Self-management behavior, associated factors and its relationship with social support and health literacy in patients with obstructive sleep apnea–hypopnea syndrome

Yu, Haitao; Gao, Ye; Tong, Tong; Liang, Chunguang; Zhang, Hui; Yan, Xiangru; Wang, Liying; Zhang, Huiying; Dai, Huanyun; Tong, Huijuan

doi:10.1186/s12890-022-02153-1

Cited by 4 publications

(1 citation statement)

References 42 publications

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“…Moreover, a previous study suggested that social support had a positive effect on health literacy, improving medication adherence among patients with hypertension [ 14 ]. This is because sufficient social support from families, friends, peers, colleagues, and healthcare professionals can help patients read and understand health information [ 26 ]. For example, individuals with MetS can have someone regularly reminding them to take medications and adopt healthy lifestyles and have someone take them to see a doctor if it is necessary.…”

Section: Discussionmentioning

confidence: 99%

Heterogenous subtypes of health literacy among individuals with Metabolic syndrome: a latent class analysis

Zhang,

Chen,

et al. 2023

Annals of Medicine

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Objective To explore the heterogenous subtypes and the associated factors of health literacy among patients with metabolic syndrome. Methods A cross-sectional study was conducted, and 337 patients with metabolic syndrome were recruited from Sir Run Run Shaw Hospital in Zhejiang Province from December 2021 to February 2022. The Social Support Questionnaire, Short version of the Health Literacy Scale European Questionnaire (HLS-EU-Q16), and MacArthur Scale of Subjective Social Status were used for investigation. Latent class analysis (LCA) was performed to explore the heterogenous subtypes of health literacy among Metabolic syndrome patients. Univariate analysis and logistic regression were used to identify the predictors of the latent classes. Results The findings of LCA suggested that three heterogeneous subtypes of health literacy among individuals with metabolic syndrome were identified: high levels of health literacy, moderate levels of health literacy, and low levels of health literacy. The multinomial logistic regression results indicated that compared with low levels of health literacy class, the high levels of health literacy class were predicted by age (OR 0.932, 95%CI[0.900-0.966]), socio-economic status (OR 1.185, 95%CI[1.058–1.328]), and social support (OR 1.065, 95%CI[1.012–1.120]). Compared with low levels of health literacy class, the moderate levels of health literacy class were predicted by age (OR 0.964, 95%CI[0.934–0.995]), socio-economic status (OR 1.118, 95%CI[1.006–1.242]), male (OR 0.229, 95%CI[0.092–0.576]). Conclusion The levels of health literacy among patients with metabolic syndrome can be divided into three heterogenous subtypes. The results can inform policy-makers and care professionals to design targeted interventions for different subgroups among patients with metabolic syndrome who are male, at older age, have less social support, and with disadvantaged socio-economic status to improve health literacy.

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Section: Discussionmentioning

confidence: 99%

Heterogenous subtypes of health literacy among individuals with Metabolic syndrome: a latent class analysis

Zhang,

Chen,

et al. 2023

Annals of Medicine

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Factors Influencing the Self-management of Breast Cancer–Related Lymphedema

Wang,

Wei,

et al. 2024

Cancer Nurs

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Background Patients with breast cancer have an estimated 14% to 60% risk of developing lymphedema after treatment. Self-management behavior strategies regarding lymphedema are essential in preventing and alleviating the severity of lymphedema. Objective The aim of this study was to evaluate qualitative research evidence on the potential influencing factors for self-management behaviors of lymphedema in patients with breast cancer. Methods A systematic search of 10 electronic databases was conducted to identify qualitative studies on patient experience of lymphedema self-management. The following databases were included and appraised using the Joanna Briggs Institute Critical Appraisal Checklist: Cochrane Library, PubMed, EMBASE, Web of Science, PsycINFO, Scopus, Cumulative Index to Nursing and Allied Health Literature, China National Knowledge Infrastructure, Wanfang Med Online, and Chinese Biomedical Database. Results The literature search yielded 5313 studies, of which only 22 qualitative studies fulfilled the eligibility criteria. Five synthesized findings were derived encompassing personal characteristics, personal knowledge and experience, personal health beliefs, self-regulation skills and abilities, and social influences and support. Conclusions Patients with breast cancer are confronted with many challenges when performing self-management of lymphedema. Therefore, it is important to recognize potential facilitators and barriers to further offer practical recommendations that promote self-management activities for lymphedema. Implications for Practice Healthcare professionals should receive consistent training on lymphedema management. On the basis of individual patient characteristics, tailored education and support should be provided, including transforming irrational beliefs, and improving related knowledge and skills, with the aim to promote self-management behaviors with respect to lymphedema.

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The link between fear of disease progression and health promotion behaviors in patients with obstructive sleep apnea hypoventilation syndrome (OSAHS): the mediating role of social support

Zhang,

Liang,

Zhang

et al. 2024

BMC Psychol

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Objective This study aims to assess the levels of social support, fear of disease progression (FOP) and health promotion behaviors in patients with obstructive sleep apnea-hypopnea syndrome (OSAHS), and to examine the associations between FOP, social support, and health promotion behaviors in OSAHS patients, with a focus on exploring the mediating role of social support. The findings aim to provide insights for enhancing health promotion behaviors among OSAHS patients in China and to offer a theoretical foundation for healthcare professionals in devising intervention strategies to promote health behaviors in individuals with OSAHS. Methods This cross-sectional study included 307 patients diagnosed with OSAHS in Jinzhou City, Liaoning province. The survey instruments utilized included the Demographic Characteristics Questionnaire, Social Support Rating Scale (SSRS), Fear of Disease Progression Scale (Fop-Q-SF), and Health-Promoting Lifestyle Scale (HPLP II). Pearson correlation analysis was employed to assess correlations, while multiple linear regression and structural equation modeling were utilized to explore potential mediation effects. Results In the OSAHS patient population, FOP ( r =-0.55, p <0.001) and social support ( r = 0.60, p <0.001) were found to be significantly correlated with health promotion behaviors. In the mediated effects model, social support was identified as a partial mediator in the association between FOP and health promotion behaviors among OSAHS patients, accounting for 59.00% of the total effect. Conclusion FOP demonstrates a direct relationship with health promotion behaviors in patients with OSAHS, with social support playing a mediating role in this connection. Healthcare professionals are advised to underscore the significance of social support in promoting the health of OSAHS patients to mitigate FOP and consequently improve health promotion behaviors.

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Self-management behavior, associated factors and its relationship with social support and health literacy in patients with obstructive sleep apnea–hypopnea syndrome

Cited by 4 publications

References 42 publications

Heterogenous subtypes of health literacy among individuals with Metabolic syndrome: a latent class analysis

Heterogenous subtypes of health literacy among individuals with Metabolic syndrome: a latent class analysis

Factors Influencing the Self-management of Breast Cancer–Related Lymphedema

The link between fear of disease progression and health promotion behaviors in patients with obstructive sleep apnea hypoventilation syndrome (OSAHS): the mediating role of social support

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