Hui-Wan Chuang1, Chi-Wen Kao, Wei-Shiang Lin, Yue-Cune Chang. 1. Hui-Wan Chuang, RN PhD Candidate, Graduate Institute of Medical Sciences, National Defense Medical Center; and Registered Nurse, Department of Nursing, Tri-Service General Hospital, Taipei, Taiwan. Chi-Wen Kao, PhD, RN Director, Department of Nursing, Tri-Service General Hospital; and Associate Professor, School of Nursing, National Defense Medical Center, Taipei, Taiwan. Wei-Shiang Lin, MD Director, Division of Cardiology, Department of Medicine, Tri-Service General Hospital; and Professor, School of Medicine, National Defense Medical Center, Taipei, Taiwan. Yue-Cune Chang, PhD Professor, Department of Mathematics, Tamkang University, New Taipei City, Taiwan.
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-care maintenance and management and to identify the mediating role of self-care confidence in self-care maintenance and management. 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.
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-care maintenance and management and to identify the mediating role of self-care confidence in self-care maintenance and management. 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.
Authors: Stephen Breazeale; Sangchoon Jeon; Youri Hwang; Meghan O'Connell; Uzoji Nwanaji-Enwerem; Sarah Linsky; H Klar Yaggi; Daniel L Jacoby; Samantha Conley; Nancy S Redeker Journal: Nurs Res Date: 2022 May-Jun 01 Impact factor: 2.364
Authors: Michael P Dorsch; Karen B Farris; Brigid E Rowell; Scott L Hummel; Todd M Koelling Journal: JMIR Mhealth Uhealth Date: 2021-12-07 Impact factor: 4.773