J Korean Acad Fundam Nurs.
2023 Aug;30(3):325-334. 10.7739/jkafn.2023.30.3.325.
Mediating Effects of Self-Efficacy and Social Support on the Relationship Between eHealth Literacy and Self-Care Competency in Patients Undergoing Percutaneous Coronary Interventions: A Cross-Sectional Study
- KMID: 2545479
- DOI: http://doi.org/10.7739/jkafn.2023.30.3.325
Abstract
- Purpose
This descriptive correlational study aimed to investigate the mediating effects of self-efficacy and social support on the relationship between eHealth literacy and self-care competency in patients undergoing percutaneous coronary intervention.
Methods
The participants of this study were 146 patients who underwent multiple percutaneous coronary interventions at the Department of Cardiology at Y General Hospital in Jeollabuk-do, South Korea. Data were collected between September 19, 2022 and February 3, 2023, and analyzed using a parallel multiple mediation model in SPSS/WIN 23.0 and Model 4 of the PROCESS Macro 3.5 program. To determine the statistical significance of the indirect effect, 10,000 bias-corrected bootstrapping with 95% confidence intervals was used.
Results
The effect size of the indirect effect of eHealth literacy on self-care competency via self-efficacy was 0.07, which was statistically significant, and the effect size of the indirect effect of eHealth literacy on self-care competency via social support was statistically significant at 0.13. These results verified the mediating effects of self-efficacy and social support.
Conclusion
This study is significant in that it confirmed the effects of self-efficacy and social support on the relationship between eHealth literacy and self-care competency. In order to improve self-care competency in patients undergoing percutaneous coronary interventions, it is necessary to provide customized education that can improve eHealth literacy. Furthermore, there is a need for self-efficacy enhancement programs and social support strengthening programs that use various educational and material support systems to help individuals accept and access health information easily.
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