教師資料查詢 | 類別: 期刊論文 | 教師: 張玉坤 Yue-cune Chang (瀏覽個人網頁)

標題:Factors Affecting Self-care Maintenance and Management in Patients With Heart Failure: Testing a Path Model
學年107
學期2
出版(發表)日期2019/07/01
作品名稱Factors Affecting Self-care Maintenance and Management in Patients With Heart Failure: Testing a Path Model
作品名稱(其他語言)
著者Hui-Wan Chuang; Chi-Wen Kao; Wei-Shiang Lin; Yue-Cune Chang
單位
出版者
著錄名稱、卷期、頁數Journal of Cardiovascular Nursing 34(4), p.297-305
摘要Background: Self-care is indispensable for health maintenance and well-being. This naturalistic decision-making
process involves behavioral choices to maintain physiological stability (self-care maintenance) and response to
occurring symptoms (self-care management). However, several factors affect self-care, but some have contradictory
results. Objective: We aimed to examine how depressive symptoms, social support, eHealth literacy, and heart failure
(HF) knowledge directly and indirectly affect self-caremaintenance andmanagement and to identify themediating role
of self-care confidence in self-caremaintenance andmanagement. Methods: The study included a total of 141 patients
with HF (average age, 65.2 years; male, 55.3%). We analyzed their data, including demographic and clinical
characteristics, obtained from the Patient Health Questionnaire-9, Multidimensional Scale of Perceived Social Support,
eHealth Literacy Scale, Dutch Heart Failure Knowledge Scale, and Self-Care of Heart Failure Index. Furthermore, path
analysis was conducted to examine the effects of the study variables on self-care maintenance and management.
Results: Self-care confidence significantly and directly affected self-care maintenance and management and mediated
the relationships between factor variables (depressive symptoms, social support, and HF knowledge) and outcome
variables (self-care maintenance and management). Specifically, depressive symptoms had a negative and direct effect
on self-care maintenance, whereas eHealth literacy had significant and direct effects on self-care management and HF
knowledge. Conclusion: Self-care confidence decreases the negative effects of depressive symptoms on self-care. This
study underscores the need for interventions targeting patients' self-care confidence to maximize self-care among
patients with HF.
關鍵字depression;eHealth literacy;heart failure;self-care;social support
語言英文(美國)
ISSN
期刊性質國外
收錄於SCI;
產學合作
通訊作者Chi-Wen Kao
審稿制度
國別美國
公開徵稿
出版型式,電子版
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