کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2645022 1138456 2016 6 صفحه PDF ندارد دانلود رایگان
عنوان انگلیسی مقاله
Mechanism of engaging self-management behavior in rural heart failure patients
ترجمه فارسی عنوان
مکانیسم رفتار خودمدیریتی جذاب در بیماران روستایی مبتلا به نارسایی قلب
کلمات کلیدی
سلامت روستایی؛ نارسایی قلبی؛ فعال سازی بیمار؛ خود کارآمدی؛ خودمدیریتی
Rural health; Heart failure; Patient activation; Self-efficacy; Self-management
موضوعات مرتبط
علوم پزشکی و سلامت پرستاری و مشاغل بهداشتی پرستاری
چکیده انگلیسی

AimThe purpose of this study was to examine the relationships among self-efficacy, patient activation and SM in rural heart failure patients discharged from critical access hospitals.BackgroundHeart failure is one of the most disabling and resource-consuming chronic conditions. Compared to their urban counterparts, rural heart failure patients had higher healthcare utilizations and worse health outcomes. Self-management (SM) plays a significant role in improving patients' outcomes and reducing healthcare use. Despite persistent recommendations of SM, engagement in SM still remains low in rural heart failure patients. SM is a complex behavior, which is influenced by various factors. Evidence on the efficacy of interventions to promote SM is limited and inconsistent. One reason is that the mechanism of engagement of SM in the rural heart failure population has not been fully understood.MethodsA correlational study was conducted using secondary data from a randomized control trial aimed to improve SM adherence. Path analysis was used to test the hypothesis of patient activation mediating the effect of self-efficacy on SM.ResultsData were collected from a sample of 101 heart failure patients (37% males) with an average age of 70 years. The final model provided a good fit to the data, supporting the hypothesis that self-efficacy contributes to SM through activation.ConclusionThe results of this study showed that effective SM interventions should be designed to include strategies to promote both self-efficacy and activation.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Applied Nursing Research - Volume 30, May 2016, Pages 222–227
نویسندگان
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