Relationship between Uncertainty and Health-related Quality of Life in Patients with Implantable Cardioverter-Defibrillators: Mediating Effect of Self-care Competence.
Purpose: This descriptive survey examined the mediating effect of self-care competence on the relationship between uncertainty and health-related quality of life (HRQoL) in patients with implantable cardioverter-defibrillators (ICDs). Methods: Data were collected from 108 patients with ICDs who were...
| Publicado en: | Journal of Fundamental Nursing Science Vol. 33; no. 3; pp. 367 - 381 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Korean Academy of Fundamentals of Nursing
Aug2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=196714585&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 196714585 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 12259012 NYMR jtl: Journal of Fundamental Nursing Science issn: 12259012 maglogo: N pubinfo: dt: Aug2026 vid: 33 iid: 3 pid: 72189 pub: Korean Academy of Fundamentals of Nursing place: , <Blank> artinfo: ui: 196714585 196714585 196714585 10.7739/jkafn.2026.33.3.367 196714585 ppf: 367 ppct: 14 formats: fmt: @attributes: type: P tig: atl: Relationship between Uncertainty and Health-related Quality of Life in Patients with Implantable Cardioverter-Defibrillators: Mediating Effect of Self-care Competence. aug: au: Jo, Eunhee Hwang, Rahyeon Ryu, Jeong-Lim affil: Associate Professor, Department of Nursing, Kunsan College, Gunsan, Korea sug: subj: Uncertainty Quality of Life Defibrillators, Implantable Self Care Human South Korea South Korea Funding Source Descriptive Research Surveys Cross Sectional Studies Questionnaires Pearson's Correlation Coefficient Descriptive Statistics T-Tests One-Way Analysis of Variance Post Hoc Analysis Data Analysis Software Confidence Intervals Patient Attitudes Mental Health ab: Purpose: This descriptive survey examined the mediating effect of self-care competence on the relationship between uncertainty and health-related quality of life (HRQoL) in patients with implantable cardioverter-defibrillators (ICDs). Methods: Data were collected from 108 patients with ICDs who were receiving outpatient treatment at a tertiary hospital in J, Korea. Data were analyzed using SPSS/WIN 25.0 with descriptive statistics, the independent t-test, one-way analysis of variance, Pearson's correlation coefficient, and Hayes' PROCESS macro Model 4 with 95% bias-corrected bootstrap confidence intervals. Results: Uncertainty had a significant negative effect on physical HRQoL (β=-9.74, p=.014), whereas self-care competence had a significant positive effect on physical HRQoL (β =5.46, p=.004); the model explained 46% of the variance. The indirect effect of uncertainty on physical HRQoL through self-care competence was significant (indirect effect=-3.26, 95% bootstrap CI: -8.81 to -0.16). Uncertainty also had a significant negative effect on mental HRQoL (β=-15.17, p<.001), whereas self-care competence had a significant positive effect on mental HRQoL (β=5.80, p=.004); the model explained 39% of the variance. The indirect effect of uncertainty on mental HRQoL through self-care competence was significant (indirect effect=-4.52, 95% bootstrap CI: -10.08 to -0.14). Conclusion: Nursing interventions that strengthen self-care competence for continuous self-management are needed to reduce uncertainty and improve quality of life in patients with ICDs. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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