The Relationships among Self-care Behavior ,Hope,and Social Support in Awanting Heart Transplantation Patients

• Main Authors: Li Yun Wang, 王麗雲
• Other Authors: Chii Jeng
• Format: Others
• Language: zh-TW
• Published: 2002
• Online Access: http://ndltd.ncl.edu.tw/handle/93750898311825313357

碩士 === 台北醫學院 === 護理學研究所 === 90 === Abstract Title of thesis: The Relationships among Self-care Behavior, Hope, and Social Support in Awaiting Heart Transplantation Patients. Institution: Graduate Institute of Nursing, Taipei Medical University. Author: Li Yun Wang Thesis directed by: Chii Jeng, DNSc., RN, Associate Professor, Graduate Institute of Nursing, Taipei Medical University. The purpose of the study was to examine the relationships among self-care behavior, hope, and social support in awaiting heart transplantation patients. This study is a cross-sectional study. There are 45 subjects were obtained from a list of qualified patients who are awaiting heart transplantation in major medical centers by using purposive sampling . Structured questionnaires were administered as mean of data collection, and three instruments in use included Self-care Behavior Scale, Herth Hope Index, and Social Support Scale. A t test, one-way ANOVA, Pearson’s correlation, and multiple regression with stepwise procedure were used for data analysis. The results of this study were as follows: (1) The self-care behavior of waiting heart transplantation patients was moderate-strong including the best one, daily activity control (M=3.18), and the worst one, self-administration (M=2.84). (2) The waiting heart transplantation patients’ hope was moderate-strong including the highest one, interconnectedness with self and others (M=3.12), and the lowest one, inner sense of temporality and future (M=2.97). (3) The social support of waiting heart transplantation patients was also moderate-strong including the strongest one, emotional support (M=3.17), and the weakest one, appraisal support (M=2.97). The major source of support comes from family so as to informational support from medical cares. (4) The correlation between self-care behavior and hope (r=.34, p=.024), social support (r=.54, p＜.001), and between hope plus social support (r=.52, p＜.001) were significantly positive as well as between appraisal support and self-care behavior and between informational support and hope. (5) The essence support obtained in female was higher than male was. Taking medicine and emotional support in subjects with spouse are stronger than subjects without spouse. Hope form people who have faith be significantly more powerful than it from whom having non-religious belief does. Viewing inner sense of temporality and future, people who have economic self-sufficient to take medicines and diet control are more willing than people who have not economic independent are. Out of job people who have less hope than people who have occupied. Hope from people who are aware of good health condition is stronger than people who are conscious of fair well or bad physical situation. (6) The predictor of self-care behavior is social support and the explainable total variance was 29.4%. The predictor of hope is social support, education level, health condition, religious belief, and marriage status and the explainable total variance was 60.4%. The finding of this study could help clinical nurses to realize the relationships among self-care behavior, hope, and social support in awaiting heart transplantation patients and provide a reference of intervention cares. Key words：Waiting heart transplantation patients, self-care behavior, hope, social support.