Evidence map›Paper›PMID 41480063›Full record

ArticleFrontiers in public health2025

Effect of illness perception on self-regulatory fatigue in older adult patients with hypertension: chain-mediating role of self-efficacy and coping style.

Tingting Lu, Lihua Shi, Huijun Zhang, Jianfang Zhang, Yiqing Shen

Abstract read
In one paragraph

Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Tingting Lu *Department of Cardiothoracic Surgery, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Suzhou, China.
Lihua Shi *Department of Nursing, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Suzhou, China.
Huijun ZhangDepartment of Nursing, Jinzhou Medical University, Jinzhou, China.
Jianfang ZhangDepartment of Emergency and Critical Care Medicine, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Suzhou, China.
Yiqing ShenDepartment of Nursing, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Suzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Long-term self-control becomes necessary for older adult patients with hypertension to sustain their blood pressure levels and postpone disease progression. Over extended periods, such self-control capacity among patients experiences gradual depletion, which leads to self-regulatory fatigue. Nevertheless, the connection linking disease perception, self-efficacy, coping style, and self-regulatory fatigue remains unexplored in existing studies. The present study sought to examine how disease perception, self-efficacy, and coping style relate to self-regulatory fatigue among older adult patients with hypertension. Methods: Convenience sampling method enabled the recruitment of 416 older adult patients with hypertension from the First Affiliated Hospital of Jinzhou Medical University, Liaoning Province, for this cross-sectional survey. Multiple instruments served as measurement tools, including the general demographic questionnaire, brief illness perception questionnaire, general self-efficacy scale, medical coping modes questionnaire, and self-regulatory fatigue scale. Amos23.0 software facilitated the analysis of the mediation effect. Results: Self-regulatory fatigue receives direct positive influence from disease perception, avoidance, and acceptance-resignation, whereas self-efficacy and confrontation exert direct negative influence upon it. The impact of illness perception on self-regulatory fatigue operates via chain mediating pathways involving self-efficacy, confrontation, avoidance, and acceptance-resignation. Conclusion: The older adult patients with hypertension had higher self-regulatory fatigue level. Positive correlations emerged between self-regulatory fatigue and disease perception, avoidance, as well as acceptance-resignation; diminishing patients' negative emotions toward disease alongside enhancing their treatment confidence contributes to lowering patients' self-regulatory fatigue.

Indexed as

Adaptation, PsychologicalFatigueHypertensionSelf-ControlSelf EfficacyAgedAged, 80 and overChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and Questionnairesadaptationagedhypertensionself efficacyself-regulatory fatigue

Identifiers

PMID41480063
PMCPMC12753361

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.