J Korean Acad Nurs.  2006 Oct;36(6):1065-1075.

An Explanatory Model for Health-Promoting Behaviors in Patients Living at Home who have Post Stroke Hemiplegia

• Kim MH

Abstract

PURPOSE: A structural equation model was analyzed to explore the determinants of health-promoting behaviors in patients living at home in Korea who had post stroke hemiplegia. METHOD: Demographic characteristics, activities of daily living, religiosity, family support, self-efficacy, acceptance of disability, perceived barriers to health-promoting activities, depression, and health-promoting behavioral data was collected from 239 patients using self-report questionnaires. RESULT: Variables that have a direct effect on health-promoting behaviors were self-efficacy and family support. Depression, acceptance of disability, perceived barriers, activities of daily living and religiosity also influenced health-promoting behaviors in an indirect way. CONCLUSION: It is imperative to explore strategies for patients with post stroke hemiplegia to identify and maximize their resources, develop their self-efficacy, improve their emotional state, and enhance their physical activity and spiritual growth, which would maximize health-promoting behaviors.

Keyword

Cerebrovascular accident; Hemiplegia; Health promotion; Health behavior

MeSH Terms

Adult
Aged
Aged, 80 and over
Attitude to Health
Female
*Health Behavior
*Health Promotion
Hemiplegia/etiology/*nursing/rehabilitation
*Home Nursing
Humans
Male
Middle Aged
Models, Theoretical
Questionnaires
Self Efficacy
Stroke/complications/*nursing/psychology