Self-care confidence mediates the relationship between perceived social support and self-care maintenance in adults with heart failure.
J Card Fail
; 19(3): 202-10, 2013 Mar.
Article
en En
| MEDLINE
| ID: mdl-23482082
ABSTRACT
BACKGROUND:
Social support may be associated with heart failure (HF) self-care; however, the mechanisms are not well understood. We examined the association between perceived support and self-care behaviors and whether self-care confidence mediates these relationships.METHODS:
Cross-sectional survey of HF patients seen in outpatient clinic settings. Our outcome (HF self-care maintenance and self-care management) and mediator (HF self-care confidence) variables were assessed with the Self-Care of Heart Failure Index. Perceived emotional/informational support was assessed with the Medical Outcomes Study social support survey. We performed regression analyses to examine associations between perceived support and HF self-care behaviors. Mediation analysis was performed according to the Baron and Kenny method.RESULTS:
We surveyed 150 HF patients (mean age 61 y; 51% female; 43% black). More emotional/informational support was associated with better self-care maintenance (ß = 0.13; P = .04). More emotional/information support was associated with better self-care management in unadjusted (ß = 0.23; P = .04), but not adjusted (ß = 0.20, P = .10), analysis. Self-care confidence mediates the association between perceived support and self-care maintenance (percent change in ß coefficient was 32%) and management (percent change in ß coefficient was 20%).CONCLUSION:
Perceived emotional/informational support is associated with better self-care maintenance and possibly better self-care management. Greater self-care confidence is one mediating mechanism.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Autocuidado
/
Autoimagen
/
Apoyo Social
/
Insuficiencia Cardíaca
Tipo de estudio:
Observational_studies
/
Prevalence_studies
/
Qualitative_research
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
Límite:
Adult
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Aged
/
Female
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Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Card Fail
Asunto de la revista:
CARDIOLOGIA
Año:
2013
Tipo del documento:
Article
País de afiliación:
Estados Unidos