Conectar
To investigate the latent profiles and correlates of self-management behaviours in Chinese rheumatoid arthritis patients and the effects of different latent profiles on the quality of life of rheumatoid arthritis patients.
A cross-sectional survey was used to study rheumatoid arthritis patients. The five dimensions of the Rheumatoid Self-Management Competence Scale were used as exogenous indicators for potential categorisation, and the effects of potential categorisation were analysed by mixed regression to explore the effects of different categorisations on quality of life.
Self-management behaviours of rheumatoid arthritis patients were classified into three latent profiles: low self-management daily life management group (25.7%), medium self-management medical behaviour management group (57.3%) and high self-management daily life management group (17.0%). Age, literacy level, per capita monthly income, joint functional status, self-efficacy, health literacy, disease perception level and social support were significant correlates of self-management status in patients with rheumatoid arthritis. Patients in the ‘high self-management daily life management group’ reported the best quality of life, while those in the ‘low self-management daily life management group’ reported the worst quality of life.
There was significant heterogeneity in self-management skills among rheumatoid arthritis patients. Healthcare professionals should develop personalised interventions based on self-management profiles in patients with rheumatoid arthritis in order to enhance patients' self-management ability and improve their quality of life.
Few studies have discussed the differences in the various dimensions of rheumatoid self-management levels, and self-management care measures need to be improved for different levels of self-management. This study categorised the level of self-management in rheumatoid arthritis patients into three profiles. The results of this study may provide more personalised interventions for patients with rheumatoid arthritis.
The study adhered to the STROBE checklist.
The subjects of the study were outpatient rheumatoid arthritis patients. Prior to the survey, patients were informed about the purpose of the study, informed consent was given to them and signed and they filled out the questionnaire independently. For patients who were unable to fill out the questionnaire, the study members explained it objectively to them and helped them select the appropriate option.
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).
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.
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.
The study used the STROBE checklist for reporting.
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.
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.
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.
Questionnaires filled out by patients were used to understand the association between quality of discharge teaching, discharge readiness, self-efficacy and self-management.
FreshRSS 