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http://dx.doi.org/10.22650/JKCNR.2022.28.1.23

Self-care in Patients with Atrial Fibrillation Based on the Theory of Unpleasant Symptoms  

Kim, Min Young (Department of Nursing, The Catholic University of Korea Seoul ST. Mary's Hospital)
Lee, Sun Hee (Department of Nursing, The Catholic University of Korea Seoul ST. Mary's Hospital)
Park, Han Jong (College of Nursing, The Catholic University of Korea)
Publication Information
Journal of Korean Clinical Nursing Research / v.28, no.1, 2022 , pp. 23-33 More about this Journal
Abstract
Purpose: This study aimed to identify the relationships among disease severity, anxiety, depression, social support, unpleasant symptoms and self-care among patients with atrial fibrillation based on the unpleasant symptom theory, and to examine the mediating effects of unpleasant symptoms. Methods: A cross-sectional study was conducted. The participants were 216 patients with atrial fibrillation who were being followed up on an outpatient basis at a university hospital in Seoul. Data were collected from November 1, 2020 to June 30, 2021, using self-report questionnaires. Data were analyzed using IBM SPSS/WIN 27.0 and PROCESS macro with 95% bias-corrected bootstrap confidence interval(CI). Results: The average age of participants in this study was 66.0years. Disease severity (β=10.19, p<.001) and depression (β=1.53, p<.001) had significant positive relationships with unpleasant symptoms. Also, unpleasant symptoms (β=-0.03, p=.006) had a negative relationship with physical activity, which is a subscale of self- care. Social support (β=0.06, p<.001) was positively related with physical activity. Unpleasant symptoms showed a mediation effect in the relationship between disease severity and physical activity (Bias corrected bootstrap CI -0.65, -0.04). Depression had an indirect effect on physical activity that was mediated by unpleasant symptoms (Bias corrected bootstrap CI -0.11, -0.00). Conclusion: The findings of this study suggest that integrated strategies including physical, psychological, and social factors should be considered to promote self-care in patients with atrial fibrillation.
Keywords
Atrial Fibrillation; Social Support; Self-Care;
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