Gender differences in self-care maintenance and its associations among patients with chronic heart failure
Objectives: To identify the gender differences in self-care maintenance and its associations among chronic heart failure patients using the Information-Motivation-Behavioral Skills model. Methods: Two hundred and ten patients (54.0% female) with chronic heart failure participated in this cross-secti...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-01-01
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| Series: | International Journal of Nursing Sciences |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352013218301856 |
| _version_ | 1828417903544762368 |
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| author | Jiaojiao Mei Yan Tian Xiaohui Chai Xiuzhen Fan |
| author_facet | Jiaojiao Mei Yan Tian Xiaohui Chai Xiuzhen Fan |
| author_sort | Jiaojiao Mei |
| collection | DOAJ |
| description | Objectives: To identify the gender differences in self-care maintenance and its associations among chronic heart failure patients using the Information-Motivation-Behavioral Skills model. Methods: Two hundred and ten patients (54.0% female) with chronic heart failure participated in this cross-sectional study. Self-care, knowledge of heart failure, social support and illness perception were measured using the Self-Care of Heart Failure Index, the questionnaire of heart failure knowledge, the Perceived Social Support Scale, and the Revised Illness Perception Questionnaire, respectively. Results: Mean scores for self-care maintenance were 51.4 ± 14.8 in men and 55.6 ± 14.1 in women (t = −2.066, P < 0.05). Associated factors of self-care maintenance were social support and self-care confidence in men and the knowledge of heart failure, self-care management and self-care confidence in women. The relationship between social support and self-care maintenance was meditated by self-care confidence in men, whereas the relationship between knowledge of heart failure and self-care maintenance was meditated by self-care management and self-care confidence in women. Conclusions: Self-care maintenance were inadequate in both genders with chronic heart failure. Interventions for enhancing social support and self-care confidence in men patients, and strengthening knowledge of heart failure, self-care management and self-care confidence in women patients, may facilitate self-care maintenance. Keywords: Heart failure, Illness perception, Knowledge, Self-care, Social support |
| first_indexed | 2024-12-10T14:27:55Z |
| format | Article |
| id | doaj.art-1bdfaa5d5c3c447683465964df1b2270 |
| institution | Directory Open Access Journal |
| issn | 2352-0132 |
| language | English |
| last_indexed | 2024-12-10T14:27:55Z |
| publishDate | 2019-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | International Journal of Nursing Sciences |
| spelling | doaj.art-1bdfaa5d5c3c447683465964df1b22702022-12-22T01:45:00ZengElsevierInternational Journal of Nursing Sciences2352-01322019-01-01615864Gender differences in self-care maintenance and its associations among patients with chronic heart failureJiaojiao Mei0Yan Tian1Xiaohui Chai2Xiuzhen Fan3School of Nursing, Shandong University, Jinan, ChinaSchool of Nursing, Yanjing Medical College of Capital Medical University, Beijing, ChinaSchool of Nursing, Shandong University, Jinan, ChinaSchool of Nursing, Shandong University, Jinan, China; Corresponding author. School of Nursing, Shandong University 44 Wenhua Xi Road, Jinan, 250012, Shandong, PR China.Objectives: To identify the gender differences in self-care maintenance and its associations among chronic heart failure patients using the Information-Motivation-Behavioral Skills model. Methods: Two hundred and ten patients (54.0% female) with chronic heart failure participated in this cross-sectional study. Self-care, knowledge of heart failure, social support and illness perception were measured using the Self-Care of Heart Failure Index, the questionnaire of heart failure knowledge, the Perceived Social Support Scale, and the Revised Illness Perception Questionnaire, respectively. Results: Mean scores for self-care maintenance were 51.4 ± 14.8 in men and 55.6 ± 14.1 in women (t = −2.066, P < 0.05). Associated factors of self-care maintenance were social support and self-care confidence in men and the knowledge of heart failure, self-care management and self-care confidence in women. The relationship between social support and self-care maintenance was meditated by self-care confidence in men, whereas the relationship between knowledge of heart failure and self-care maintenance was meditated by self-care management and self-care confidence in women. Conclusions: Self-care maintenance were inadequate in both genders with chronic heart failure. Interventions for enhancing social support and self-care confidence in men patients, and strengthening knowledge of heart failure, self-care management and self-care confidence in women patients, may facilitate self-care maintenance. Keywords: Heart failure, Illness perception, Knowledge, Self-care, Social supporthttp://www.sciencedirect.com/science/article/pii/S2352013218301856 |
| spellingShingle | Jiaojiao Mei Yan Tian Xiaohui Chai Xiuzhen Fan Gender differences in self-care maintenance and its associations among patients with chronic heart failure International Journal of Nursing Sciences |
| title | Gender differences in self-care maintenance and its associations among patients with chronic heart failure |
| title_full | Gender differences in self-care maintenance and its associations among patients with chronic heart failure |
| title_fullStr | Gender differences in self-care maintenance and its associations among patients with chronic heart failure |
| title_full_unstemmed | Gender differences in self-care maintenance and its associations among patients with chronic heart failure |
| title_short | Gender differences in self-care maintenance and its associations among patients with chronic heart failure |
| title_sort | gender differences in self care maintenance and its associations among patients with chronic heart failure |
| url | http://www.sciencedirect.com/science/article/pii/S2352013218301856 |
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