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Relationship between self-care adherence, time perspective, readiness to change and executive function in patients
Han Shi Jocelyn Chew1, Kheng Leng David Sim2, Kai Chow Choi3
1The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, 6/F, Esther Lee Building, Shatin, N.T., Hong Kong. jocelyn.chew.hs@link.cuhk.edu.hk.
Abstract:
This study examined the relationship between self-care adherence, time perspective (TP), readiness to change (RTC) and executive function in heart failure (HF) self-care. 147 heart failure patients completed questionnaires on self-care, TP, RTC; and cognitive tasks that reflect working memory and inhibition. Positive correlation was found between self-care, future-oriented TP (r = 0.362, P = 0.01), RTC (r = 0.184, P = 0.05) and working memory (r = 0.174, P = 0.01). Mediation analysis elucidated the indirect effect of RTC on self-care through TP (B = 1.205, bias-corrected bootstrapped at 95% confidence interval 0.532, 2.145) explaining 62.0% of the total effect. Working memory did not moderate this relationship and inhibition did not predict self-care. Self-care scores were lower than cut-off of 70 (mean = 51.2, standard deviation = 17.2). Age (r = - 0.220), staying alone (r = - 0.270) income < 1000 (r = - 0.270) and not having formal education (r = - 0.165) were correlated with TP. Healthcare professionals could motivate HF patients to perform regular self-care behaviours by tailoring interventions according to their TP and RTC.
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