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    Please use this identifier to cite or link to this item: http://tkuir.lib.tku.edu.tw:8080/dspace/handle/987654321/116938

    Title: Factors Affecting Self-care Maintenance and Management in Patients With Heart Failure: Testing a Path Model
    Authors: Chuang, Hui-Wan;Kao, Chi-Wen;Lin, Wei-Shiang;Chang, Yue-Cune
    Keywords: depression;eHealth literacy;heart failure;self-care;social support
    Date: 2019-07
    Issue Date: 2019-09-10 12:11:11 (UTC+8)
    Abstract: 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.
    Relation: Journal of Cardiovascular Nursing 34(4), p.297-305
    DOI: 10.1097/JCN.0000000000000575
    Appears in Collections:[Graduate Institute & Department of Mathematics] Journal Article

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