Influencing factors of patients activation: a study based on empowerment theory
10.3760/cma.j.issn.1000-6672.2018.08.016
- VernacularTitle: 基于授权赋能理论的慢性病患者积极度研究
- Author:
Chunlan ZHOU
1
;
Siqi WANG
;
Yanfang WANG
;
Jiexia OU
;
Yanni WU
Author Information
1. Nursing Department, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China
- Publication Type:Journal Article
- Keywords:
Chronic disease;
Empowerment;
Self-efficacy;
Patient activation;
Mediating effect
- From:
Chinese Journal of Hospital Administration
2018;34(8):677-681
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the present perceptions of patient-empowering nurse behaviours, self-efficacy and patient activation among patients with chronic diseases, and analyze the influencing mechanism among these three variables.
Methods:Using convenient sampling method, a total of 485 inpatients with chronic diseases were sampled from two tertiary comprehensive hospitals in Guangzhou on the day of discharge between March and October 2017. They were surveyed with the demographic questionnaire, Patient Perceptions of Patient-Empowering Nurse Behaviours Scale , Chronic Disease Self-Efficacy Scale and Patient Activation Measure.
Results:Empowerment could positively predict self-efficacy (β=0.402, P<0.01) and patient activation (β=0.169, P<0.01). Self-efficacy could also positively predict patient activation (β=0.887, P<0.01). And self-efficacy, of which the effect accounted for 67.87% of the total effect, played a partial intermediary role between empowerment and patient activation.
Conclusions:To improve patient activation, empowerment and self-efficacy should be both emphasized and applied by the nurses, so that patients can move smoothly from a care receiver before discharge to one of self-management.
