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        이영휘 연세대학교 간호정책연구소 1995 간호학탐구 Vol.4 No.1

        Self-Efficacy is the belief that one has the skill and competence to carry out specific actions. Recent studies provide evidence to suggest that self-efficacy is strongly related to health behavior. This study attempts to increase the understanding about self-efficacy theory through explanation of the self-efficacy theory and through comparative demonstration of the theory of self-efficacy, health belief model, and health locus of control, as to which most influence factors to health related behavior. Also, this study suggests directions of future research related to self-efficacy and health behavior, as follows: in theory, to increse the predictability of health behavior, to suggests a possible synthesis of the self-efficacy and health belief model, and self-efficacy and Orem's self-care theory. In practise, this will promote effective health education, recommanding that nurses should include the concept of selfefficacy when they plan for health education. The application of such an effica.y expectation promoting program will result in change the personal health related behavior. As to related research, suggests a longitudinal study which examines the continuation of self-efficacy, as well as the comparative study between cognitive modification and behavioral modification, and a program developing research which promotes the ef f icacy expectation, and instrumental development towards accurate measurement of this self-efficacy. Lastly, to increase the utility of self-efficacy theory in health sector, suggests the application of self-efficacy theory to diverse population.

      • SSCISCIESCOPUSKCI등재
      • 본태성고혈압 환자의 지식 및 자기효능과 자가간호행위와의 관계연구

        이영휘 中央醫學社 1993 中央醫學 Vol.58 No.11

        This descriptive-correlational study was undertaken in order to examine if there were relationships between knowledge, self-efficacy and self care of 71 essential hypertensive patients in Choong Nam S Hospital. The sampling method was non-probability, convinient sampling technique. Questionnaire survey was conducted from August 9 to August 21, 1993. Each participants completed the Knowledge Scale (developed by Dr. Lee, 1986), SelfEfficacy Scale (Sherer et al., 1982) and Hypertensive Patient's Self Care Scale (developed by researcher, 1993). The collected data were analyzed using Pearson Product-moment Correlation, t-test and Analysis of Variance. The results were as follows: 1. Hypothesis 1, stating that the higher the score of knowledge, the higher the score of self care in hypertensive patients was not supported (r= -0.2077, p= 0.082). 2. Hypothesis 2, stating that the higher the score of self-efficacy, the higher the score of self care in hypertensive patients was supported (r= 0.4035, p= 0.000). 3. Supplementary analysis of the data indicated that there was a significant relationship between kind of job held by respondents and self care (p < .05). 4. There was not significant relationship between knowledge and self-efficacy (r= -0.0458, p= 0.704).

      • SSCISCIESCOPUSKCI등재
      • KCI등재
      • 일 종합병원 하지상해환자의 건강통제위 성격과 우울과의 관계 연구

        李玲徽 혜전대학 1988 論文集 Vol.6 No.-

        This descriptive-correlational study was undertaken, in order to examine if there was relationship between health locus of control and depression in 99 lower extrimities injured persons who were at the orthopedic wards and amputation center of Yonsei university hospital in Seoul from Feb. 16th to Aug. 22nd 1987. Each participant completed the Multidimensional Health Locus of Control (MHLC) Scale (Wallston & Wallston, 1978) and Beck Depression Inventory. The collected data analyzed using pearson correlation coefficient, t-test, Analysis of varience and Stepwise multiple regression. The results were as follows : 1. Hypothesis 1, Stating that the higher the score of internal health locus of control, the lower the score of depression, was supported.(r ―.1422, p = .016) 2. Hypothesis 2, stating that the higher the score of chance health locus of control, the higher the score of depression, was supported (r = .2580, p = .011) 3. Supplementary analysis of the data indicated that there were a significant relationships between kinds of sex (p< .05), education level (p< .01), economic status(p< .001) and depression. Stepwise Multiple Regression was used to examiner what variables would allow the most powerful predictor of depression : education level showed the best single predictor of depression, followed by chance health locus of control, economic status, internal health locus of control, counseler, religion, powerfal others health locus of control, age. sex, job. These 10 main variables made it possible to explain 34% of the variance in depression.

      • KCI등재

        관상동맥질환자의 건강행위이행에 영향을 미치는 요인: 건강신념 변수를 중심으로

        이영휘,김화순,조의영 한국간호과학회 2002 Journal of Korean Academy of Nursing Vol.6 No.1

        -The Influencing Factors on Health Behavior of Patients with Coronary Artery Disease Purpose: The purpose of this study was to investigate the influencing factors on health behavior among patients with coronary artery disease. Method: The subjects were 95 patients who visited the out-patient department of a university hospital for follow-up. The four health belief concepts (motivation, benefit, barrier, seriousness), general self-efficacy, health behaviors on medication, diet, exercise, stress management, smoking, and drinking were measured. Result: There were significant differences in the health behavior scores of subjects according to family support and the experience of surgical procedure. Subjects were found to have a high degree of compliance in taking medication. However subjects reported the lowest degree of compliance in regular exercise. In the multiple regression analysis, surgical procedure and motivation were significant predictors to explain diet. Motivation and barrier were significant predictors to explain exercise. Self-efficacy, motivation and family support were significant predictors to explain stress management. Family support and seriousness explained 16% of variance in drinking. Also, family support explained 30% of variance in smoking. Conclusion: Since predicting factors on each health behavior indicator were different, then nurses should consider these differences to construct strategy enhancing patient's recovery.

      • KCI등재

        치매노인 부양자의 부양부담과 생활만족도 예측모형

        이영휘,임지영,김주연,조효임,고국진 한국노인간호학회 2011 노인간호학회지 Vol.13 No.3

        Purpose: The purpose of this research was to identify a causal structural model of burden of care and quality of life for caregivers of patients with dementia. The model would provide a theoretical framework for reduction of caregiver burden and increased quality of life. Methods: This study was designed to construct a model that predicts care burden and life satisfaction of caregivers of elders with dementia. The study was conducted using a convenience sampling method to select 180 family caregivers for people with dementia from 8 daycare centers in Incheon, Korea. Data were collected using questionnaires, and analyzed using descriptive statistics and correlation analysis with the SAS 10.0 program. The Linear Structural Modeling (LISREL) 8.13 program was used to find the best fit model. Results: The variables predicting caregiver life satisfaction were depression, fatigue,perceived health status and willingness to care. These variables explained 65% of the variance in life satisfaction. The variables predicting caregiver burden were depression, fatigue and functional status of elders. These variables explained 69% of the variance in caregiver burden in this model. Conclusion: The above results indicate the need to develop intervention programs which will reduce the care burden and promote life satisfaction in caregivers.

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