Tovar Elizabeth G, Dekker Rebecca L, Chung Misook L, Gokun Yevgeniya, Moser Debra K, Lennie Terry A, Rayens Mary Kay
University of Kentucky, USA.
J Health Psychol. 2016 Nov;21(11):2673-2683. doi: 10.1177/1359105315583369. Epub 2016 Jul 11.
Poor self-care is common among adults with heart failure and leads to poor health outcomes. Low self-efficacy, depression, and low social support are associated with poor self-care, but knowledge about these relationships in heart failure is limited. Secondary data analysis of cross-sectional data from 346 adults with heart failure measuring self-efficacy, depressive symptoms, social support, and self-care adherence was conducted. Tests of mediation using multiple linear regressions indicate that self-efficacy fully mediates the relationships between depression and adherence, and social support and adherence. Bolstering self-efficacy may have a greater impact on self-care adherence than targeting either depression or social support alone.
在成年心力衰竭患者中，自我护理能力差的情况很常见，且会导致不良的健康后果。自我效能感低、抑郁和社会支持不足与自我护理能力差有关，但关于心力衰竭中这些关系的了解有限。对346名成年心力衰竭患者的横断面数据进行了二次数据分析，这些数据测量了自我效能感、抑郁症状、社会支持和自我护理依从性。使用多元线性回归的中介检验表明，自我效能感完全中介了抑郁与依从性之间以及社会支持与依从性之间的关系。增强自我效能感可能比单独针对抑郁或社会支持对自我护理依从性有更大的影响。
