ArticleBelitung nursing journal2025
Mediating role of self-efficacy in the relationship between family functioning and self-management behaviors in patients with coronary heart disease: A cross-sectional study in Jiangsu, China.
Article in Belitung nursing journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Family Functioning and Kinesiophobia in Patients After Pacemaker Implantation: A Cross-Sectional Serial Mediation Study of Pain and Pain Catastrophizing.Journal of pain research · 2026Article
- Patient activation and self-management in patients with coronary heart disease: the mediating role of eHealth literacy.Frontiers in public health · 2026Article
- Associations Between Fatigue, Knowledge, Self-Management, and Self-Efficacy Among Community-Dwelling Patients with Stable Coronary Heart Disease in Pingdingshan, China: A Cross-Sectional Study.Journal of multidisciplinary healthcare · 2026Article
- Effects of a Transtheoretical Model-Based mHealth Intervention on Transition Readiness in Adolescents With Epilepsy: Quasi-Experimental Study.JMIR mHealth and uHealth · 2025Article
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Authors and funding
3 authors.
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Abstract
Background: Self-management behaviors can prevent the negative consequences among patients with coronary heart disease (CHD). The reality of patients followed the self-management behaviors rate are unoptimistic. Objective: This study aimed to examine whether self-efficacy serves as a mediating role between family functioning and self-management behaviors among coronary heart disease patients. Methods: A cross-sectional approach was applied, and 140 patients with CHD were included using a cluster sampling strategy. Family functioning was assessed utilizing the Family APGAR Index, self-efficacy was evaluated using the Self-efficacy for Chronic Disease 6-item Scale, and self-management behaviors was examined utilizing the Coronary Artery Disease Self-Management Scale. Data were collected from July to October 2022 and analyzed using descriptive statistics and regression analyses to evaluate the mediating influence. Results: The degree of self-management behaviors among patients with CHD was at a low level (Mean = 82.23, SD = 11.863). Self-efficacy had a direct and positive impact on self-management behaviors ( Conclusion: Self-efficacy demonstrated an association with self-management behaviors and served as a mediation function in the relationship between self-management behaviors and family functioning. Therefore, the significance of family functioning and self-efficacy should be highlighted in nursing practice when developing methods to encourage patients with CHD to improve their self-management behaviors.
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