https://scholars.lib.ntu.edu.tw/handle/123456789/157646
Title: | Self-Efficacy, Self-Care Behaviours and Quality of Life of Kidney Transplant Recipients | Authors: | WENG, LI-CHUEH DAI, YU-TZU HUANG, HSIU -LI CHIANG, YANG-JEN |
Keywords: | kidney transplant recipients;nursing;quality of life;self-care behaviours;self-efficacy;Taiwan | Issue Date: | 2010 | Journal Volume: | v.66 | Journal Issue: | n.4 | Start page/Pages: | 828-838 | Source: | JOURNAL OF ADVANCED NURSING | Abstract: | AIM: This paper is a report of an exploration of the effects of self- efficacy and different dimensions of self- management on quality of life among kidney transplant recipients. BACKGROUND: Self-efficacy is an important factor influencing self-management. Patients with higher self- efficacy have better self-management and experience better quality of life . Self-efficacy influences the long-term medication-taking behaviour of kidney transplant recipients. METHOD: A longitudinal, correlational design was used. Data were collected during 2005-2006 with 150 adult kidney transplant recipients on self-efficacy, self-management and quality of life using a self-efficacy scale, self-management scale and the Medical Outcomes Scale SF-36 (Chinese), respectively. Relationships among variables were analysed by path analysis. RESULTS: Participants with higher self- efficacy scored significantly higher on the problem-solving( beta = 0.51), patient-provider partnership (beta = 0.44) and self-care behaviour (beta = 0.55) dimensions of self- management. Self-efficacy directly influenced self-care behaviour and indirectly affected the mental health component of quality of life (total effect = 0.14). Problem- solving and partnership did not statistically significantly affect quality of life. Neither self-efficacy nor self- management had any effect on the physical health component of quality of life. CONCLUSION: Transplant care teams should incorporate strategies that enhance self-efficacy, as proposed by social cognitive theory, into their care programmes for kidney transplant recipients. Interventions to maintain and improve patients' self-care behaviour should continue to be emphasized and facilitated. Support to enhance patients' problem-solving skills and the partnership of patients with health professionals is needed. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/241923 |
Appears in Collections: | 護理學系所 |
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