title: Self-efficacy, self-care behaviours and quality of life of kidney transplant recipients.
abstract: OBJECTIVE
  This paper is a report of an exploration of the effects of self-efficacy and different dimensions of self-management on quality of life among kidney transplant recipients.
  
  
  BACKGROUND
  Self-efficacy is an important factor influencing self-management. Patients with higher self-efficacy have better self-management and experience better quality of life. Self-efficacy influences the long-term medication-taking behaviour of kidney transplant recipients.
  
  
  METHODS
  A longitudinal, correlational design was used. Data were collected during 2005-2006 with 150 adult kidney transplant recipients on self-efficacy, self-management and quality of life using a self-efficacy scale, self-management scale and the Medical Outcomes Scale SF-36 (Chinese), respectively. Relationships among variables were analysed by path analysis.
  
  
  RESULTS
  Participants with higher self-efficacy scored significantly higher on the problem-solving (beta = 0.51), patient-provider partnership (beta = 0.44) and self-care behaviour (beta = 0.55) dimensions of self-management. Self-efficacy directly influenced self-care behaviour and indirectly affected the mental health component of quality of life (total effect = 0.14). Problem-solving and partnership did not statistically significantly affect quality of life. Neither self-efficacy nor self-management had any effect on the physical health component of quality of life.
  
  
  CONCLUSIONS
  Transplant care teams should incorporate strategies that enhance self-efficacy, as proposed by social cognitive theory, into their care programmes for kidney transplant recipients. Interventions to maintain and improve patients' self-care behaviour should continue to be emphasized and facilitated. Support to enhance patients' problem-solving skills and the partnership of patients with health professionals is needed.
authors.affiliation: School of Nursing, Chang Gung University, Taiwan. ax2488@mail.cgu.edu.tw
authors.forename: Li-Chueh
authors.initials: LC
authors.lastname: Weng
authors.forename: Yu-Tzu
authors.initials: YT
authors.lastname: Dai
authors.forename: Hsiu-Li
authors.initials: HL
authors.lastname: Huang
authors.forename: Yang-Jen
authors.initials: YJ
authors.lastname: Chiang
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D015438:Health Behavior; D006801:Humans; D016030:Kidney Transplantation / Q000523:psychology* / Q000534:rehabilitation; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D012648:Self Care; D020377:Self Efficacy