Predictors of Self-Care Self-Efficacy in Adults Familiar with Palliative Care: The Role of Patient-Centered Communication, Health, and Well-Being.

IF 2 3区医学 Q2 MEDICINE, GENERAL & INTERNAL

Patient preference and adherence Pub Date : 2025-09-26 eCollection Date: 2025-01-01 DOI:10.2147/PPA.S529645

Cristian Ramos-Vera, Miguel Basauri-Delgado, Alicia Krikorian, Yaquelin E Calizaya-Milla, Jacksaint Saintila

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引用次数: 0

Abstract

Background: Understanding the determinants of self-care self-efficacy (SS) is essential to improving health outcomes in patients facing advanced disease. This study contributes to the field by examining the direct and indirect effects of quality of care (QC), patient-centered communication (PCC), perceived health (PH), and emotional well-being (EW) on SS in American adults with knowledge of palliative care.

Methods: A predictive-crossover design study was conducted. Data from N = 1154 adult respondents to the 2018 Health Information National Trends Survey (HINTS) 5, cycle 2 were used. Structural Equation Modeling (SEM) was used to report the direct and indirect effects for the proposed mediation model.

Results: QC had a strong, significant association with PCC (β =0.930, p <0.001). PCC was significantly associated with PH (β =0.104, p <0.01) and EW (β =0.098, p <0.01), but not directly with SS (β =0.030, p >0.05). SS was significantly predicted by PH (β =0.659, p <0.001) and EW (β =0.178, p <0.001). Indirect effects of PCC on SS via PH and EW were confirmed.

Conclusion: These findings highlight the importance of promoting perceived health and emotional well-being as key mechanisms by which care quality and communication impact self-efficacy. This study underscores the need to prioritize patient perceptions in palliative care interventions aimed at enhancing self-care capacity.

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熟悉姑息治疗的成人自我护理自我效能的预测因素：以病人为中心的沟通、健康和幸福的作用。

背景：了解自我保健自我效能感（SS）的决定因素对改善晚期疾病患者的健康结果至关重要。本研究通过研究护理质量（QC）、以患者为中心的沟通（PCC）、感知健康（PH）和情绪健康（EW）对姑息治疗知识的美国成年人的SS的直接和间接影响，为该领域做出了贡献。方法：采用预测交叉设计研究。数据来自2018年健康信息全国趋势调查（HINTS） 5第2周期的N = 1154名成年受访者。结构方程模型（SEM）用于报告所提出的中介模型的直接和间接影响。结果：QC与PCC有显著相关性（β =0.930, p 0.05）。结论：护理质量和沟通对自我效能感的重要影响机制是促进感知健康和情绪健康。这项研究强调需要优先考虑患者的看法，在姑息治疗干预旨在提高自我保健能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Patient preference and adherence MEDICINE, GENERAL & INTERNAL-

CiteScore

3.60

自引率

4.50%

发文量

354

审稿时长

6-12 weeks

期刊介绍： Patient Preference and Adherence is an international, peer reviewed, open access journal that focuses on the growing importance of patient preference and adherence throughout the therapeutic continuum. The journal is characterized by the rapid reporting of reviews, original research, modeling and clinical studies across all therapeutic areas. Patient satisfaction, acceptability, quality of life, compliance, persistence and their role in developing new therapeutic modalities and compounds to optimize clinical outcomes for existing disease states are major areas of interest for the journal. As of 1st April 2019, Patient Preference and Adherence will no longer consider meta-analyses for publication.