Personal mastery and quality of life in patients with atrial fibrillation after radiofrequency ablation: The mediating role of health promoting behavior

IF 2.4 4区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Heart & Lung Pub Date : 2024-04-23 DOI:10.1016/j.hrtlng.2024.04.016
Feng-juan Wang , Chun Zhang , Min-min Cai , Jie-qiong Zhang , Hai-xia Wang
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Abstract

Background

Improving quality of life is vital for patients with atrial fibrillation (AF) after radiofrequency ablation. Quality of life can be affected not only by personal mastery but also by health promoting behavior as previously studied. However, it remains unclear whether health promoting behavior mediates the relationship between personal mastery and quality of life.

Objectives

To explore whether health promoting behavior mediates the relationship between personal mastery and quality of life in patients with AF after radiofrequency ablation.

Methods

A cross-sectional design and convenience sampling were conducted at a tertiary hospital in China. Self-reported questionnaires were used to assess personal mastery, health promoting behavior and quality of life. SPSS and AMOS software were used for statistical analysis.

Results

A total of 202 patients with AF after radiofrequency ablation were enrolled (mean age 58.28 ± 12.70 years). The scores for personal mastery and quality of life were 22.52 ± 2.53 points and 62.58 ± 8.59 points, respectively, indicating a limited level. The health promoting behavior exhibited a moderate level, with scores averaging 103.82 ± 8.47 points. There was a positive correlation between the three variables (all P < 0.05). Health promoting behavior played a partial mediating role in the relationship between personal mastery and quality of life in patients with AF after radiofrequency ablation, accounting for 44.79 % of the total effect.

Conclusions

In order to improve quality of life and prognosis, it is necessary to consider enhancing personal mastery and increasing patient compliance with health promoting behavior, which are important ways to improve their quality of life.

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射频消融术后心房颤动患者的个人掌控能力和生活质量:促进健康行为的中介作用
背景提高生活质量对射频消融术后的心房颤动(房颤)患者至关重要。生活质量不仅会受到个人掌握程度的影响,而且还会受到促进健康行为的影响,这一点此前已有研究。目的 探讨射频消融术后心房颤动患者的健康促进行为是否会介导个人掌握感与生活质量之间的关系。方法 在中国一家三级医院进行横断面设计和便利抽样调查。采用自我报告问卷评估个人主人翁意识、健康促进行为和生活质量。结果 共纳入 202 名射频消融术后房颤患者(平均年龄 58.28±12.70 岁)。个人掌握程度和生活质量得分分别为(22.52±2.53)分和(62.58±8.59)分,显示为有限水平。健康促进行为表现出中等水平,平均得分为 103.82 ± 8.47 分。三个变量之间存在正相关(均为 P < 0.05)。健康促进行为在射频消融术后房颤患者的个人掌握与生活质量之间的关系中发挥了部分中介作用,占总效应的 44.79%。结论为了改善生活质量和预后,有必要考虑加强个人掌握和提高患者对健康促进行为的依从性,这是改善生活质量的重要途径。
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来源期刊
Heart & Lung
Heart & Lung 医学-呼吸系统
CiteScore
4.60
自引率
3.60%
发文量
184
审稿时长
35 days
期刊介绍: Heart & Lung: The Journal of Cardiopulmonary and Acute Care, the official publication of The American Association of Heart Failure Nurses, presents original, peer-reviewed articles on techniques, advances, investigations, and observations related to the care of patients with acute and critical illness and patients with chronic cardiac or pulmonary disorders. The Journal''s acute care articles focus on the care of hospitalized patients, including those in the critical and acute care settings. Because most patients who are hospitalized in acute and critical care settings have chronic conditions, we are also interested in the chronically critically ill, the care of patients with chronic cardiopulmonary disorders, their rehabilitation, and disease prevention. The Journal''s heart failure articles focus on all aspects of the care of patients with this condition. Manuscripts that are relevant to populations across the human lifespan are welcome.
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