Structural equation model testing the situation-specific theory of heart failure self-care
| Autor: | Gennaro Rocco, Roberta Fida, Barbara Riegel, Fabio D'Agostino, Ercole Vellone, Rosaria Alvaro, Antonello Cocchieri |
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| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Male
Health Knowledge Attitudes Practice medicine.medical_specialty Treatment adherence heart failure Symptom monitoring structural equation modelling treatment adherence Structural equation modeling Chart Abstraction nursing symptom recognition and evaluation Surveys and Questionnaires self-care Humans Medicine treatment adherenc symptom monitoring theory testing treatment implementation General Nursing Aged Aged 80 and over Treatment implementation business.industry Middle Aged Models Theoretical medicine.disease Settore MED/45 - Scienze Infermieristiche Generali Cliniche e Pediatriche Test (assessment) Self Care Cross-Sectional Studies Italy Heart failure Self care Physical therapy Patient Compliance Female business Clinical psychology |
| Popis: | Aim To test the situation-specific theory of heart failure self-care with structural equation modelling. Background Several authors have proposed theories on heart failure self-care, but only the situation-specific theory of heart failure self-care by Riegel and Dickson is focused on the process that patients use to perform self-care. This theory has never been tested with structural equation modelling. Design A secondary analysis of data from a cross-sectional study. Methods Patients with heart failure were recruited in 21 cardiovascular centres across Italy during 2011. Data were collected with a sociodemographic questionnaire, chart abstraction for clinical data and the Self-Care of Heart Failure Index v.6·2. Results A sample of 417 participants was enrolled in the study (59% males, mean age 72 years). The following propositions were tested and supported: Symptom monitoring correlates with treatment adherence; symptom monitoring and treatment adherence have a direct, positive relationship with symptom recognition and evaluation that in turn have a direct, positive relationship with treatment implementation; treatment implementation has a direct, positive relationship with treatment evaluation. In addition, the following three relationships were found: Symptom monitoring has a direct, positive relationship with treatment implementation; symptom recognition and evaluation have direct, positive relationships with treatment evaluation and symptom monitoring correlates with treatment evaluation. [Correction added on 9th April 2013, after first online publication: ‘…symptom monitoring correlates with treatment implementation.’ has been corrected to read ‘…symptom monitoring correlates with treatment evaluation.’] Conclusion The data support the situation-specific theory of heart failure self-care with the addition of three new relationships that emerged from the analysis. Results of this study lend further support to the use of the situation-specific theory of heart failure self-care in research and practice. |
| Databáze: | OpenAIRE |
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