Mediating effect of resourcefulness between frailty and self-management efficacy in patients with chronic heart failure
10.3969/j.issn.1008-0074.2025.03.03
- VernacularTitle:慢性心力衰竭患者智谋在衰弱与自我管理效能间的中介效应
- Author:
Li YU
1
;
Li XU
;
Le-qun PEI
;
Miao-miao BIAN
Author Information
1. 济南市中心医院冠心病一科,山东济南 250013
- Publication Type:Journal Article
- Keywords:
Heart failure;
Frailty;
Patient care management
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2025;34(3):293-298
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study aimed to explore the mediating effect of resourcefulness between frailty and self-manage-ment efficacy in patients with chronic heart failure(CHF).Methods:A survey was conducted on CHF patients who ad-mitted in Department of Cardiology,Central Hospital Affiliated to Shandong First Medical University between May 2022 and March 2024 using the general formation questionnaire,Tilburg weakness assessment scale,Resourcefulness Scale(RS)and Self-Efficacy for Managing Chronic Disease 6-item scale(SEMCD6).Results:Age,employment,marriage,ACC/AHA cardiac function classification,exercise frequency,and comorbid chronic diseases affected the level of frailty in pa-tients;Employed or not affected the patient's resourcefulness level(P＜0.05 or＜0.01).Multivariate linear regression and Spearman correlation analysis showed that frailty was direct negative predictive effect(β=-1.029,P=0.019)and in-versely correlated(r=-0.155,P=0.016)with self-management efficacy;resourcefulness was direct positive predictive effect(β=0.150,P＜0.001)and positively correlated(r=0.336,P＜0.001)with it.Resourcefulness played a partial mediating effect between frailty and self-management efficacy(21.93％).Conclusion:Resourcefulness level plays a par-tial mediating role between frailty and self-management efficacy in patients with chronic heart failure.Medical staff should pay attention to early screening and intervention of resourcefulness level.
