Chung-Ang University Hospital, Seoul, South Korea.
Department of Cardiology, Chung-Ang University Hospital, Seoul, South Korea.
West J Nurs Res. 2024 Feb;46(2):114-124. doi: 10.1177/01939459231218949. Epub 2023 Dec 20.
There is limited research exploring the behavioral intentions, beliefs, and application of theoretical models in relation to self-care in patients with atrial fibrillation (AF).
This study aimed to identify the factors that influence self-care behavior in patients with AF.
The study used an integrated behavioral model and collected data from 216 patients diagnosed with AF. Data were analyzed using SPSS 24.0 and AMOS/WIN 24.0 to verify the fit of the hypothesis model, confirm factor analysis, and the validity of the hypothesis itself.
Self-care behavioral intention (β = 0.433, < .001) and habit (β = 0.395, = .005) had a significant direct effect, while instrumental attitude (β = 0.077, = .045), injunctive norm (β = 0.084, = .037), and self-efficacy (β = 0.249, = .011) had a significant indirect effect on self-care behavior, explaining 64.4% of the variance.
The final model validated the factors that impact self-care behavior in patients with AF, highlighting the importance of fostering positive recognition of instrumental attitude, bolstering social influence and self-efficacy through significant individuals to improve self-care behavior. It is recommended to create an intervention program that encourages intentions and motivations for self-care behavior and incorporates tactics to make self-care behavior a habit. The study's path diagram can serve as a conceptual framework for designing strategies to enhance self-care behavior in patients with AF.
关于房颤患者自我护理的行为意图、信念和理论模型的应用，相关研究有限。
本研究旨在确定影响房颤患者自我护理行为的因素。
该研究采用综合行为模型，从 216 名确诊为房颤的患者中收集数据。使用 SPSS 24.0 和 AMOS/WIN 24.0 分析数据，以验证假设模型的拟合度、确认因素分析和假设本身的有效性。
自我护理行为意向（β=0.433， <.001）和习惯（β=0.395， =.005）有显著直接影响，而工具态度（β=0.077， =.045）、规范规范（β=0.084， =.037）和自我效能（β=0.249， =.011）对自我护理行为有显著间接影响，解释了 64.4%的方差。
最终模型验证了影响房颤患者自我护理行为的因素，强调了培养对工具态度的积极认识、通过重要个体增强社会影响和自我效能以改善自我护理行为的重要性。建议制定鼓励自我护理行为意图和动机的干预计划，并采用使自我护理行为成为习惯的策略。研究的路径图可以作为设计策略以增强房颤患者自我护理行为的概念框架。
