Influence Of Chronic Illness Resources On Self-Management And The Mediating Effect Of Patient Activation Among Patients With Coronary Heart Disease

Aim: The aim of this study was to explore the relationship between chronic illness resources, patient activation and self-management behaviour among middle-aged and older patients with CHD.Design: A cross-sectional, descriptive correlational study was performed.Methods: A convenience sample of 296 participants were recruited in Tianjin, China. Data were collected by using the Chronic Illness Resource Survey (CIRS), Patient Activation Measure (PAM) and Coronary Artery Disease Self-Management Scale (CSMS). Descriptive statistics and Pearson's correlation analysis were used to data analysis. Linear regression analysis was performed to explore the mediating role of patient activation.Results: The results showed that chronic illness resources and patient activation were significantly and positively correlated with self-management behaviours (p<.01). Patient activation had a partial intermediary between chronic illness resources and self-management behaviours, and the mediation effect was 0.230. Patient activation mediated the relationship between chronic illness resources and self-management. In order to improving the self-management behaviours, medical staff need to pay attention to the importance of chronic illness resources and patient activation.