Self-care Behavior Based on Integrated Behavioral Model in Patients With Atrial Fibrillation: A Structural Equation Modeling Approach.
| Autor: | Song, Juhyun, Shin, Seung Yong, Kim, Kyunghee, Son, Youn-Jung, Kim, Jisu, Jang, Insil |
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| Předmět: |
ATRIAL fibrillation treatment
STRUCTURAL equation modeling RESEARCH HEALTH services accessibility PSYCHOLOGY of cardiac patients RESEARCH methodology CROSS-sectional method SELF-evaluation PSYCHOLOGY HABIT TERTIARY care INTERVIEWING PATIENTS' attitudes SELF-efficacy CRONBACH'S alpha HEALTH literacy ATTITUDES toward illness PEARSON correlation (Statistics) HEALTH behavior CONCEPTUAL models FACTOR analysis SYMPTOMS QUESTIONNAIRES HEALTH attitudes DESCRIPTIVE statistics CHI-squared test INTENTION CARDIOVASCULAR disease nursing SOCIODEMOGRAPHIC factors DATA analysis software STATISTICAL correlation HEALTH self-care CONTROL (Psychology) |
| Zdroj: | Western Journal of Nursing Research; Feb2024, Vol. 46 Issue 2, p114-124, 11p |
| Abstrakt: | Background: 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). Objective: This study aimed to identify the factors that influence self-care behavior in patients with AF. Methods: 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. Results: Self-care behavioral intention (β = 0.433, p <.001) and habit (β = 0.395, p =.005) had a significant direct effect, while instrumental attitude (β = 0.077, p =.045), injunctive norm (β = 0.084, p =.037), and self-efficacy (β = 0.249, p =.011) had a significant indirect effect on self-care behavior, explaining 64.4% of the variance. Conclusion: 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. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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