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Predictors of Self-Management in Patients with Coronary Artery Diseases

Authors: Farahnaz Abdollahzadeh , Elnaz Asghari, Mohammad Asghari Jafarabadi, Behnammoradi Khangah and Elham Pourshahbazi

Int J Med Res Health Sci.637-643 | pdf PDF Full Text

Chronic diseases like coronary artery diseases need special self-care behaviors to be manageable. Self-management
in chronic diseases includes the adoption of a healthy lifestyle and has a significant role in treatment. Variety of
factors are identified to be related with self-management. This study was conducted to determine self-management
predictors in patients with coronary artery diseases. This was a descriptive-correlation study. It is conducted on 312
patients with coronary artery disease visiting the cardiovascular Clinic of Shahid Madani Teaching hospital in
Tabriz, Iran. The subjects were selected using convenience sampling. The research instrument included the selfmanagement
questionnaire, used after assuring its validity and reliability. Data was analyzed with descriptive and
regression analyses in SPSS16. About half of the participants (54.7%) have good self-management. Results from
regression showed that predictors of self-management variance were previous disease (F(4,267)=0.363, pvalue=
0.024) and type of treatment (F(4,267)=3.249, p-value=0.039). These variables could predict the variance of
self-management to 14%.By generalization of the results to the main population, the predictive variables could
explain about 6% of self-management variance. Based on the results, more efforts are needed to promote the selfmanagement
of all patients. In addition, encouraging the self-management skills before the onset of the disease and
at the first stage of prevention is suggesting.
Keywords: Predictors, Self-Management, Patient, Coronary Artery Disease

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