Department of Nursing, Chungnam National University, Munhwaro 266, Junggu, Daejeon 35015, Korea.
Korea Research Institute for Vocational Education & Training, Social Policy Building, Sejong National Research Complex, 370 Sicheong-daero, Sejong-si 30147, Korea.
Int J Environ Res Public Health. 2022 Mar 31;19(7):4132. doi: 10.3390/ijerph19074132.
A sense of control and autonomy are key components in guiding health-related behaviors and quality of life in people with chronic diseases. This study investigated whether autonomy support from health professionals moderates the impact of personal control on psychological well-being through healthy behaviors in patients with hypertension and cardiovascular comorbidities. Data from 149 hypertensive patients with comorbid cardiovascular risk factors were collected via self-administered surveys. A moderated mediation effect of a hypothesized model was analyzed using the PROCESS macro bootstrapping method. Autonomy support from health professionals moderated the relationship between personal control and healthy behaviors (B = 0.16, t = 2.48, p < 0.05), showing that the effect of personal control on healthy behaviors differed by the level of autonomy support. Additionally, autonomy support moderated the mediation effect of healthy behaviors in the relationship between personal control and psychological well-being (Index = 0.15; 95% CI = 0.010, 0.335). The mediation effect existed only in patients with higher autonomy support. The findings demonstrate that autonomy support from health professionals plays a crucial role in reinforcing the positive impact of personal control on healthy behaviors and psychological well-being. Enhancing the supportive attitudes of health professionals that facilitate patients’ autonomous self-regulation is necessary for better health outcomes in people with combined cardiovascular diseases.
控制感和自主性是指导慢性病患者相关健康行为和生活质量的关键因素。本研究旨在探讨在合并心血管风险因素的高血压患者中，来自卫生专业人员的自主性支持是否通过健康行为调节个人控制对心理幸福感的影响。通过自我管理问卷调查了 149 名合并心血管疾病的高血压患者的数据。采用 PROCESS 宏的bootstrapping 方法分析了假设模型的中介调节效应。研究结果表明，卫生专业人员的自主性支持调节了个人控制与健康行为之间的关系（B = 0.16，t = 2.48，p < 0.05），表明个人控制对健康行为的影响因自主性支持水平而异。此外，自主性支持还调节了个人控制与心理幸福感之间健康行为的中介效应（Index = 0.15；95%CI = 0.010，0.335）。该中介效应仅存在于自主性支持水平较高的患者中。这些发现表明，卫生专业人员的自主性支持在增强个人控制对健康行为和心理幸福感的积极影响方面起着至关重要的作用。增强卫生专业人员的支持性态度，促进患者自主自我调节，对于合并心血管疾病患者的健康结果改善至关重要。
