| Research background and purpose:To investigate and understand the current situation and influencing factors of empowerment of patients with coronary heart disease;to analyze the relationship between empowerment and chronic disease resource utilization,perceived control,and self-efficacy of the study subjects;to explore the pathways and magnitude of the influence of chronic disease resource utilization,perceived control,and self-efficacy on the empowerment of the study subjects,so as to provide relevant research on chronic disease empowerment and nursing empowerment that strengthens positive factors and weakens negative factors The study will provide basic information for intervention studies on chronic disease empowerment and strengthening positive and weakening negative factors.Materials and Methods:The study was a cross-sectional survey using convenience sampling method,and336 patients with coronary heart disease who attended cardiovascular medicine departments in 2 tertiary hospitals in Chengdu from March 2022 to December 2022 were selected using general information questionnaire,Chinese version of patient perception empowerment scale(CV-PPES),Chinese version of Chronic Illness Resource Survey Scale(CV-CIRS),Control Attitudes Scale-Revised(CAS-R),and Coronary Heart Disease Self-Efficacy Scale,to explore the current empowerment status of patients with coronary heart disease and related influencing Factors.Statistical treatments were performed with the help of SPSS 25.0 software,using t-test,one-way ANOVA,and multiple linear regression analysis to explore the influencing factors of empowerment,and the Process 3.3 plug-in of SPSS 25.0 to explore the mediating effects of chronic disease resource utilization and perceived control in the relationship between self-efficacy and empowerment.Results:1.A total of 338 patients with coronary heart disease were investigated in this study,and 2 invalid questionnaires were excluded,resulting in 336 valid questionnaires,with a valid recovery rate of 99.41%.In this study,among the 336 patients with coronary heart disease who participated in the survey,the age distribution was from 23 to 91 years old,including 167 cases(49.7%)aged <60 years old and 169 cases(50.3%)aged ≥60 years old;195 cases(58.0%)were male and 141 cases(42.0%)were female;81.9% of the patients had at least one combination of hypertension,diabetes mellitus and dyslipidemia,which are three common cardiovascular disease comorbidities,especially hypertension was the most common;In this study,the total empowerment score(43.67±6.02),the total chronic disease resource utilization score(54.89±13.66),the total perceived control score(28.22±4.32),and the total self-efficacy score(41.05±10.21)of patients with coronary heart disease;the results of univariate analysis showed that the empowerment scores of patients with different age,marital status,place of residence,and disease duration characteristics of coronary heart disease The results of univariate analysis showed that there were statistically significant differences in empowerment scores among patients with different age,marital status,residence,and disease duration characteristics(P<0.05).<60 years old,middle-aged and young adults,spouses(in marriage),permanent residents in towns,and subjects with coronary heart disease duration <1 year had better empowerment;3.The results of multiple linear regression analysis showed that patients’ age,marital status,duration of coronary heart disease,number of comorbidities,chronic disease resource utilization level,perceived control level,and self-efficacy level jointly explained 39.0% of the total variation in empowerment scores;different gender,age,marital status,occupational status,and education level jointly explained 37.7% of the total variation in chronic disease resource scores;patients’ level of cardiac functioning and occupational status jointly explained 6.5% of the total variation in perceived control scores;patients’ level of cardiac functioning explained 2.7% of the total variation in self-efficacy scores;4.The results of Pearson correlation analysis showed that the total empowerment score was positively correlated with the total chronic disease resource utilization,perceived control,and self-efficacy scores,and the differences were statistically significant(r=0.322,P<0.01;r=0.488,P<0.01;r=0.391,P<0.01).Multiple linear regression analysis revealed that general demographic information explained 5.2% of the total variance in empowerment(F=3.639,P<0.01);chronic disease resource utilization explained 29.1% of the total variance in empowerment(F=23.947,P<0.01)and perception control explained 23.6% of the total variance in empowerment after controlling for confounding factors(F= 104.359,P<0.01),and self-efficacy explained14.8% of the total variance in empowerment(F=30.179,P<0.01).Mediating effect analysis showed that chronic disease resource utilization and perceived control played a chain mediating effect between self-efficacy and empowerment in patients with coronary heart disease,respectively,with the mediating effect accounting for 61.65% of the total effect.Conclusions:1.Empowerment of patients with coronary heart disease is at a low to medium level and still needs to be improved.2.Chronic disease resource utilization,perceived control,and self-efficacy all positively affected empowerment;having a spouse,number of cardiovascular comorbidities,and empowerment level were positively associated with empowerment;age and disease duration were negatively associated with empowerment.3.Chronic disease resource utilization and perceived control play a chain mediating effect between self-efficacy and empowerment in patients with coronary heart disease,respectively. |
