Confrontation as a Mediator between Sense of Coherence and Self-management Behaviors among Elderly Patients with Coronary Heart Disease in North China.
10.1016/j.anr.2017.08.003
- Author:
Zhenyun LI
1
;
Ting LIU
;
Jing HAN
;
Ting LI
;
Qina ZHU
;
Aimin WANG
Author Information
1. School of Nursing, Qingdao University, Qingdao, Shandong, China. aimin_wang2016@163.com
- Publication Type:Original Article
- Keywords:
aged;
coping;
coronary heart disease;
self-care;
sense of coherence
- MeSH:
Aged*;
Asian Continental Ancestry Group;
Cardiology;
China*;
Coronary Disease*;
Hospitals, General;
Humans;
Negotiating;
Self Care*;
Sense of Coherence*
- From:Asian Nursing Research
2017;11(3):201-206
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Self-management is critical to improve health outcomes of elderly patients with coronary heart disease (CHD). Sense of coherence (SOC) is found to be linked with self-management behaviors. However, their deeper relationship is not clear. The purposes of this study were to investigate the association between SOC and self-management behaviors among elderly CHD patients in China, and whether confrontation mediates this association. METHODS: A cross-sectional design was used. A total of 275 elderly patients with CHD recruited from the cardiology department in a general hospital in North China were surveyed from October 2015 to April 2016. SOC, confrontation, and self-management behaviors were measured using the Chinese version of the SOC scale, subscale of Medical Coping Modes Questionnair—Confrontation, and the CHD self-management scale, respectively. Correlation analysis and path analysis were conducted to analyze the data. RESULTS: The mean (±standard deviation) scores of SOC, confrontation, and self-management behaviors were 62.20 (±9.61), 19.55 (±3.15), and 76.17 (±10.63), respectively. Correlation analysis showed that SOC, confrontation, and self-management behaviors were significantly correlated with each other. Path analysis indicated that SOC exerted a direct effect on self-management behaviors, whereas could affect self-management indirectly via confrontation. Bootstrap test result showed that confrontation played a mediating role (β = .20, p < .001) in the relationship between SOC and self-management behaviors. CONCLUSION: SOC was related to self-management behaviors, whereas confrontation mediated the effect of SOC on self-management behaviors. In practice, the role of confrontation coping should be valued when developing strategies to strengthen SOC and to improve self-management practice among elderly CHD patients.
