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ORIGINAL RESEARCH article

Front. Public Health
Sec. Aging and Public Health
Volume 12 - 2024 | doi: 10.3389/fpubh.2024.1442102
This article is part of the Research Topic Analyses on Health Status and Care Needs among Older Adults View all 10 articles

The Mediating Effect of Self-Efficacy on the Relationship Between Self-Care Ability and Disability Level in Elderly Patients with Chronic Diseases

Provisionally accepted
TIEMEI Wang TIEMEI Wang 1Nianwei Wu Nianwei Wu 1Senlin Wang Senlin Wang 1,2*Yan Liu Yan Liu 3*
  • 1 Center of Obesity and Metabolic Diseases, Department of General Surgery, Chengdu Third People's Hospital, Chengdu, Sichuan Province, China
  • 2 College of Medicine, Southwest Jiaotong University, Chengdu, China
  • 3 West China School of Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China

The final, formatted version of the article will be published soon.

    This study investigates the mediating effect of self-efficacy on the relationship between self-care ability and disability level in elderly patients with chronic diseases.A convenience sampling method was used to select 372 elderly patients with chronic diseases from five tertiary hospitals in Chengdu, Sichuan Province. General demographic information was collected using a questionnaire, and self-efficacy, selfcare ability, and disability were assessed using standardized scales. Data were analyzed using SPSS 26.0, and the PROCESS macro was employed to test the mediating effect of self-efficacy.The mean score for self-efficacy was 26.09 ± 7.20, for self-care ability was 113.19 ± 23.31, and for disability was 154.19 ± 29.32. Self-efficacy was positively correlated with self-care ability (r = 0.73, P < 0.001) and negatively correlated with disability (r = -0.84, P < 0.001) and self-care ability and disability (r = -0.91, P < 0.001). The indirect effect of self-efficacy on the relationship between self-care ability and level of disability was -0.03 (95% CI -0.08 to -0.04) , accounting for 16.67% of the total effect.Self-efficacy partially mediates the relationship between self-care ability and disability in elderly patients with chronic conditions. Healthcare providers can improve self-care behaviours and self-efficacy in elderly patients through effective interventions to reduce the incidence of disability.

    Keywords: Elderly, chronic diseases, self-efficacy, self-care, Disability

    Received: 01 Jun 2024; Accepted: 30 Aug 2024.

    Copyright: © 2024 Wang, Wu, Wang and Liu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Senlin Wang, College of Medicine, Southwest Jiaotong University, Chengdu, China
    Yan Liu, West China School of Medicine, West China Hospital, Sichuan University, Chengdu, 610000, Sichuan Province, China

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