Mediating effect of uncertainty in illness between self-efficacy and sense of personal mastery in aged patients with chronic heart failure
10.3760/cma.j.cn115682-20240117-00323
- VernacularTitle:疾病不确定感在老年慢性心力衰竭患者自我效能与个人掌控感间的中介效应分析
- Author:
Chunmin LIN
1
;
Dandan SONG
;
Li CHENG
Author Information
1. 吉林大学中日联谊医院老年病科，长春 130033
- Keywords:
Aged;
Chronic heart failure;
Sense of personal mastery;
Self-efficacy;
Uncertainty in illness
- From:
Chinese Journal of Modern Nursing
2024;30(23):3185-3190
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the direct impact of self-efficacy on the sense of personal mastery and the indirect impact mediated by uncertainty in illness in aged patients with chronic heart failure (CHF), and provide a theoretical basis for developing interventions to improve the sense of personal mastery in this patient population.Methods:Totally 240 aged CHF patients hospitalized in the Department of Geriatrics at the China-Japan Union Hospital of Jilin University from January to November 2023 were selected by convenience sampling. They were surveyed using the Personal Mastery Scale (PMS), the Mishel Uncertainty in Illness Scale (MUIS), and the General Self-Efficacy Scale (GSES). The Bootstrap method was employed to test the mediating effect of uncertainty in illness between self-efficacy and the sense of personal mastery.Results:A total of 240 questionnaires were distributed, with 221 valid responses collected, yielding a response rate of 92.08%. The total score for the PMS was (21.49±5.92), the total score for the MUIS was (75.00±20.94), and the total score for the GSES was (21.15±6.10). Mediating effect analysis showed that the total effect of self-efficacy on the sense of personal mastery was 0.557 (95% CI: 0.438-0.659; P=0.001) ; the direct effect was 0.311 (95% CI: 0.157-0.455; P=0.001) ; and the indirect effect through uncertainty in illness was 0.246 (95% CI: 0.169-0.344; P<0.001). Uncertainty in illness partially mediated the relationship between self-efficacy and the sense of personal mastery, accounting for 44.17% of the total effect. Conclusions:The sense of personal mastery in aged CHF patients is relatively low. Clinical healthcare providers should implement interventions to enhance patients' self-efficacy and reduce uncertainty in illness, thereby improving their sense of personal mastery.
