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Self-Care Behaviors Mediate the Impacts of Social Support and Disease Knowledge on Health-Related Quality of Life in Patients With Heart Failure

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  • Yujin Jeong
  • Heajin Yu
  • Boyoung Hwang

Abstract

This study was aimed to test the mediation effect of self-care on the associations of social support and heart failure (HF) knowledge with health-related quality of life (HRQOL). We analyzed baseline data from patients with HF ( n  = 122) enrolled in a randomized controlled trial. Mediation analysis was conducted using Hayes’ PROCESS macro for SPSS with Model 4, based on the bias-corrected bootstrap method. Higher levels of social support and HF knowledge were associated with better self-care. Better self-care was associated with better HRQOL. While social support and HF knowledge had no significant direct effects on HRQOL, they indirectly affected HRQOL through self-care. Our findings suggest that social support and HF knowledge affect HRQOL indirectly through self-care. To improve the HRQOL in patients with HF, it is necessary to motivate them to perform regular self-care by enhancing their HF knowledge and providing social support. Clinical trial identifier: KCT0002400 ( https://cris.nih.go.kr )

Suggested Citation

  • Yujin Jeong & Heajin Yu & Boyoung Hwang, 2022. "Self-Care Behaviors Mediate the Impacts of Social Support and Disease Knowledge on Health-Related Quality of Life in Patients With Heart Failure," Clinical Nursing Research, , vol. 31(7), pages 1308-1315, September.
  • Handle: RePEc:sae:clnure:v:31:y:2022:i:7:p:1308-1315
    DOI: 10.1177/10547738221092864
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