Factors associated with self‐management after hybrid revascularization in patients with peripheral artery disease: A structural equations model
Aim To investigate the factors associated with self‐management after hybrid revascularization in patients with lower extremity peripheral artery disease using a structural equation modelling approach. Design A cross‐sectional study was adopted. Methods A total of 221 patients who underwent hybrid re...
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| Veröffentlicht in: | Journal of advanced nursing 2023-01, Vol.79 (1), p.170-181 |
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| creator | Kim, So‐Young Lee, Yun Mi Son, Youn‐Jung |
| description | Aim
To investigate the factors associated with self‐management after hybrid revascularization in patients with lower extremity peripheral artery disease using a structural equation modelling approach.
Design
A cross‐sectional study was adopted.
Methods
A total of 221 patients who underwent hybrid revascularization for peripheral artery disease of the lower limbs were included from outpatient clinics at a 1200‐bed tertiary care hospital in Korea. Data were collected using a self‐reported questionnaire between December 1, 2019, and August 31, 2020. Structural equation modelling was applied to test the hypothetical model.
Results
The item mean score of participants' self‐management was 6.28 (standard deviation, 0.83) out of 8. The structural equation modelling had a good fit index. Autonomy support from healthcare providers was directly associated with self‐management (β = 0.20, p = 0.041). Illness perception directly (β = −0.33, p = 0.031) and indirectly (β = −0.19, p = 0.032) influenced self‐management through competence and relatedness in patients with peripheral artery disease. The construct of autonomy support from healthcare providers, illness perception, competence and relatedness accounted for 49% of the variance in self‐management.
The Sobel test confirmed the statistically significant mediating effects of competence (z = −4.52, p |
| doi_str_mv | 10.1111/jan.15440 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2712855507</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2712855507</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3530-81a5916c11d94ce5d70fc33a851bd190668b9252d40153a8f21693e68abe910f3</originalsourceid><addsrcrecordid>eNp1kctu1TAQhi0EoofCghdAltjAIq0vcU7M7qiiF1TBBtbRxJlwfJRbPQ7VYcUjwCvyJHWb0gVSvRlr5ptPI_2MvZbiSKZ3vIPhSJo8F0_YSurCZKrIy6dsJbSwmcqFOmAviHZCSK2Ues4OdCFKZYVZsT-n4OIYiAPR6DxEbPi1j1tO2LV_f_3uYYDv2OMQObQRA9_u6-AbHvAHkJs7CP4nRD8O3A98Sr9E0mKYMPhpiwE6DiGt7nnjCYHwA99wimF2cb4d4tV8ZyDejw12L9mzFjrCV_f1kH07_fj15Dy7_HJ2cbK5zJw2WmSlBGNl4aRsbO7QNGvROq2hNLJupBVFUdZWGdXkQprUbpUsrMaihBqtFK0-ZO8W7xTGqxkpVr0nh10HA44zVWotVWmMEeuEvv0P3Y1zGNJ1iTK50NKWOlHvF8qFkShgW03B9xD2lRTVbU5Vyqm6yymxb-6Nc91j80D-CyYBxwtw7TvcP26qPm0-L8obEqGfWw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2754031983</pqid></control><display><type>article</type><title>Factors associated with self‐management after hybrid revascularization in patients with peripheral artery disease: A structural equations model</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Kim, So‐Young ; Lee, Yun Mi ; Son, Youn‐Jung</creator><creatorcontrib>Kim, So‐Young ; Lee, Yun Mi ; Son, Youn‐Jung</creatorcontrib><description>Aim
To investigate the factors associated with self‐management after hybrid revascularization in patients with lower extremity peripheral artery disease using a structural equation modelling approach.
Design
A cross‐sectional study was adopted.
Methods
A total of 221 patients who underwent hybrid revascularization for peripheral artery disease of the lower limbs were included from outpatient clinics at a 1200‐bed tertiary care hospital in Korea. Data were collected using a self‐reported questionnaire between December 1, 2019, and August 31, 2020. Structural equation modelling was applied to test the hypothetical model.
