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KMID : 0388320230300030325
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Journal of Korean Academy of Fundamental Nursing
2023 Volume.30 No. 3 p.325 ~ p.334
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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
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Jo Eun-Hee
Lee Su-Jin
Han Sun-Hee
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Abstract
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Purpose: This descriptive correlational study aimed to investigate the mediating effects of self-efficacy and socialsupport on the relationship between eHealth literacy and self-care competency in patients undergoing percutaneouscoronary intervention.
Methods: The participants of this study were 146 patients who underwent multiplepercutaneous coronary interventions at the Department of Cardiology at Y General Hospital in Jeollabuk-do, SouthKorea. Data were collected between September 19, 2022 and February 3, 2023, and analyzed using a parallelmultiple mediation model in SPSS/WIN 23.0 and Model 4 of the PROCESS Macro 3.5 program. To determinethe statistical significance of the indirect effect, 10,000 bias-corrected bootstrapping with 95% confidence intervalswas used.
Results: The effect size of the indirect effect of eHealth literacy on self-care competency via self-efficacywas 0.07, which was statistically significant, and the effect size of the indirect effect of eHealth literacy on self-carecompetency via social support was statistically significant at 0.13. These results verified the mediating effects ofself-efficacy and social support.
Conclusion: This study is significant in that it confirmed the effects of self-efficacyand social support on the relationship between eHealth literacy and self-care competency. In order to improveself-care competency in patients undergoing percutaneous coronary interventions, it is necessary to providecustomized education that can improve eHealth literacy. Furthermore, there is a need for self-efficacyenhancement programs and social support strengthening programs that use various educational and materialsupport systems to help individuals accept and access health information easily.
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KEYWORD
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Healthy literacy, Percutaneous coronary intervention, Self care, Self efficacy, Social support
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