The mediating role of empowerment level in self-management and quality of life in patients with chronic coronary heart disease
10.3760/cma.j.issn.1672-7088.2019.36.004
- VernacularTitle: 赋权水平在慢性冠心病患者自我管理与生命质量间的中介作用
- Author:
Mengyun PENG
1
;
Fangfang ZHAO
;
Li WU
;
Hong GUAN
Author Information
1. Department of Nursing, the Second Affiliated Hospital of Dalian Medical University, Dalian116021, China
- Publication Type:Clinical Trail
- Keywords:
Empowerment;
Self-management;
Quality of life;
Coronary artery disease
- From:
Chinese Journal of Practical Nursing
2019;35(36):2817-2822
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating role of empowerment level in self-management and quality of life in patients with coronary heart disease, and to provide evidence for interventions to improve quality of life in patients with coronary heart disease.
Methods:215 patients with coronary atherosclerotic heart disease in cardiovascular department of hospital in Dalian were selected as the subjects. The Chronic Empowerment Scale, Self-management Behavior Scale of Coronary Heart Disease, China Cardiovascular Patient Quality of Life Assessment Questionnaire and self-made general information questionnaire were used for investigation.
Results:The total empowerment, self-management and quality of life of patients with coronary heart disease were (158.75±20.39), (74.50±11.55), and (73.31±23.01). The empowerment, self-management and quality of life of patients with coronary heart disease were positively correlated (r=0.512-0.642, P<0.01). Self-management has a direct positive predictive effect on quality of life. The level of empowerment has a partial mediating effect between self-management and quality of life, and the contribution rate of mediating effect was 31.5%.
Conclusions:Empowerment, self-management and quality of life of patients with coronary heart disease are closely related. Self-management can influence the quality of life through the empowerment. Nurses should develop active and effective empowerment programs to improve patients' self-management ability and their quality of life.
