A Study on the Current Situation and Related Factors of Personal Mastery in Patients with Chronic Heart Failure: A Cross-Sectional Study

Abstract

Luwei Xiang,1,* Jing Wang,1,* Wen Li,1,2 Hongfang Ye1,2 1School of Nursing, Nanjing University of Chinese Medicine, Nanjing, 210023, People’s Republic of China; 2Nursing Department, Nanjing Drum Tower Hospital, Nanjing, 210008, People’s Republic of China*These authors contributed equally to this workCorrespondence: Hongfang Ye, School of Nursing, Nanjing University of Chinese Medicine, Nanjing, 210023, People’s Republic of China, Email [email protected]: To explore the status quo and influencing factors of personal mastery in Chinese patients with chronic heart failure, based on the analysis of patient characteristics.Methods: The sample of the study comprised 249 chronic heart failure patients who visited a university hospital in China. We collected the data using general demographic Information, personal mastery scale, the Simple Coping Style Questionnaire and Minnesota Living With Heart Failure Quality of Life Questionnaire (MLHFQ). SPSS26.0 was used to describe the survey results statistically, and univariate analysis, Pearson correlation analysis and multiple linear regression were used to analyze the influencing factors of personal sense of control.Results: Chronic heart failure patients’ total personal mastery scores were (20.63± 4.486), which is in the medium level. Multiple linear regression analysis shows that Age group (β=− 1.627, p=0.036), NYHA functional classification (β=− 1.563, P< 0.001), Positive coping style (β= 0.088, P=0.004) and MLHFQ (β= − 0.121 P< 0.001) significantly influenced patients’ personal mastery (P< 0.001).Conclusion: Our study suggests that the personal mastery of patients with chronic heart failure is at a moderate level in China. Additionally, age group, NYHA functional classification, Positive coping style and MLHFQ emerged as significant influencing factors. Clinical staff should dynamically observe the changes in the level of personal mastery of patients with chronic heart failure, pay more attention to the elderly and patients with poor heart function according to the influencing factors, and encourage active responses to improve the level of personal mastery of patients with heart failure.Keywords: chronic heart failure, the personal mastery, positive coping style, negative coping style, quality of life

Keywords

• chronic heart failure
• the personal mastery
• positive coping style
• negative coping style
• quality of life