資料載入中.....
|
請使用永久網址來引用或連結此文件:
https://tkuir.lib.tku.edu.tw/dspace/handle/987654321/116938
|
| 題名: | Factors Affecting Self-care Maintenance and Management in Patients With Heart Failure: Testing a Path Model |
| 作者: | Chuang, Hui-Wan;Kao, Chi-Wen;Lin, Wei-Shiang;Chang, Yue-Cune |
| 關鍵詞: | depression;eHealth literacy;heart failure;self-care;social support |
| 日期: | 2019-07 |
| 上傳時間: | 2019-09-10 12:11:11 (UTC+8) |
| 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. |
| 關聯: | Journal of Cardiovascular Nursing 34(4), p.297-305 |
| DOI: | 10.1097/JCN.0000000000000575 |
| 顯示於類別: | [應用數學與數據科學學系] 期刊論文
|
文件中的檔案:
| 檔案 |
描述 |
大小 | 格式 | 瀏覽次數 |
|---|
| Factors Affecting Self-care Maintenance and Management in Patients With Heart Failure.pdf | | 362Kb | Adobe PDF | 3 | 檢視/開啟 | | index.html | | 0Kb | HTML | 257 | 檢視/開啟 |
|
在機構典藏中所有的資料項目都受到原著作權保護.
|
