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Self-care confidence mediates the relationship between type D personality and self-care adherence in chinese heart
Li Liu1, Xiuhua Wang1, Xi Cao2
1Xiangya nursing school, Central South University, Changsha, Hunan Province, China.
Background:
Existing theory and evidence suggest that self-care confidence may mediate the relationship between Type D personality and self-care adherence.
Objectives:
To assess the mediating role of self-care confidence between Type D personality and self-care adherence in Chinese HF patients.
Methods:
This is a secondary analysis of a cross-sectional study. Self-care confidence and self-care adherence (maintenance) were measured by the subscales of the Self-Care of Heart Failure Index (v6). The Type D Scale-14 was administered to assess negative affect (NA), social inhibition (SI), and Type D personality. Mediation analysis based on Baron and Kenny was performed.
Results:
A total of 127 HF patients were included. Self-care confidence partially mediated the relationship between Type D personality and self-care adherence but completely mediated the relationship between NA/SI and self-care adherence.
Conclusions:
Clinicians may effectively improve self-care adherence by enhancing self-care confidence in HF patients with Type D personality.
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