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Self-efficacy, coping, and quality of life(QOL) are important components to develop nursing interventions for children after moyamoya surgery. This cross-sectional, descriptive correlational study purposed to examine relationships among self-efficacy,...

Self-efficacy, coping, and quality of life(QOL) are important components to develop nursing interventions for children after moyamoya surgery. This cross-sectional, descriptive correlational study purposed to examine relationships among self-efficacy, positive coping and QOL, and investigate the factors associated with QOL in children after moyamoya surgery. Subjects included 60 children aged 8-18 who were followed up after six month from moyamoya surgery and visited an outpatient clinic in Yuniversity hospital. Data were collected from July 31st, 2015 to February 28th, 2016 using self-s of Korean versions of: (1) general PedsQLTM4.0 genetic core scale by Varini(1998), (2) general self-efficacy scale translated by Lee, Schwarzer and Jerusalem(1994), and (3) coping scale developed by Min and You(1998). Data analysis was completed using descriptive statics t-test, one-way ANOVA, Pearson’s correlation, multivariate linear regression analysis. SPSS 21.0 was used for data analysis. The significance-level criterion for all statistical tests was alpha level of p =.05, two-tailed. The result of this study are as follows: 1. The mean score was 3.00(SD=0.52) out of 4 in self-efficacy and the mean score was 2.91(SD=0.51) out of 4 in positive coping. The mean score of QOL was 9.41(SD=16.88) out of 100, all four subcomponents marking above 75. 2. Self-efficacy significantly correlated with positive coping (r=0.613, p<0.01) and QOL (r=0.573, p<0.001). There was a significant static correlation between positive coping and social function of QOL(r=0.278, p<0.05). 3. Based on results of multivariate linear regression, the overall model explained 40.6% of the QOL variance in moyamoya children after surgery(F=9.379, p<0.001). Low self-efficacy (B=2.141, β=0.658, p<0.001) and experiencing current symptoms (B =-8.250, β=-0.218, p=0.046) were significant factors associated with decrease in QOL. The study findings confirmed the relationships among self-efficacy, positive coping and QOL and identify the significant predictors of QOL in children after moyamoya surgery. This study provides fundamental information of QOL in children after moyamoya surgery regarding self-efficacy, positive coping and their clinical caracteristics. Tailored nursing interventions mpowering self-efficacy and symptom management are required for moyamoya children and their parents to improve QOL after surgery.

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? ??? ???? ??? ?? ? ?? ? ??? ???? ?????, ??? ??, ?? ?? ???? ???? ?? ??? ?????? ?????? ??? ?? ???? ??? ?? ? ??? ?? ???? ????? ???? ?? ????? ????? ??? ??? ???? ????. ? ??? ?? ??? ???? ??????, ????? Y ?? ?? ??? ???? 8-18? ???? ?? ? ??? ??? ?? 6??? ?? ????. ?? ??? 2015? 7? 31??? 2016? 2? 28??? ???? ? 60?? ???? ?? ?????. ???? ?? ? ??? ?? Varini(1998)? PedsQLTM4.0 Genetic core scale? ????? ?????. ?????? Schwalzer? Jerusalem(1993)? ??? ??? ????? ??? Lee, Schwarzer? Jerusalem(1994)? ??·??? ??? ??? ????? ??? ??????, ??? ??? ???, ???(1998)? ??? ??? ???(2001)? ?? ??? ??? ?????. ????? SPSS 21.0 ????? ???? ????, ???? t-??, ????, ??? ???? ??, ???? ????? ?????, ?? ??? ??? ??. 1. ???? ??? ?? ? ?????? ?? 4? ? 3.00(±0.52)?? ????, ??? ??? ?? 4? ? 2.91(±0.51)? ????. ?? ?? ?? 100? ? 79.41(±16.88)? ????, 4?? ?? ?? ???? 75? ??? ??? ???. 2. ???? ??? ?????? ???? ??? ??(r=0.613, p<0.01)? ?? ?(r=0.573, p<0.001)? ????, ??? ?? ??? ???? ???? ??? ?? ?(r=0.278, p<0.05)? ???? ??? ????. 3. ???? ??? ?? ? ?? ?? ??? ??????? ?????(β=0.658, p<0.001)? ????(β=-0.218, p=0.046)? ????? ? ??? ????? ?? 40.6%? ???? ???. ? ??? ???? ??? ?? ? ?? ?? ????, ?????, ??? ???? ???? ???? ?? ??? ? ????, ?????? ??? ??, ??? ?? ?? ?? ????? ??? ?????. ??? ??? ?? ? ??? ??? ?????? ???, ??? ?? ??? ??? ? ??? ??? ??? ?? ?? ??? ???? ? ???. ?? ????? ??? ?? ?? ??? ??? ???? ?????? ???? ??? ????? ?? ?? ??? ??? ???? ???? ???? ? ???.

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