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Social Support and Hospital Discharge Readiness in CHD Patients: Mediating Roles of Self-Efficacy and Adherence

Dandan Wang1, Na Yang1, Cheng Wei1

  • 1School of Nursing, Wannan Medical College, Wuhu, Anhui, People's Republic of China.

Patient Preference and Adherence
|June 11, 2026
PubMed

Insights

Social support significantly improves hospital discharge readiness for coronary heart disease patients indirectly through enhanced self-efficacy. Medication adherence is also a key independent factor for successful discharge.

Area of Science:

  • Cardiology
  • Health Psychology
  • Nursing Research

Background:

  • Coronary heart disease (CHD) patients face challenges in transitioning from hospital to home.
  • Understanding factors influencing discharge readiness is crucial for effective patient management and recovery.
  • Social support, self-efficacy, and medication adherence are potential key determinants.

Purpose of the Study:

  • To investigate the associations among social support, self-efficacy, medication adherence, and discharge readiness in CHD patients.
  • To examine the mediating roles of self-efficacy and medication adherence in this relationship.

Main Methods:

  • Convenience sampling recruited 463 CHD patients from a tertiary hospital.
  • Validated scales (Oslo-3, GSES, MMAS-8, RHDS) assessed social support, self-efficacy, medication adherence, and discharge readiness.
  • Statistical analysis included descriptive statistics, correlation, and mediation analysis using SPSS and PROCESS macro.

Main Results:

  • Social support, self-efficacy, and medication adherence were positively associated with discharge readiness.
  • Social support positively influenced self-efficacy, which in turn mediated the relationship with discharge readiness.
  • Medication adherence independently predicted higher discharge readiness, though it did not moderate the self-efficacy pathway.

Conclusions:

  • Social support indirectly enhances discharge readiness in CHD patients via self-efficacy.
  • Medication adherence is a significant independent predictor of discharge readiness.
  • Clinical interventions should integrate social support enhancement, self-efficacy building, and medication adherence reinforcement for optimal patient transition.
Abstract

Keywords:
coronary heart diseasemediating effectmedication adherencereadiness for hospital dischargeself-efficacysocial support

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