Factors Predicting Self-Management among Patients Receiving Wafarin
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Abstract
This predictive correlational study aimed to identify factors predicting self-management behaviors among outpatients receiving warfarin treatment at the Warfarin Clinic of Lampang Hospital. A sample of 370 patients was recruited, with data collected between April and June 2024. Research instruments included the personal and health information questionnaire, the warfarin knowledge questionnaire, the health literacy questionnaire for warfarin patients, and the self-management behavior questionnaire. These instruments were validated for content and reliability, yielding coefficients of .90, .76, and .87, respectively. Data analysis involved descriptive statistics and Multiple Regression Analysis.
The findings revealed that: 1) Overall self- management behaviors were rated at a moderate level ( =93.43, SD=13.93). The subdomains of medical management, daily life role management, and emotional management also scored at moderate levels ( =57.17 SD=9.02, =20.30 SD=4.22 and =15.97 SD =3.64, respectively). 2) Significant predictors of self-management behaviors included vision ability, and knowledge of warfarin (p<.001). Health literacy was also a significant predictor (p<.05). Among these factors, vision ability demonstrated the highest predictive power (Beta = .469).
Nurses should be encouraged to routinely assess and strengthen patients’ warfarin related knowledge, health literacy, and visual ability in order to optimize self-management behaviors among individuals receiving warfarin therapy.
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