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Oh, Park, Kwon, Lim, Suh, Seo, and Park: Effects of Gout Web based Self-management Program on Knowledge Related to Disease, Medication Adherence, and Self-management
Original Article

Journal of Korean Academy of Nursing 2013; 43(4): 547-556.

Published online: 30 August 2013

DOI: https://doi.org/10.4040/jkan.2013.43.4.547

Effects of Gout Web based Self-management Program on Knowledge Related to Disease, Medication Adherence, and Self-management

Hyun Soo Oh1, Won Park2, Seong Ryul Kwon2, Mie Jin Lim2, Yeon Ok Suh3, Wha Sook Seo1, Jong Suk Park4

1Department of Nursing, Inha University, Incheon, Korea.

2School of Medicine, Inha University, Incheon, Korea.

3Department of Nursing, Soonchunhyang University, Asan, Korea.

4Department of Nursing, Inha University, Inha University Hospital, Incheon, Korea.

Address reprint requests to: Oh, Hyun Soo. Department of Nursing, Inha University, 100 Inharo, Nam-gu, Incheon 402-751, Korea. Tel: +82-32-860-8206, Fax: +82-32-874-5880, hsoh@inha.ac.kr

Received 23 March 2013       Accepted 15 July 2013

© 2013 Korean Society of Nursing Science

Abstract

Purpose

This study was conducted to examine the changing patterns of knowledge related to disease, medication adherence, and self-management and to determine if outcomes were more favorable in the experimental group than in the comparison group through 6 months after providing a web-based self-management intervention.

Methods

A non-equivalent control group quasi-experimental design was used and 65 patients with gout, 34 in experimental group and 31 in comparison group, were selected from the rheumatic clinics of two university hospitals. Data were collected four times, at baseline, at 1 month, 3 months, and 6 months after the intervention.

Results

According to the study results, the changing patterns of knowledge and self-management were more positive in the experimental group than in the control group, whereas difference in the changing pattern of medication adherence between two groups was not significant.

Conclusion

The results indicate that the web-based self-management program has significant effect on improving knowledge and self-management for middle aged male patients with gout. However, in order to enhance medication adherence, the web-based intervention might not be sufficient and other strategies need to be added.

Keywords: Gout, Self-management, Web-based intervention

Figures and Tables

Figure 1
Process of developing gout web-based self-management program.
jkan-43-547-g001
Figure 2
Contents of gout web-based self-management program.
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Figure 3
Differences in changing pattern of outcome variables between groups.
jkan-43-547-g003
Table 1
Effects of Web-based Intervention Program on Knowledge, Medication Adherence, and Self-management for Patients with Gout (N=65)
jkan-43-547-i001

*Repeated Measure ANOVA was performed. As Mauchly's test of Sphericity was rejected, results of Greenhouse-Geisser correction were selected and interpreted; †For post-hoc comparisons, series of paired t-test were performed and in order to reduced type I error, significant level was set as p ≤.010.

Notes

This study was supported by funds from the National Research Foundation of Korea in 2010 (No. 41322) and Inha University Research Fund in 2013.

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