Path analysis of self-concept and depression on self-care in patients with chronic heart failure

VernacularTitle:慢性心力衰竭患者自我概念、抑郁和自我护理行为的路径分析
Author: Xiaofeng KANG ; Qingyin LI ; Xin SHAO ; Zheng LI
Publication Type:Journal Article
Keywords: Heart failure; Self-concept; Depression; Self-care; Path analysis
From: Chinese Journal of Behavioral Medicine and Brain Science 2012;21(3):250-252
CountryChina
Language:Chinese
Abstract: Objective To explore the role of depression as a moderator of self-concept on self-care behaviors in patients with chronic heart failure(CHF).Methods A sample of 160 in-patients with CHF were recruited from a cardiovascular hospital in Beijing.Data were collected by self-report questionnaires assessing self-care behaviors,self-concept and depression.Analysis of Moment Structures (AMOS) version 17.0 software was used to conduct the path analyses.Results Body sensation,self-consistency,self-ideal,moral-ethical-spiritual self and depression revealed direct effects on self-care behavior.Body sensation,self-ideal,moral-ethical-spiritual self affected self-care indirectly via depression.These paths' total coefficients were 0.09,0.15,0.31,0.09 and -0.26,respectively.Conclusion Self-care behaviors are directly affected by self-concept and depression.Depression has a greater moderating effect on these relationships.The findings provide a theoretical basis to direct the development of interventions for improving self-care in individuals with heart failure.