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Association between quality of discharge teaching and self-management in patients after percutaneous coronary intervention: A chain mediation model.
- Source :
-
Journal of clinical nursing [J Clin Nurs] 2024 May 19. Date of Electronic Publication: 2024 May 19. - Publication Year :
- 2024
- Publisher :
- Ahead of Print
-
Abstract
- Aims: To examine chain mediating effect of discharge readiness and self-efficacy between quality of discharge teaching and self-management in patients after percutaneous coronary intervention (PCI).<br />Background: Although self-management after PCI has significant benefits in controlling risk factors and delaying disease progression, the status of self-management remains unoptimistic. A large number of studies have explored the close relationship between the quality of discharge teaching and patients self-management, but little is known about the underlying mechanisms.<br />Methods: The cross-sectional samples was collected from a tertiary hospital in China. Self-reported questionnaires were used to assess quality of discharge teaching, discharge readiness, self-efficacy and self-management. Pearson correlation analysis and mediation effect analysis were used for statistical analysis.<br />Reporting Method: The study used the STROBE checklist for reporting.<br />Results: A total of 198 patients with a mean age of 64.99 ± 11.32 (34-85) were included. The mean score of self-management was 88.41 ± 11.82. Quality of discharge teaching, discharge readiness, self-efficacy and self-management were all positively correlated. Mediation effect analysis showed that the mediating effects of discharge readiness, self-efficacy, discharge readiness and self-efficacy between quality of discharge teaching and self-management were 0.157, 0.177 and 0.049, respectively, accounting for 21.96%, 24.76% and 6.85% of the total effect.<br />Conclusion: The quality of discharge teaching for patients after PCI not only directly affects self-management, but also can indirectly affect self-management through discharge readiness and self-efficacy.<br />Relevance to Clinical Practice: To improve the life quality of patients after PCI, medical staff should pay attention to the influence of self-management of quality of discharge teaching, and develop intervention strategies based on the path of discharge readiness and self-efficacy.<br />Patient or Public Contribution: Questionnaires filled out by patients were used to understand the association between quality of discharge teaching, discharge readiness, self-efficacy and self-management.<br /> (© 2024 John Wiley & Sons Ltd.)
Details
- Language :
- English
- ISSN :
- 1365-2702
- Database :
- MEDLINE
- Journal :
- Journal of clinical nursing
- Publication Type :
- Academic Journal
- Accession number :
- 38764246
- Full Text :
- https://doi.org/10.1111/jocn.17204