Abstract
Objectives To determine the role of adherence and its significance in the relationship between self-efficacy and self-management of diabetic patients undergoing coronary artery bypass graft (CABG) in Taiwan.
Design Descriptive and correlational survey design.
Setting Three outpatient clinics in Taiwan.
Participants Patients diagnosed with diabetes undergoing CABG at least 6 months before the study, 18 years of age or older, able to communicate verbally without any psychiatric problems, and with a life expectancy longer than 1 year.
Main outcome measures Self-management assessment (self-efficacy for managing disease and adherence to guidelines and medication measured on a scale of 0-8), the higher aspects of self-management (keeping appointments, taking medication properly and keeping follow-up appointments) and the lower aspects of self-management (inability to share decisions with primary physician, inability to take correct actions when symptoms worsen and inability to adapt habits to improve health).
Results The mean score obtained for self-management among the 166 participants was 6.48, with 57 (34.3%) of them showing non-adherent behaviour. Self-efficacy accounts for 38% (R2=0.380, F(1,103)=63.124, p2=0.540, F(2,102)=56.937, p2=0.589, F(6.98)=23.399, p2=0.641, F(14,90)=11.457, p2=0.674, F(17,87)=10.599, p
Conclusions The results confirm strong relationships between self-efficacy, adherence and self-management, with adherence having a significant mediating effect in post-CABG patients with diabetes in Taiwan.
| Original language | English |
|---|---|
| Pages (from-to) | 114-119 |
| Number of pages | 6 |
| Journal | Heart Asia |
| Volume | 4 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 2014 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
The role of adherence in the relationship between self-efficacy and self-management in diabetic patients undergoing CABG in Taiwan. / Tung, Heng Hsin; Lien, Ru Yu; Wei, Jeng; Clinciu, Daniel L.; Lee, Jyun Yi; Huang, Hui-Chuan.
In: Heart Asia, Vol. 4, No. 1, 2014, p. 114-119.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The role of adherence in the relationship between self-efficacy and self-management in diabetic patients undergoing CABG in Taiwan
AU - Tung, Heng Hsin
AU - Lien, Ru Yu
AU - Wei, Jeng
AU - Clinciu, Daniel L.
AU - Lee, Jyun Yi
AU - Huang, Hui-Chuan
PY - 2014
Y1 - 2014
N2 - Objectives To determine the role of adherence and its significance in the relationship between self-efficacy and self-management of diabetic patients undergoing coronary artery bypass graft (CABG) in Taiwan.Design Descriptive and correlational survey design.Setting Three outpatient clinics in Taiwan.Participants Patients diagnosed with diabetes undergoing CABG at least 6 months before the study, 18 years of age or older, able to communicate verbally without any psychiatric problems, and with a life expectancy longer than 1 year.Main outcome measures Self-management assessment (self-efficacy for managing disease and adherence to guidelines and medication measured on a scale of 0-8), the higher aspects of self-management (keeping appointments, taking medication properly and keeping follow-up appointments) and the lower aspects of self-management (inability to share decisions with primary physician, inability to take correct actions when symptoms worsen and inability to adapt habits to improve health).Results The mean score obtained for self-management among the 166 participants was 6.48, with 57 (34.3%) of them showing non-adherent behaviour. Self-efficacy accounts for 38% (R2=0.380, F(1,103)=63.124, p2=0.540, F(2,102)=56.937, p2=0.589, F(6.98)=23.399, p2=0.641, F(14,90)=11.457, p2=0.674, F(17,87)=10.599, pConclusions The results confirm strong relationships between self-efficacy, adherence and self-management, with adherence having a significant mediating effect in post-CABG patients with diabetes in Taiwan.
AB - Objectives To determine the role of adherence and its significance in the relationship between self-efficacy and self-management of diabetic patients undergoing coronary artery bypass graft (CABG) in Taiwan.Design Descriptive and correlational survey design.Setting Three outpatient clinics in Taiwan.Participants Patients diagnosed with diabetes undergoing CABG at least 6 months before the study, 18 years of age or older, able to communicate verbally without any psychiatric problems, and with a life expectancy longer than 1 year.Main outcome measures Self-management assessment (self-efficacy for managing disease and adherence to guidelines and medication measured on a scale of 0-8), the higher aspects of self-management (keeping appointments, taking medication properly and keeping follow-up appointments) and the lower aspects of self-management (inability to share decisions with primary physician, inability to take correct actions when symptoms worsen and inability to adapt habits to improve health).Results The mean score obtained for self-management among the 166 participants was 6.48, with 57 (34.3%) of them showing non-adherent behaviour. Self-efficacy accounts for 38% (R2=0.380, F(1,103)=63.124, p2=0.540, F(2,102)=56.937, p2=0.589, F(6.98)=23.399, p2=0.641, F(14,90)=11.457, p2=0.674, F(17,87)=10.599, pConclusions The results confirm strong relationships between self-efficacy, adherence and self-management, with adherence having a significant mediating effect in post-CABG patients with diabetes in Taiwan.
UR - http://www.scopus.com/inward/record.url?scp=84949128159&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84949128159&partnerID=8YFLogxK
U2 - 10.1136/heartasia-2012-010155
DO - 10.1136/heartasia-2012-010155
M3 - Article
AN - SCOPUS:84949128159
VL - 4
SP - 114
EP - 119
JO - Heart Asia
JF - Heart Asia
SN - 1759-1104
IS - 1
ER -