Results
The item mean score of participants' self‐management was 6.28 (standard deviation, 0.83) out of 8. The structural equation modelling had a good fit index. Autonomy support from healthcare providers was directly associated with self‐management (β = 0.20, p = 0.041). Illness perception directly (β = −0.33, p = 0.031) and indirectly (β = −0.19, p = 0.032) influenced self‐management through competence and relatedness in patients with peripheral artery disease. The construct of autonomy support from healthcare providers, illness perception, competence and relatedness accounted for 49% of the variance in self‐management.
The Sobel test confirmed the statistically significant mediating effects of competence (z = −4.52, p < 0.001) and relatedness (z = −2.12, p < 0.001) on the relationship between illness perception and self‐management.
Conclusion
Our findings revealed that autonomy support from healthcare providers and patients' illness perception directly influenced patients' self‐management. Additionally, patients' illness perception can indirectly influence self‐management through their perceived competence and relatedness.
Impact
Healthcare providers' autonomy support to patients may promote self‐care behaviours, leading to greater autonomous motivation. Assessment of patients' illness perception before patient education is vital to designing effective self‐management strategies which can improve patients' perceived competency and meaningful relatedness with healthcare providers.</description><identifier>ISSN: 0309-2402</identifier><identifier>EISSN: 1365-2648</identifier><identifier>DOI: 10.1111/jan.15440</identifier><identifier>PMID: 36082905</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Autonomy ; Competence ; Cross-Sectional Studies ; Disease management ; Health behavior ; Health education ; Humans ; hybrid revascularization ; Illnesses ; Limbs ; lower extremity ; Lower limbs ; Models, Theoretical ; Motivation ; nursing ; Outpatient clinics ; Patient education ; patients ; Perceptions ; Peripheral arterial disease ; Peripheral Arterial Disease - surgery ; Relatedness ; Revascularization ; Self care ; Self-Management ; structural equation model ; Structural equation modeling ; Surveys and Questionnaires ; Vein & artery diseases</subject><ispartof>Journal of advanced nursing, 2023-01, Vol.79 (1), p.170-181</ispartof><rights>2022 John Wiley & Sons Ltd.</rights><rights>2023 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3530-81a5916c11d94ce5d70fc33a851bd190668b9252d40153a8f21693e68abe910f3</citedby><cites>FETCH-LOGICAL-c3530-81a5916c11d94ce5d70fc33a851bd190668b9252d40153a8f21693e68abe910f3</cites><orcidid>0000-0002-0961-9606</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjan.15440$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjan.15440$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,30976,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36082905$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, So‐Young</creatorcontrib><creatorcontrib>Lee, Yun Mi</creatorcontrib><creatorcontrib>Son, Youn‐Jung</creatorcontrib><title>Factors associated with self‐management after hybrid revascularization in patients with peripheral artery disease: A structural equations model</title><title>Journal of advanced nursing</title><addtitle>J Adv Nurs</addtitle><description>Aim
To investigate the factors associated with self‐management after hybrid revascularization in patients with lower extremity peripheral artery disease using a structural equation modelling approach.
Design
A cross‐sectional study was adopted.
Methods
A total of 221 patients who underwent hybrid revascularization for peripheral artery disease of the lower limbs were included from outpatient clinics at a 1200‐bed tertiary care hospital in Korea. Data were collected using a self‐reported questionnaire between December 1, 2019, and August 31, 2020. Structural equation modelling was applied to test the hypothetical model.
Results
The item mean score of participants' self‐management was 6.28 (standard deviation, 0.83) out of 8. The structural equation modelling had a good fit index. Autonomy support from healthcare providers was directly associated with self‐management (β = 0.20, p = 0.041). Illness perception directly (β = −0.33, p = 0.031) and indirectly (β = −0.19, p = 0.032) influenced self‐management through competence and relatedness in patients with peripheral artery disease. The construct of autonomy support from healthcare providers, illness perception, competence and relatedness accounted for 49% of the variance in self‐management.
