Mediating effect of illness perception between self-care ability and health-promoting behaviors among patients with stable coronary artery disease.
<h4>Background</h4>The interaction between illness perception, self-care ability, and health-promoting behaviors (HPB) in stable coronary artery disease (SCAD) patients remains uncertain. We conducted a cross-sectional survey to explore the correlation between self-care ability, illness...
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| Format: | Article |
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Public Library of Science (PLoS)
2025-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0316551 |
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| author | Yuanyuan Wang Xinyue Gong Jing Cheng Yingting Wu Sihan Wang Ying Zhu Changyi Liu Fei He Kehui Xu |
| author_facet | Yuanyuan Wang Xinyue Gong Jing Cheng Yingting Wu Sihan Wang Ying Zhu Changyi Liu Fei He Kehui Xu |
| author_sort | Yuanyuan Wang |
| collection | DOAJ |
| description | <h4>Background</h4>The interaction between illness perception, self-care ability, and health-promoting behaviors (HPB) in stable coronary artery disease (SCAD) patients remains uncertain. We conducted a cross-sectional survey to explore the correlation between self-care ability, illness perception, and HPB among patients with SCAD, as well as the potential mediating role of illness perception between self-care ability and HPB.<h4>Methods</h4>A cross-sectional study was carried out among 184 inpatients with SCAD in Hefei, China, from December 2022 to March 2023. The Self-Care of Coronary Heart Disease Inventory (SC-CHDI, containing three dimensions: self-care maintenance, self-care management, and self-care confidence), Revised Illness Perception Questionnaire (IPQ-R, containing seven dimensions: illness duration, illness consequence, personal control, treatment control, illness coherence, cyclical timeline, emotional distress), Health-Promoting Lifestyle Profile Ⅱ (HPLP-Ⅱ) were used in the questionnaires. SPSS 25.0 software and PROCESS version 4.2 plug-in was used to analyze the mediating effect.<h4>Results</h4>HPB of SCAD patients was at moderate level. A range of factors including education level, marital status, self-care maintenance, self-care management, self-care confidence, illness coherence, and emotional distress are potential influencers of HPB. Illness coherence had a partially mediated effect between self-care maintenance and HPB (β = 0.063, 95% CI: 0.021~0.111), accounting for 20.59% of the total effect. Similarly, illness coherence had a partially mediated effect between self-care management and HPB (β = 0.055, 95% CI: 0.016~0.105), accounting for 13.78% of the total effect. However, none of the dimensions of illness perception mediated between self-care confidence and HPB. Self-care confidence directly influenced HPB, accounting for 92.40% of the total effect.<h4>Conclusion</h4>It is necessary for hospital healthcare workers, community workers, and patients' families to work together to focus on the self-care ability and positive illness perception of patients with cardiovascular disease, so as to increase patients' motivation to participate in HPB and improve their quality of life. |
| format | Article |
| id | doaj-art-dfbc6ff16399484e816a13f2ed6a4ac0 |
| institution | Kabale University |
| issn | 1932-6203 |
| language | English |
| publishDate | 2025-01-01 |
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| series | PLoS ONE |
| spelling | doaj-art-dfbc6ff16399484e816a13f2ed6a4ac02025-08-20T03:53:21ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01202e031655110.1371/journal.pone.0316551Mediating effect of illness perception between self-care ability and health-promoting behaviors among patients with stable coronary artery disease.Yuanyuan WangXinyue GongJing ChengYingting WuSihan WangYing ZhuChangyi LiuFei HeKehui Xu<h4>Background</h4>The interaction between illness perception, self-care ability, and health-promoting behaviors (HPB) in stable coronary artery disease (SCAD) patients remains uncertain. We conducted a cross-sectional survey to explore the correlation between self-care ability, illness perception, and HPB among patients with SCAD, as well as the potential mediating role of illness perception between self-care ability and HPB.<h4>Methods</h4>A cross-sectional study was carried out among 184 inpatients with SCAD in Hefei, China, from December 2022 to March 2023. The Self-Care of Coronary Heart Disease Inventory (SC-CHDI, containing three dimensions: self-care maintenance, self-care management, and self-care confidence), Revised Illness Perception Questionnaire (IPQ-R, containing seven dimensions: illness duration, illness consequence, personal control, treatment control, illness coherence, cyclical timeline, emotional distress), Health-Promoting Lifestyle Profile Ⅱ (HPLP-Ⅱ) were used in the questionnaires. SPSS 25.0 software and PROCESS version 4.2 plug-in was used to analyze the mediating effect.<h4>Results</h4>HPB of SCAD patients was at moderate level. A range of factors including education level, marital status, self-care maintenance, self-care management, self-care confidence, illness coherence, and emotional distress are potential influencers of HPB. Illness coherence had a partially mediated effect between self-care maintenance and HPB (β = 0.063, 95% CI: 0.021~0.111), accounting for 20.59% of the total effect. Similarly, illness coherence had a partially mediated effect between self-care management and HPB (β = 0.055, 95% CI: 0.016~0.105), accounting for 13.78% of the total effect. However, none of the dimensions of illness perception mediated between self-care confidence and HPB. Self-care confidence directly influenced HPB, accounting for 92.40% of the total effect.<h4>Conclusion</h4>It is necessary for hospital healthcare workers, community workers, and patients' families to work together to focus on the self-care ability and positive illness perception of patients with cardiovascular disease, so as to increase patients' motivation to participate in HPB and improve their quality of life.https://doi.org/10.1371/journal.pone.0316551 |
| spellingShingle | Yuanyuan Wang Xinyue Gong Jing Cheng Yingting Wu Sihan Wang Ying Zhu Changyi Liu Fei He Kehui Xu Mediating effect of illness perception between self-care ability and health-promoting behaviors among patients with stable coronary artery disease. PLoS ONE |
| title | Mediating effect of illness perception between self-care ability and health-promoting behaviors among patients with stable coronary artery disease. |
| title_full | Mediating effect of illness perception between self-care ability and health-promoting behaviors among patients with stable coronary artery disease. |
| title_fullStr | Mediating effect of illness perception between self-care ability and health-promoting behaviors among patients with stable coronary artery disease. |
| title_full_unstemmed | Mediating effect of illness perception between self-care ability and health-promoting behaviors among patients with stable coronary artery disease. |
| title_short | Mediating effect of illness perception between self-care ability and health-promoting behaviors among patients with stable coronary artery disease. |
| title_sort | mediating effect of illness perception between self care ability and health promoting behaviors among patients with stable coronary artery disease |
| url | https://doi.org/10.1371/journal.pone.0316551 |
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