Mediating role of self-efficacy in the relationship between family functioning and self-management behaviors in patients with coronary heart disease: A cross-sectional study in Jiangsu, China
Background: Self-management behaviors can prevent the negative consequences among patients with coronary heart disease (CHD). The reality of patients followed the self-management behaviors rate are unoptimistic. Objective: This study aimed to examine whether self-efficacy serves as a mediating role...
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| Format: | Article |
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Belitung Raya Foundation
2025-01-01
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| Series: | Belitung Nursing Journal |
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| Online Access: | https://www.belitungraya.org/BRP/index.php/bnj/article/view/3638 |
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| author | Yang Wang Khemaradee Masingboon Chintana Wacharasin |
| author_facet | Yang Wang Khemaradee Masingboon Chintana Wacharasin |
| author_sort | Yang Wang |
| collection | DOAJ |
| description | Background: Self-management behaviors can prevent the negative consequences among patients with coronary heart disease (CHD). The reality of patients followed the self-management behaviors rate are unoptimistic.
Objective: This study aimed to examine whether self-efficacy serves as a mediating role between family functioning and self-management behaviors among coronary heart disease patients.
Methods: A cross-sectional approach was applied, and 140 patients with CHD were included using a cluster sampling strategy. Family functioning was assessed utilizing the Family APGAR Index, self-efficacy was evaluated using the Self-efficacy for Chronic Disease 6-item Scale, and self-management behaviors was examined utilizing the Coronary Artery Disease Self-Management Scale. Data were collected from July to October 2022 and analyzed using descriptive statistics and regression analyses to evaluate the mediating influence.
Results: The degree of self-management behaviors among patients with CHD was at a low level (Mean = 82.23, SD = 11.863). Self-efficacy had a direct and positive impact on self-management behaviors (β = 0.39, p <0.001). Moreover, self-efficacy had a partially intermediary function in the relationship between family functioning and self-management behaviors (indirect effect = 0.14, 95% CI [0.04, 0.27]; direct effect = 0.39, p <0.001).
Conclusion: Self-efficacy demonstrated an association with self-management behaviors and served as a mediation function in the relationship between self-management behaviors and family functioning. Therefore, the significance of family functioning and self-efficacy should be highlighted in nursing practice when developing methods to encourage patients with CHD to improve their self-management behaviors.
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| format | Article |
| id | doaj-art-fa8fe5db2ecc46c9be4b1b6517cbb607 |
| institution | Kabale University |
| issn | 2477-4073 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Belitung Raya Foundation |
| record_format | Article |
| series | Belitung Nursing Journal |
| spelling | doaj-art-fa8fe5db2ecc46c9be4b1b6517cbb6072025-01-26T04:40:26ZengBelitung Raya FoundationBelitung Nursing Journal2477-40732025-01-0111110.33546/bnj.3638Mediating role of self-efficacy in the relationship between family functioning and self-management behaviors in patients with coronary heart disease: A cross-sectional study in Jiangsu, ChinaYang Wang0Khemaradee Masingboon1Chintana Wacharasin2Faculty of Nursing, Burapha University, Chonburi, Thailand | Faculty of Nursing, Jiangsu Medical College, Jiangsu Province, ChinaFaculty of Nursing, Burapha University, Chonburi, ThailandFaculty of Nursing, Burapha University, Chonburi, ThailandBackground: Self-management behaviors can prevent the negative consequences among patients with coronary heart disease (CHD). The reality of patients followed the self-management behaviors rate are unoptimistic. Objective: This study aimed to examine whether self-efficacy serves as a mediating role between family functioning and self-management behaviors among coronary heart disease patients. Methods: A cross-sectional approach was applied, and 140 patients with CHD were included using a cluster sampling strategy. Family functioning was assessed utilizing the Family APGAR Index, self-efficacy was evaluated using the Self-efficacy for Chronic Disease 6-item Scale, and self-management behaviors was examined utilizing the Coronary Artery Disease Self-Management Scale. Data were collected from July to October 2022 and analyzed using descriptive statistics and regression analyses to evaluate the mediating influence. Results: The degree of self-management behaviors among patients with CHD was at a low level (Mean = 82.23, SD = 11.863). Self-efficacy had a direct and positive impact on self-management behaviors (β = 0.39, p <0.001). Moreover, self-efficacy had a partially intermediary function in the relationship between family functioning and self-management behaviors (indirect effect = 0.14, 95% CI [0.04, 0.27]; direct effect = 0.39, p <0.001). Conclusion: Self-efficacy demonstrated an association with self-management behaviors and served as a mediation function in the relationship between self-management behaviors and family functioning. Therefore, the significance of family functioning and self-efficacy should be highlighted in nursing practice when developing methods to encourage patients with CHD to improve their self-management behaviors. https://www.belitungraya.org/BRP/index.php/bnj/article/view/3638Chinacoronary artery diseasefamilyself-efficacyself-management |
| spellingShingle | Yang Wang Khemaradee Masingboon Chintana Wacharasin Mediating role of self-efficacy in the relationship between family functioning and self-management behaviors in patients with coronary heart disease: A cross-sectional study in Jiangsu, China Belitung Nursing Journal China coronary artery disease family self-efficacy self-management |
| title | Mediating role of self-efficacy in the relationship between family functioning and self-management behaviors in patients with coronary heart disease: A cross-sectional study in Jiangsu, China |
| title_full | Mediating role of self-efficacy in the relationship between family functioning and self-management behaviors in patients with coronary heart disease: A cross-sectional study in Jiangsu, China |
| title_fullStr | Mediating role of self-efficacy in the relationship between family functioning and self-management behaviors in patients with coronary heart disease: A cross-sectional study in Jiangsu, China |
| title_full_unstemmed | Mediating role of self-efficacy in the relationship between family functioning and self-management behaviors in patients with coronary heart disease: A cross-sectional study in Jiangsu, China |
| title_short | Mediating role of self-efficacy in the relationship between family functioning and self-management behaviors in patients with coronary heart disease: A cross-sectional study in Jiangsu, China |
| title_sort | mediating role of self efficacy in the relationship between family functioning and self management behaviors in patients with coronary heart disease a cross sectional study in jiangsu china |
| topic | China coronary artery disease family self-efficacy self-management |
| url | https://www.belitungraya.org/BRP/index.php/bnj/article/view/3638 |
| work_keys_str_mv | AT yangwang mediatingroleofselfefficacyintherelationshipbetweenfamilyfunctioningandselfmanagementbehaviorsinpatientswithcoronaryheartdiseaseacrosssectionalstudyinjiangsuchina AT khemaradeemasingboon mediatingroleofselfefficacyintherelationshipbetweenfamilyfunctioningandselfmanagementbehaviorsinpatientswithcoronaryheartdiseaseacrosssectionalstudyinjiangsuchina AT chintanawacharasin mediatingroleofselfefficacyintherelationshipbetweenfamilyfunctioningandselfmanagementbehaviorsinpatientswithcoronaryheartdiseaseacrosssectionalstudyinjiangsuchina |