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Effects of Self-Efficacy, Depression, and Anger on Health-Promoting Behaviors of Korean Elderly Women with Hypertension

Author

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  • Ae Sil Kim

    (College of Nursing Science, Kyung Hee University 26, Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Korea)

  • Mi Heui Jang

    (College of Nursing Science, Kyung Hee University 26, Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Korea)

  • Kyung Hwan Park

    (College of Nursing Science, Kyung Hee University 26, Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Korea)

  • Ji Young Min

    (College of Nursing Science, Kyung Hee University 26, Kyungheedae-ro, Dongdaemun-gu, Seoul 02447, Korea)

Abstract

The prevalence of hypertension among women in Korea aged 65 years or older is 61.7%. Past research has emphasized the importance of health-promoting behaviors in hypertension management for the elderly. The purpose of this cross-sectional study was to identify the effects of self-efficacy, depression, trait anger, and anger expression on the health-promoting behaviors of elderly women with hypertension. Self-report questionnaires were completed by 208 women aged 65 and older (age range: 65 to 85) diagnosed with hypertension by physicians and living in the communities of G city and N city of Gyeonggi-do in South Korea. A hierarchical regression analysis revealed that exercise (β = 0.36, p < 0.001) had the most significant effect on health-promoting behaviors, followed by depression (β = −0.31, p < 0.001), trait anger (β = 0.21, p = 0.002), anger control (β = 0.20, p < 0.001), religion (β = 0.18, p = 0.001), and self-efficacy (β = 0.18, p = 0.003). Trait anger and anger control were identified to have a more significant effect on health-promoting behaviors than self-efficacy. Thus, health-promoting behaviors were influenced by exercise, depression, anger, religion, and self-efficacy. It is necessary to implement a nursing intervention strategy which pays attention to these factors to improve health-promoting behaviors of Korean community-dwelling elderly women.

Suggested Citation

  • Ae Sil Kim & Mi Heui Jang & Kyung Hwan Park & Ji Young Min, 2020. "Effects of Self-Efficacy, Depression, and Anger on Health-Promoting Behaviors of Korean Elderly Women with Hypertension," IJERPH, MDPI, vol. 17(17), pages 1-14, August.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:17:p:6296-:d:405886
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    Citations

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    Cited by:

    1. Haixia Liu & Xiaojing Fan & Huanyuan Luo & Zhongliang Zhou & Chi Shen & Naibao Hu & Xiangming Zhai, 2021. "Comparison of Depressive Symptoms and Its Influencing Factors among the Elderly in Urban and Rural Areas: Evidence from the China Health and Retirement Longitudinal Study (CHARLS)," IJERPH, MDPI, vol. 18(8), pages 1-18, April.
    2. Hsuan-Hui Chen & Pei-Lin Hsieh, 2021. "Applying the Pender’s Health Promotion Model to Identify the Factors Related to Older Adults’ Participation in Community-Based Health Promotion Activities," IJERPH, MDPI, vol. 18(19), pages 1-17, September.

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