Effect of self-efficacy, self-care behaviours on depressive symptom of Taiwanese kidney transplant recipients
Resource
Jounal of Clincal Nursing v.17 n.13 pp.1786-1794
Journal
Jounal of Clincal Nursing
Journal Volume
v.17
Journal Issue
n.13
Pages
1786-1794
Date Issued
2008
Date
2008
Author(s)
WENG, LI-CHUEH
DAI, YU-TZU
WANG, YI-WEN
HUANG, HSIU-LI
CHIANG, YANG-JEN
Abstract
AIMS: The aim of this study was to examine the effect of self-efficacy on depression and to consider the mediating effect of self-care behaviour. BACKGROUND: Depression is a problem for kidney transplant recipients and can compromise their quality of life. From other studies on chronic illnesses, self-efficacy and self-care behaviour have been considered to be potential determinants for depressive symptoms. However, none of these previous studies have investigated the relationships among these variables in kidney transplantation recipients. DESIGN: A cross-sectional survey employing correlation design and purposive sampling was used. METHODS: One hundred and seventy-seven persons who had received a kidney transplant participated. A self-administrated questionnaire and a medical record audit were used to collect data. The data were analysed using correlation and hierarchical linear regression methods. RESULTS: The average score of depressive symptoms was 8.61 SD 7.64. Among the participants in the study, 32.8% had scores of depressive symptoms higher than 11 (indicating mild to severe symptoms of depression). Self-efficacy and self-care behaviour had direct negative effects on depressive symptoms. Self-care behaviour had partial mediating effect on the relationship between self-efficacy and depression. Total variance explained was 23%. CONCLUSION: Depressive symptoms are still a problem that need to be addressed among kidney transplantation patients. Patients who have higher self-efficacy and higher self-care behaviour will have lower depressive symptoms. Our results support that self-efficacy is the significant predictor of depressive symptoms. RELEVANCE TO CLINICAL PRACTICE: Self-efficacy is a powerful and modifiable determinant of depressive symptoms. We should design interventions that focus not only on the skill aspects of self-care behaviour but also on those that have a strong connection with self-efficacy. We could incorporate the self-efficacy-enhanced strategies as proposed by social cognitive theory into the kidney transplantation care programme.
Subjects
depression
kidney transplantation
nurses
nursing
self- efficacy
social cognitive therapy