title: Self-efficacy associated with self-management behaviours and health status of South Koreans with chronic diseases.
abstract: Although prior research in Western societies has revealed an association between self-efficacy and both self-management behaviours and better health status, little is known about the applicability of this association in Korean populations. We examined the differences in self-management behaviours and health status among three groups according to the level of self-efficacy (high, moderate and low). We used a descriptive and correlational design, and administrated a questionnaire to 322 Korean patients with diabetes mellitus, hypertension or arthritis at three ambulatory clinics in a university medical centre. We performed the Pearson chi-square test to test for differences in proportions, and the Kruskall-Wallis and Mann-Whitney U-tests for non-parametric measures. The level of self-efficacy was associated with self-management behaviours (P < 0.05) and with better health status indices (P < 0.001) except fatigue (P < 0.277). The mean age (Mean ± standard deviation, 53.71 ± 12.60), the percentage of high level of education (62.4%) and the level of employment (51.4%) were significantly higher in high self-efficacy group than in low self-efficacy group or moderate self-efficacy group. Further study of the potential factors affecting any relationship between self-efficacy and fatigue is recommended. Self-efficacy-enhancing interventions can be beneficial for Korean chronic patients to improve their self-management behaviours and health status.
authors: College of Nursing, Ajou University, Suwon, Gyunggi-do, South Korea.
authors: Hyera
authors: H
authors: Yoo
authors: Chun Ja
authors: CJ
authors: Kim
authors: Yeonsoo
authors: Y
authors: Jang
authors: Mi-Ae
authors: MA
authors: You
mesh_terms: D000328:Adult; D001168:Arthritis / Q000523:psychology / Q000628:therapy; D002908:Chronic Disease / Q000628:therapy*; D003920:Diabetes Mellitus / Q000523:psychology / Q000628:therapy; D005260:Female; D015438:Health Behavior; D006304:Health Status; D006801:Humans; D006973:Hypertension / Q000523:psychology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D056910:Republic of Korea; D012648:Self Care; D020377:Self Efficacy; D011795:Surveys and Questionnaires