Self-care model based on the theory of unpleasant symptoms in patients with heart failure
- 주제(키워드) Heart failure , Self-care , Self-efficacy , Signs and symptoms , Structural models
- 등재 SCIE, SSCI, SCOPUS
- 발행기관 W.B. Saunders
- 발행년도 2018
- URI http://www.dcollection.net/handler/ewha/000000151976
- 본문언어 영어
- Published As http://dx.doi.org/10.1016/j.apnr.2018.06.005
- 저작권 이화여자대학교 논문은 저작권에 의해 보호받습니다.
초록/요약
Aims: This study aimed to test and develop the self-care model based on the theory of unpleasant symptoms in patients with HF. Background: Although self-care may reduce unpleasant symptoms of heart failure (HF), reported rates of effective self-care in HF patients are very low. Modifiable factors, including disease severity, anxiety, depression, social support, unpleasant symptoms, and self-efficacy are considered to influence self-care, but little is known about their overall impact on self-care. Methods: A model-testing design was used. Covariance structure analysis using the maximum likelihood method was used to evaluate the hypothetical model. Results: A total of 209 subjects participated in the study. The model-fit indexes of the final model were χ2 = 163.473, Normed χ2 = 1.796, RMSEA = 0.054, IFI = 0.986, CFI = 0.986, GFI = 0.915, and AGFI = 0.873. Disease severity and anxiety had an indirect effect on self-care through unpleasant symptoms. Depression and social support had an indirect effect on self-care through self-efficacy. Lower unpleasant symptoms and higher self-efficacy were associated with greater self-care. These predictors explained 61.9% of variance in self-care. Conclusion: Findings from this study could underscore the need to consider nursing strategies that relieve unpleasant symptoms and improve self-efficacy to enhance self-care in HF patients. © 2018 Elsevier Inc.
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