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The Mediating Role of Psychological Well-Being in the Relationship between Self-Care Knowledge and Disease Self-Management in Patients with Hypertensive Nephropathy

Author

Listed:
  • Wen-Chun Chen

    (Department of Nursing, Chiayi Campus, Chang Gung University of Science and Technology, Taoyuan City 600, Taiwan
    Department of Community Medicine, St. Martin De Porres Hospital, Chiayi 600, Taiwan)

  • Shu-Fang Vivienne Wu

    (School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei 112, Taiwan)

  • Juo-Hsiang Sun

    (Department of Long-Term Care, National Taipei University of Nursing and Health Sciences, Taipei 112, Taiwan)

  • Chun-Yi Tai

    (School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei 112, Taiwan)

  • Mei-Chen Lee

    (School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei 112, Taiwan)

  • Chun-Hua Chu

    (Research Center for Healthcare Industry Innovation, National Taipei University of Nursing and Health Sciences, Taipei 112, Taiwan)

Abstract

Objective: This study aimed to investigate the correlation between self-care knowledge, psychological well-being, and disease self-management in patients with hypertensive nephropathy, and to assess the effect of psychological well-being as a mediator of self-care knowledge and disease self-management. Methods: This is a cross-sectional study. The 220 patients with hypertensive nephropathy were recruited from a teaching hospital in Taiwan using purposive sampling. The average age was 70.14 (SD = 11.96) years old. Among them, 128 (58.2%) were male and 92 (41.8%) were female. Instruments included a hypertensive nephropathy self-care knowledge scale, the World Health Organization-5 Well-Being Index, and the chronic kidney disease self-management instrument. The mediating effect was determined with linear regression models and the Sobel test. Results: The total explanatory variation of age, systolic blood pressure, psychological well-being, and self-care knowledge on the disease self-management was 27.7%. Psychological well-being was the most important explanatory factor and alone explains 16%. Psychological well-being was a partial mediator of self-care knowledge and quality of life in patients with hypertensive nephropathy, with a total effect of 23.2%. Conclusions: This study showed that older patients with hypertensive nephropathy and those with a higher systolic blood pressure had lower levels of disease self-management. The higher the patients’ self-care knowledge and psychological well-being, the better their disease self-management.

Suggested Citation

  • Wen-Chun Chen & Shu-Fang Vivienne Wu & Juo-Hsiang Sun & Chun-Yi Tai & Mei-Chen Lee & Chun-Hua Chu, 2022. "The Mediating Role of Psychological Well-Being in the Relationship between Self-Care Knowledge and Disease Self-Management in Patients with Hypertensive Nephropathy," IJERPH, MDPI, vol. 19(14), pages 1-11, July.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:14:p:8488-:d:860591
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