Zhu Yaru, Song Yuting, Wang Yinuo, Ji Heqian, Wang Derong, Cai Shuo, Wang Aimin
Qingdao University, China.
Qingdao University, China.
Geriatr Nurs. 2022 Nov-Dec;48:139-144. doi: 10.1016/j.gerinurse.2022.09.008. Epub 2022 Oct 8.
To explore whether social support indirectly influences patient activation through self-efficacy in older adults living with coronary heart disease.
A cross-sectional study was conducted. Older patients (n=451) from four communities in the city of Qingdao completed a questionnaire survey. We conducted multiple linear regression models and bootstrap testing to assess the relationships among social support, self-efficacy, and patient activation.
Patient activation was positively correlated with social support (r = 0.524, P < 0.01) and with self-efficacy (r = 0.740, P < 0.01). The of social support had indirect positive effect on patient activation through self-efficacy and the effect was 58.8%.
We identified the critical role of social support and self-efficacy for the activation of community-dwelling older patients living with coronary heart disease. Our findings provide essential knowledge for developing and evaluating effective interventions to promote patient activation and enhance self-management of coronary heart disease.
探讨社会支持是否通过自我效能感间接影响冠心病老年患者的患者激活水平。
进行了一项横断面研究。来自青岛市四个社区的老年患者（n = 451）完成了问卷调查。我们进行了多元线性回归模型和Bootstrap检验，以评估社会支持、自我效能感和患者激活水平之间的关系。
患者激活水平与社会支持呈正相关（r = 0.524，P < 0.01），与自我效能感也呈正相关（r = 0.740，P < 0.01）。社会支持通过自我效能感对患者激活水平有间接正向影响，效应为58.8%。
我们确定了社会支持和自我效能感在激活社区冠心病老年患者方面的关键作用。我们的研究结果为制定和评估促进患者激活及增强冠心病自我管理的有效干预措施提供了重要知识。
