Structural Equation Modeling of Self-Management of Liver Transplant Recipients
Journal of Korean Academy of Nursing
;
: 663-675, 2017.
Article
in Korean
| WPRIM
| ID: wpr-39227
ABSTRACT
PURPOSE:
The purpose of this study was to construct and test a structural equation model of self-management of liver transplant recipients based on self-determination theory.METHODS:
Participants were 275 outpatients who received liver transplantation. A structured self-report questionnaire was used to assess health care providers' autonomy support, transplant-related characteristics, illness consequence perception, autonomy, competence, family relatedness, depression and self-management. Collected data were analyzed using SPSS/WIN 24.0 and AMOS 24.0 program.RESULTS:
The modified model showed a good fitness with the data GFI=.96, RMSEA=.06, CFI=.96, NFI=.93, TLI=.93, PGFI=.43, PNFI=.49. The health care providers' autonomy support, competence, family relatedness and depression were factors with a direct influence on the self-management of liver transplant recipients. The health care providers' autonomy support and illness consequence perception had an indirect influence through competence, family relatedness and depression. However, the transplant-related characteristics and autonomy did not have a significant effect on self-management. This model explained 59.4% of the variance in self-management.CONCLUSION:
The result suggests that continuous education must be done to promote the competence of liver transplant recipients and to encourage the patient to positively perceive their current health condition with a view that enhances one's self-management. Additionally, the liver transplant recipients should be screened for depression, which would affect self-management. Most of all, health care providers, who have the most influence on self-management, should improve therapeutic communication and try to form a therapeutic relationship with the liver transplant recipients.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Outpatients
/
Self Care
/
Health Behavior
/
Chronic Disease
/
Liver Transplantation
/
Mental Competency
/
Health Personnel
/
Delivery of Health Care
/
Depression
/
Education
Type of study:
Prognostic study
/
Qualitative research
Limits:
Humans
Language:
Korean
Journal:
Journal of Korean Academy of Nursing
Year:
2017
Type:
Article
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