Structural Equation Modeling of Self-Management of Liver Transplant Recipients.
10.4040/jkan.2017.47.5.663
- Author:
Mi Kyeong JEON
1
;
Yeon Hwan PARK
Author Information
1. College of Nursing, Eulji University, Daejeon, Korea.
- Publication Type:Original Article
- Keywords:
Self care;
Health behavior;
Liver transplantation;
Chronic disease
- MeSH:
Chronic Disease;
Delivery of Health Care;
Depression;
Education;
Health Behavior;
Health Personnel;
Humans;
Liver Transplantation;
Liver*;
Mental Competency;
Outpatients;
Self Care*;
Transplant Recipients*
- From:Journal of Korean Academy of Nursing
2017;47(5):663-675
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to construct and test a structural equation model of self-management of liver transplant recipients based on self-determination theory. METHODS: Participants were 275 outpatients who received liver transplantation. A structured self-report questionnaire was used to assess health care providers' autonomy support, transplant-related characteristics, illness consequence perception, autonomy, competence, family relatedness, depression and self-management. Collected data were analyzed using SPSS/WIN 24.0 and AMOS 24.0 program. RESULTS: The modified model showed a good fitness with the data: GFI=.96, RMSEA=.06, CFI=.96, NFI=.93, TLI=.93, PGFI=.43, PNFI=.49. The health care providers' autonomy support, competence, family relatedness and depression were factors with a direct influence on the self-management of liver transplant recipients. The health care providers' autonomy support and illness consequence perception had an indirect influence through competence, family relatedness and depression. However, the transplant-related characteristics and autonomy did not have a significant effect on self-management. This model explained 59.4% of the variance in self-management. CONCLUSION: The result suggests that continuous education must be done to promote the competence of liver transplant recipients and to encourage the patient to positively perceive their current health condition with a view that enhances one's self-management. Additionally, the liver transplant recipients should be screened for depression, which would affect self-management. Most of all, health care providers, who have the most influence on self-management, should improve therapeutic communication and try to form a therapeutic relationship with the liver transplant recipients.
