Model test of the relationship between self-help-promoting nursing interventions and self-care and health status outcomes

Background: As treatment has improved, patients with heart failure live longer, and the care mostly takes place at home with partners providing the main assistance. Perceived control over heart failure is important in managing self-care activities to maintain health in patients and their family. Depressive symptoms are associated with impaired health status in patients with heart failure and their family. However, there is limited knowledge about how depressive symptoms affect the relationship between health status and perceived control over heart failure in patients with heart failure and their cohabiting partners. Aim: The aim of this study was to examine whether the relationship between perceived control and health status (i.e. mental and physical) was mediated by depressive symptoms in patients with heart failure and their partners. Methods: In this secondary data analysis, we included 132 heart failure patients and 132 partners who completed measures of depressive symptoms (the Beck depression inventory II), perceived control (the control attitude scale), and physical and mental health status (the short form-36) instruments. The mediation effect of depression was examined using a series of multiple regression in patients and their family caregivers separately. Results: We found a mediator effect of depressive symptoms in the relationship between perceived control and mental health status in both patients and partners. The relationship between perceived control and physical health status was mediated by depressive symptoms in the patients, not in the partners. Conclusion: Efforts to improve self-care management and maintenance by targeting perceived control may be more effective if depressive symptoms are also effectively managed.

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The Relationship among Subjective Health Status, Wisdom, and Self-care Agency in Korean Older Adults

Journal of Korean Academy of Community Health Nursing ◽

10.12799/jkachn.2015.26.4.355 ◽

2015 ◽

Vol 26 (4) ◽

pp. 355

Author(s):

Mijin Yu ◽

Hee Jung Kim

Keyword(s):

Older Adults ◽

Health Status ◽

Self Care ◽

Subjective Health ◽

Subjective Health Status ◽

The Relationship ◽

Care Agency

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The mediating/moderating role of cultural context factors on self-care practices among those living with diabetes in rural Appalachia

BMC Public Health ◽

10.1186/s12889-021-11777-7 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Brittany L. Smalls ◽

Adebola Adegboyega ◽

Ellen Combs ◽

Matthew Rutledge ◽

Philip M. Westgate ◽

...

Keyword(s):

Social Support ◽

Health Status ◽

Psychosocial Factors ◽

Cultural Context ◽

Regression Models ◽

Self Care ◽

Logistic Regression Models ◽

Context Factors ◽

Care Practices ◽

The Relationship

Abstract Background The aim of this study was to examine whether cultural factors, such as religiosity and social support, mediate/moderate the relationship between personal/psychosocial factors and T2DM self-care in a rural Appalachian community. Methods Regression models were utilized to assess for mediation and moderation. Multilevel linear mixed effects models and GEE-type logistic regression models were fit for continuous (social support, self-care) and binary (religiosity) outcomes, respectively. Results The results indicated that cultural context factors (religiosity and social support) can mediate/moderate the relationship between psychosocial factors and T2DM self-care. Specifically, after adjusting for demographic variables, the findings suggested that social support may moderate the effect of depressive symptoms and stress on self-care. Religiosity may moderate the effect of distress on self-care, and empowerment was a predictor of self-care but was not mediated/moderated by the assessed cultural context factors. When considering health status, religiosity was a moderately significant predictor of self-care and may mediate the relationship between perceived health status and T2DM self-care. Conclusions This study represents the first known research to examine cultural assets and diabetes self-care practices among a community-based sample of Appalachian adults. We echo calls to increase the evidence on social support and religiosity and other contextual factors among this highly affected population. Trial registration US National Library of Science identifier NCT03474731. Registered March 23, 2018, www.clinicaltrials.gov.

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Understanding the Patterns and Processes of Primary Care Use: A Combined Quantitative and Qualitative Approach

Sociological Research Online ◽

10.5153/sro.192 ◽

1998 ◽

Vol 3 (4) ◽

pp. 1-13 ◽

Cited By ~ 8

Author(s):

Anne Rogers ◽

Gerry Nicolaas

Keyword(s):

Primary Care ◽

Health Care ◽

Decision Making ◽

Health Status ◽

Self Care ◽

Health Care Utilisation ◽

Care Services ◽

Care Utilisation ◽

The Relationship ◽

The Way

This paper addresses the combined use of quantitative and qualitative methodology to understand the relationship between need, demand and use of primary careservices. The study conducted in three different areas in the North west of England was designed to, link health status to subsequent use of health care in a waywhich might be used for service planning and the allocation of resources, and to provide data to inform a long term programme examining the relationship between need and demand for primary care. The study was in two stages, a survey and diary study designed to ascertain frequency of health care utilisation and health status of households, followed by a linked qualitative study consisting of in-depth interviews on a subset of people experiencing a range of common complaints seen in primary care. The mixture of methodologies gave a broader understanding of the dynamics of health utilisation in the localities studied. The survey and diary data showed the way in which key variables can be used to map the patterns of primary care utilisation in a population and the extent of self care actions and lay management of illness undertaken within households. We found that ill people are far more likely to use self care than professional health care services, and when they do use formal services, this tends to be in addition to self care practices. The qualitative data illuminated more about the processes of health care utilisation, particularly the way in which the past experience of illness and service contact coalesced with peoples’ more immediate decision making about using primary care services. The findings suggest that health care use is most appropriately viewed as an interplay between agency and structure rather than the outcome of ‘expressedneed’, individual decision making or ‘supply induced’ demand.

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