Highlights
- •The poor self-management behavior of AF patients during the "Blanking Period" after RFCA requires high attention and improvement.
- •This study is the first to apply the IMB model to explain the factors influencing self-management behavior in AF patients during the "Blanking Period" and to explore the interrelationship between each element and self-management behavior using path analysis.
- •Healthcare professionals should implement targeted interventions to improve patients' AF knowledge, self-management confidence, social support, and health literacy in order to improve their self-management behavior.
Abstract
Background
Atrial fibrillation (AF) is becoming increasingly common. Effective self-management
during the “Blanking Period” is critical. The Information-Motivation-Behavioral skills
(IMB) model can be used to study health behaviors in chronic disease patients, but
it has not been studied in AF patients.
Objective
The goal of this study was to explore the influencing factors and interaction pathways
of self-management behavior in AF patients during the "Blanking Period" using the
IMB model.
Methods
From June to December 2021, a cross-sectional design was conducted. Patients with
AF during the "Blanking Period" (N=220) were recruited. They filled out several quantitative
questionnaires, including the Jessa Atrial Fibrillation Knowledge Questionnaire, the
Confidence in Atrial Fibrillation Management Scale, the Perceived Social Support Scale,
the All Aspects of Health Literacy Scale, and the Self-care Scale for Chronic Atrial
Fibrillation Patients. Data were analyzed using correlation analysis, multiple regression
analysis, and path analysis.
Results
Total score of self-management behavior was (33.83 ± 10.66). AF knowledge (β = 0.252, P < 0.001), self-management confidence (β = 0.219, P < 0.001), social support (β = 0.291, P < 0.001), and health literacy (β = 0.262, P < 0.001) were all positively correlated with patients' self-management behavior,
accounting for 66.50 percent of the total variance.
Conclusions
During the "Blanking Period", the IMB model can be used to predict the factors that
influence self-management behavior in AF patients. By using IMB model, interventions
targeting patient-specific influencing factors could improve self-management behavior
and quality of life in AF patients.
Keywords
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Article info
Publication history
Published online: November 17, 2022
Accepted:
November 11,
2022
Received in revised form:
November 9,
2022
Received:
May 15,
2022
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
