INR) self-monitoring, telephone counseling and self-management checklist recording. Participants were
patients who had cardiac valve replacement. They were randomly assigned to the experimental or control group. Sixteen in the experimental
group participated in the self-management program and seventeen in the control group participated in general care. Selfmanagement
knowledge, self-efficacy, self-management behavior and PT INR were measured as dependent variables. Data were analyzed
using Mann Whitney U-test, t-test and ANCOVA. Results: The experimental group showed significantly higher post-test scores
in self-management knowledge (t=5.86, p <.001), self-efficacy (F=18.32, p <.001), and self-management behavior (t=3.44, p =.002)
compared to the control group. Also, the experimental group showed significantly higher frequency in maintaining the treatment
range of PT INR compared to the control group (χ 2=4.80, p =.028). Conclusion: The results of the research on the self-management
program based on PT INR monitoring showed that it is effective in improving self-management knowledge, self-efficacy, and selfmanagement
behavior as well as maintaining treatment range of PT INR of patients with cardiac valve replacement.
Alternative Title
Development and Application of a Self management Program based on Prothrombin INR Monitoring for Patients with Cardiac Valve Replacement
Keimyung Author(s)(Kor)
박정숙
Publisher
College of Nursing
Citation
전현례 et al. (2015). 심장판막수술 후 프로트롬빈 INR 모니터링형 자가관리프로그램 개발 및 적용. 대한간호학회지, 45(4), 554–564. doi: 10.4040/jkan.2015.45.4.554
Type
Article
ISSN
2005-3673
DOI
10.4040/jkan.2015.45.4.554
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/32936
Appears in Collections:
2. College of Nursing (간호대학) > Dept. of Nursing (간호학)
공개 및 라이선스
  • 공개 구분공개
파일 목록

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.