Self-management behavior based on structural equation model in elderly chronic heart failure patients
10.3760/cma.j.issn.1674-2907.2020.07.003
- VernacularTitle:基于结构方程模型的老年慢性心力衰竭患者自我管理行为研究
- Author:
Difan LI
1
;
Youqing PENG
Author Information
1. 同济大学医学院，上海 200092
- Keywords:
Aged;
Chronic heart failure;
Self-management;
Structural equation model
- From:
Chinese Journal of Modern Nursing
2020;26(7):851-857
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the self-management of elderly chronic heart failure (CHF) patients and to explore the structural equation modeling (SEM) on the influencing factors of self-management behavior among CHF patients so as to provide a basis for constructing the self-management education plan for elderly CHF patients suitable for the characteristics of our country.Methods:From January 2015 to June 2017, The study selected 6 124 elderly patients in 102 hospitals of 16 provinces, cities and autonomous region from 5 areas, east China, west China, south China, north China and central China by random cluster sampling as subjects. All of patients were investigated with the self-management scale of heart failure patients, heart failure knowledge questionnaire, chronic disease self-efficacy scale, self-concept scale and the medica coping modes questionnaire. AMOS 22.0 was used to construct the model on the influencing factors of self-management behavior among CHF patients.Results:The total score self-management of 6 124 elderly CHF patients was [49.00 (43.00, 54.00) ] with 61.25% for the scoring rate. The SEM on the direct or indirect influencing factors of self-management among elderly CHF patients fitted well. The influencing factors of self-management included the per-capita incomes, works, self-care, nations, religious belief, education levels, heart failure knowledge, self-concept, self-efficacy, coping styles.Conclusions:Self-management of elderly CHF patients are in the below average level influenced by different demographers, cultural background and heart failure knowledge. Medical staff should formulate a systematic and individual self-management education plan for elderly CHF patients based on patients' demographic characteristics, cultural background, heart failure knowledge, self-concept and self-efficacy to improve their self-management.
