The mediating effect of self‐efficacy on the relationship between family functioning and quality of life among elders with chronic diseases

Abstract

With the ageing of the global population, the number of communitydwelling elderly individuals with chronic diseases is increasing (Sun et al., 2019;Zhou et al., 2016). It was reported that the four most common non-communicable chronic diseases (NCDs) among elderly individuals were cancer, diabetes, cardiovascular disorders and lung disease. The four major NCDs and a handful of other chronic conditions were responsible for two-thirds of mortality globally in 2016 (Nugent, 2019). In China, the Study of Global AGEing and Adult Health (SAGE)-China Wave 1 cross-sectional study reported that half of the elderly individuals in China had at least one chronic illness (Zhao et al., 2018). In 2015, the China Family Development Report (2015) released by the National Health and Family Planning Commission showed that half of all elderly people were living without children (Croll et al., 2019), and the proportion was higher in rural areas than in urban areas; additionally, their family functioning was poor. Because of the characteristics of chronic diseases in the elderly population, such as long disease duration, difficult self-healing, complex aetiology, many complications, and high cost of treatment, coupled with retirement syndrome and other family and social factors, physical and psychological diseases are common in the elderly

Effects of Disability Severity on the Family Burden of Home-Dwelling Uygur and Kazakh Aged in Rural Western China: Family Function as a Mediator

“…The total score is divided into three categories: a score of 7 to 10 corresponds to normal, 4 to 6 corresponds to moderate dysfunction, and 0 to 3 corresponds to severe dysfunction in FF. The APGAR was applied in community-based elderly research (with Cronbach's α = .84) in Yuan et al's (2021) study. In this study, the Cronbach's alpha of the APGAR scale was .81.…”

Demand analysis of telenursing among empty-nest elderly individuals with chronic diseases based on the Kano model

“…The term “empty nester” refers to elderly individuals (age over 65 years of age) who live alone or live with their spouse because they do not have children or because their children are married or work outside for a long time ( 9 ). In China, it is estimated that the proportion of empty-nest elderly individuals will reach 90% by 2030, which means that almost all elderly families will be empty-nest families ( 10 ). Empty nesters face the uncertainty of financial support and spiritual consolation ( 11 ).…”

Teleenfermería Como Herramienta Para Favorecer La Autoeficacia en Personas Con Enfermedades Crónicas

“…Con ello, se apunta a alcanzar las metas propuestas por la OMS para minimizar los efectos de las EC en la población mundial y alcanzar los objetivos del MCC (4) . En este contexto, la autoeficacia: "proceso cognitivo donde, a través de la influencia ambiental e influencia social, los individuos aprenden nuevos comportamientos que intervienen en su capacidad para mejorar eventos futuros" (5) , es un indicador clave cuando se trata de establecer estrategias para cambiar las conductas de personas que padecen una EC, porque les permite modificar estilos de vida poco saludables o hábitos nocivos, mejorar o mantener la adherencia terapéutica y evitar el surgimiento de comorbilidades (6) . Por ello, potenciar la autoeficacia en salud es fundamental para obtener mejores resultados e influir positivamente en la calidad de vida de las personas afectadas por una o más EC.…”

“…Enfermería ha sido parte, desde su propia disciplina, de la implementación de estrategias específicas de acompañamiento virtual a personas con EC para promover, entre otros aspectos, su autoeficacia. Considerando que la Teleenfermería responde a estos propósitos y es clave para brindar una atención sociosanitaria holística y de calidad en pacientes crónicos (2,6) , este artículo describe a la Teleenfermería como herramienta estratégica para favorecer el desarrollo de la autoeficacia en personas con EC.…”