Well-being mediates the effects of social support and family function on self-management in elderly patients with hypertension

Zhang, Xiaonan; Zheng, Youli; Qiu, Chen; Zhao, Yue; Zang, Xiaoying

doi:10.1080/13548506.2019.1687919

Cited by 22 publications

(35 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Happiness was a partial mediating variable of social support and self-management ( p < 0.05) and explained 89.9% of the variance; the R 2 value was 66.3%. Studies have suggested that patients can achieve self-management by improving their social support, family function, and increasing their happiness [ 27 ].…”

Section: Introductionmentioning

confidence: 99%

The Mediating Role of Psychological Well-Being in the Relationship between Self-Care Knowledge and Disease Self-Management in Patients with Hypertensive Nephropathy

Chen

Sun

et al. 2022

IJERPH

View full text Add to dashboard Cite

Objective: This study aimed to investigate the correlation between self-care knowledge, psychological well-being, and disease self-management in patients with hypertensive nephropathy, and to assess the effect of psychological well-being as a mediator of self-care knowledge and disease self-management. Methods: This is a cross-sectional study. The 220 patients with hypertensive nephropathy were recruited from a teaching hospital in Taiwan using purposive sampling. The average age was 70.14 (SD = 11.96) years old. Among them, 128 (58.2%) were male and 92 (41.8%) were female. Instruments included a hypertensive nephropathy self-care knowledge scale, the World Health Organization-5 Well-Being Index, and the chronic kidney disease self-management instrument. The mediating effect was determined with linear regression models and the Sobel test. Results: The total explanatory variation of age, systolic blood pressure, psychological well-being, and self-care knowledge on the disease self-management was 27.7%. Psychological well-being was the most important explanatory factor and alone explains 16%. Psychological well-being was a partial mediator of self-care knowledge and quality of life in patients with hypertensive nephropathy, with a total effect of 23.2%. Conclusions: This study showed that older patients with hypertensive nephropathy and those with a higher systolic blood pressure had lower levels of disease self-management. The higher the patients’ self-care knowledge and psychological well-being, the better their disease self-management.

show abstract

Section: Introductionmentioning

confidence: 99%

The Mediating Role of Psychological Well-Being in the Relationship between Self-Care Knowledge and Disease Self-Management in Patients with Hypertensive Nephropathy

Chen

Sun

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…Family function is closely related to self‐management (Zhang et al, 2020). Multiple approaches to family interventions in improving self‐management have been confirmed (Baig et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

Exploring perceived challenges of self‐management in low‐income older people with hypertension: A qualitative study

Zhang

Liu

Zhang

et al. 2022

Int J of Nursing Practice

View full text Add to dashboard Cite

Background Hypertension is a public health problem globally. Understanding the perceived challenges of low‐income older people populations with chronic disease is an obstacle the world is facing today. Aim To explore perceived challenges of self‐management in low‐income older people with hypertension. Methods Data were collected in three communities from September 2019 to October 2019 by semi‐structured interviews. Interviews were audio‐taped by digital voice recorder and analysed according to Colaizzi's seven steps. Results Participants demonstrated perceived challenges concerning hypertension self‐management. Six themes were identified: hypertension belief bias, family dysfunction, deep‐rooted habit, elder self‐neglect, medical informatization and supportive health policy. Each theme was identified with several subthemes. Conclusions Findings implied that most of the low‐income older people lacked self‐management behaviours. Future research is needed to address perceived challenges related to self‐management behaviour for patients with hypertension worldwide.

show abstract

“…Los programas de intervención educativa en las familias han mostrado un impacto favorable en el control de la presión arterial hasta 3 años después de concluidos 4 , y otros basados en psicoterapia cognitivo-conductual han mostrado un impacto favorable en la calidad de vida de los pacientes con hipertensión 7 . Asimismo, se ha demostrado la utilidad de estimular el autocuidado y la autogestión para mejorar el control de la presión arterial en adultos 8 , y el apoyo social y la adaptabilidad familiar 9 .…”

Section: Discussionunclassified

“…En estudios posteriores, los autores proponen abordar la contribución de estos factores al control de la presión arterial en sujetos sometidos a psicoterapia familiar. Un estudio con 517 pacientes de edad avanzada con hipertensión arterial ha sugerido que mejorar el autocuidado y la autogestión tendría ser parte de un enfoque integral que debería tener en cuenta el apoyo social, la función familiar y el bienestar, y que es importante promover la calidad de vida en pacientes hipertensos de edad avanzada con bajo apoyo social y baja función familiar 8 .…”

Section: Discussionunclassified

Psicoterapia familiar en pacientes con hipertensión no controlada. Estudio preliminar

Puga-Garfias

Mejía-Rodríguez

Kanán-Cedeño

et al. 2022

ACM

View full text Add to dashboard Cite

Resumen Antecedentes: La psicoterapia familiar ha demostrado tener un impacto positivo en la evolución de enfermos con trastornos psicosomáticos, y en aquellos con hipertensión arterial arterial pudiera mejorar el nivel de control de la enfermedad. Objetivo: Evaluar el impacto de una intervención en psicoterapia familiar en pacientes con hipertensión arterial sistémica no controlada. Método: Estudio con grupos comparados. 15 pacientes hipertensos no controlados, asignados a dos grupos: un de intervención, con 10 pacientes que recibieron psicoterapia familiar, y otro de control con 5 pacientes. En ambos grupos se continuó con el tratamiento farmacológico indicado por expertos. Se compararon ambos grupos antes y después de la intervención respecto a calidad de vida (InCaViSa), funcionamiento familiar (Escala de Funcionamiento Familiar), presión arterial sistólica y diastólica, índice de masa corporal, glucosa, colesterol, triglicéridos, ácido úrico y creatinina. Resultados: Hubo una mejoría cualitativa en los dominios de la escala InCaViSa para estimar la calidad de vida en el grupo de intervención y no hubo cambios estadísticamente significativos entre los grupos en cuanto a funcionamiento familiar y peso corporal. Entre las variables bioquímicas, solo el colesterol mostró una reducción significativa (p = 0.47). Se encontró una mayor movilidad de la familia hacia comportamientos más funcionales en el grupo que recibió la intervención, y también en este grupo disminuyeron las cifras de presión sistólica y diastólica (p < 0.001), así como el uso de antihipertensivos, ansiolíticos y antidepresivos. Conclusiones: La intervención psicoterapéutica familiar puede favorecer el control de la presión arterial, reducir las dosis de antihipertensivos, ansiolíticos y antidepresivos, y ayudar en la transición a estados de mejor funcionalidad familiar.

show abstract

Well-being mediates the effects of social support and family function on self-management in elderly patients with hypertension

Cited by 22 publications

References 28 publications

The Mediating Role of Psychological Well-Being in the Relationship between Self-Care Knowledge and Disease Self-Management in Patients with Hypertensive Nephropathy

The Mediating Role of Psychological Well-Being in the Relationship between Self-Care Knowledge and Disease Self-Management in Patients with Hypertensive Nephropathy

Exploring perceived challenges of self‐management in low‐income older people with hypertension: A qualitative study

Psicoterapia familiar en pacientes con hipertensión no controlada. Estudio preliminar

Contact Info

Product

Resources

About