The Sobel test confirmed the statistically significant mediating effects of competence (z = −4.52, p < 0.001) and relatedness (z = −2.12, p < 0.001) on the relationship between illness perception and self‐management.
Conclusion
Our findings revealed that autonomy support from healthcare providers and patients' illness perception directly influenced patients' self‐management. Additionally, patients' illness perception can indirectly influence self‐management through their perceived competence and relatedness.
Impact
Healthcare providers' autonomy support to patients may promote self‐care behaviours, leading to greater autonomous motivation. Assessment of patients' illness perception before patient education is vital to designing effective self‐management strategies which can improve patients' perceived competency and meaningful relatedness with healthcare providers.</description><subject>Autonomy</subject><subject>Competence</subject><subject>Cross-Sectional Studies</subject><subject>Disease management</subject><subject>Health behavior</subject><subject>Health education</subject><subject>Humans</subject><subject>hybrid revascularization</subject><subject>Illnesses</subject><subject>Limbs</subject><subject>lower extremity</subject><subject>Lower limbs</subject><subject>Models, Theoretical</subject><subject>Motivation</subject><subject>nursing</subject><subject>Outpatient clinics</subject><subject>Patient education</subject><subject>patients</subject><subject>Perceptions</subject><subject>Peripheral arterial disease</subject><subject>Peripheral Arterial Disease - surgery</subject><subject>Relatedness</subject><subject>Revascularization</subject><subject>Self care</subject><subject>Self-Management</subject><subject>structural equation model</subject><subject>Structural equation modeling</subject><subject>Surveys and Questionnaires</subject><subject>Vein & artery diseases</subject><issn>0309-2402</issn><issn>1365-2648</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kctu1TAQhi0EoofCghdAltjAIq0vcU7M7qiiF1TBBtbRxJlwfJRbPQ7VYcUjwCvyJHWb0gVSvRlr5ptPI_2MvZbiSKZ3vIPhSJo8F0_YSurCZKrIy6dsJbSwmcqFOmAviHZCSK2Ues4OdCFKZYVZsT-n4OIYiAPR6DxEbPi1j1tO2LV_f_3uYYDv2OMQObQRA9_u6-AbHvAHkJs7CP4nRD8O3A98Sr9E0mKYMPhpiwE6DiGt7nnjCYHwA99wimF2cb4d4tV8ZyDejw12L9mzFjrCV_f1kH07_fj15Dy7_HJ2cbK5zJw2WmSlBGNl4aRsbO7QNGvROq2hNLJupBVFUdZWGdXkQprUbpUsrMaihBqtFK0-ZO8W7xTGqxkpVr0nh10HA44zVWotVWmMEeuEvv0P3Y1zGNJ1iTK50NKWOlHvF8qFkShgW03B9xD2lRTVbU5Vyqm6yymxb-6Nc91j80D-CyYBxwtw7TvcP26qPm0-L8obEqGfWw</recordid><startdate>202301</startdate><enddate>202301</enddate><creator>Kim, So‐Young</creator><creator>Lee, Yun Mi</creator><creator>Son, Youn‐Jung</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0961-9606</orcidid></search><sort><creationdate>202301</creationdate><title>Factors associated with self‐management after hybrid revascularization in patients with peripheral artery disease: A structural equations model</title><author>Kim, So‐Young ; Lee, Yun Mi ; Son, Youn‐Jung</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3530-81a5916c11d94ce5d70fc33a851bd190668b9252d40153a8f21693e68abe910f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Autonomy</topic><topic>Competence</topic><topic>Cross-Sectional Studies</topic><topic>Disease management</topic><topic>Health behavior</topic><topic>Health education</topic><topic>Humans</topic><topic>hybrid revascularization</topic><topic>Illnesses</topic><topic>Limbs</topic><topic>lower extremity</topic><topic>Lower limbs</topic><topic>Models, Theoretical</topic><topic>Motivation</topic><topic>nursing</topic><topic>Outpatient clinics</topic><topic>Patient education</topic><topic>patients</topic><topic>Perceptions</topic><topic>Peripheral arterial disease</topic><topic>Peripheral Arterial Disease - surgery</topic><topic>Relatedness</topic><topic>Revascularization</topic><topic>Self care</topic><topic>Self-Management</topic><topic>structural equation model</topic><topic>Structural equation modeling</topic><topic>Surveys and Questionnaires</topic><topic>Vein & artery diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, So‐Young</creatorcontrib><creatorcontrib>Lee, Yun Mi</creatorcontrib><creatorcontrib>Son, Youn‐Jung</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of advanced nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, So‐Young</au><au>Lee, Yun Mi</au><au>Son, Youn‐Jung</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors associated with self‐management after hybrid revascularization in patients with peripheral artery disease: A structural equations model</atitle><jtitle>Journal of advanced nursing</jtitle><addtitle>J Adv Nurs</addtitle><date>2023-01</date><risdate>2023</risdate><volume>79</volume><issue>1</issue><spage>170</spage><epage>181</epage><pages>170-181</pages><issn>0309-2402</issn><eissn>1365-2648</eissn><abstract>Aim
To investigate the factors associated with self‐management after hybrid revascularization in patients with lower extremity peripheral artery disease using a structural equation modelling approach.
Design
A cross‐sectional study was adopted.
Methods
A total of 221 patients who underwent hybrid revascularization for peripheral artery disease of the lower limbs were included from outpatient clinics at a 1200‐bed tertiary care hospital in Korea. Data were collected using a self‐reported questionnaire between December 1, 2019, and August 31, 2020. Structural equation modelling was applied to test the hypothetical model.
Results
The item mean score of participants' self‐management was 6.28 (standard deviation, 0.83) out of 8. The structural equation modelling had a good fit index. Autonomy support from healthcare providers was directly associated with self‐management (β = 0.20, p = 0.041). Illness perception directly (β = −0.33, p = 0.031) and indirectly (β = −0.19, p = 0.032) influenced self‐management through competence and relatedness in patients with peripheral artery disease. The construct of autonomy support from healthcare providers, illness perception, competence and relatedness accounted for 49% of the variance in self‐management.
The Sobel test confirmed the statistically significant mediating effects of competence (z = −4.52, p < 0.001) and relatedness (z = −2.12, p < 0.001) on the relationship between illness perception and self‐management.
Conclusion
Our findings revealed that autonomy support from healthcare providers and patients' illness perception directly influenced patients' self‐management. Additionally, patients' illness perception can indirectly influence self‐management through their perceived competence and relatedness.
Impact
Healthcare providers' autonomy support to patients may promote self‐care behaviours, leading to greater autonomous motivation. Assessment of patients' illness perception before patient education is vital to designing effective self‐management strategies which can improve patients' perceived competency and meaningful relatedness with healthcare providers.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>36082905</pmid><doi>10.1111/jan.15440</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-0961-9606</orcidid></addata></record> |
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| ispartof | Journal of advanced nursing, 2023-01, Vol.79 (1), p.170-181 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Autonomy Competence Cross-Sectional Studies Disease management Health behavior Health education Humans hybrid revascularization Illnesses Limbs lower extremity Lower limbs Models, Theoretical Motivation nursing Outpatient clinics Patient education patients Perceptions Peripheral arterial disease Peripheral Arterial Disease - surgery Relatedness Revascularization Self care Self-Management structural equation model Structural equation modeling Surveys and Questionnaires Vein & artery diseases |
| title | Factors associated with self‐management after hybrid revascularization in patients with peripheral artery disease: A structural equations model |
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