Purpose
The purpose of this study was to verify the mediating effect of self-care performance between Self-Care Efficacy (SCE) and Health-Related Quality of Life (HRQoL) among patients on primary treatment for pulmonary tuberculosis.
Methods
A structured self-report survey was conducted with 143 patients on primary treatment for pulmonary tuberculosis. The collected data were analyzed using descriptive statistics, analysis of variance, Pearson correlation coefficient, hierarchical multiple linear regression, and Sobel test.
Results
There were significant correlations between participants’ SCE and self-care performance (r=.62, p<.001), SCE and HRQoL (r=.44, p<.001), and self-care performance and HRQoL (r=.54, p<.001). Self-care performance completely mediated the relationship between SCE and HRQoL (z=3.72, p<.001).
Conclusion
It is necessary to develop interventions for reinforcing SCE, focusing on low self-care groups, to ultimately improve the HRQoL of patients on primary treatment for pulmonary tuberculosis.

Citations

• Validity and reliability of the Korean caregiver contribution to self-care chronic illness inventory
  Juhee Lee, Eunyoung Kim, Misook Chung, Insun Yeom
  Scientific Reports.2023;[Epub]     CrossRef
• Effects of Depression, Social Support of Tuberculosis Patients on Self-care
  Go Un Lee, Hye Kyung Lee
  Journal of Korean Academy of Community Health Nursing.2022; 33(4): 456.     CrossRef
• Factors affecting quality of life in low‐income overweight and obese women: The mediating effects of health‐promoting behaviors
  Ju‐Hee Nho, Hye Young Kim, Eun Jin Kim
  Worldviews on Evidence-Based Nursing.2022; 19(3): 201.     CrossRef

PURPOSE
To describe the performance in the health-promoting lifestyle and to identify the major factors affecting the health-promoting relationships between self care behaviors and health promoting lifestyle profile in patients with pulmonary tuberculosis. METHOD: A convenience sample for this study was 172 pulmonary tuberculosis patients who have taken TB medications in urban city. The HPLP-ll was selected to measure the concept of health- promoting lifestyle because of the number of research studies conducted using both the original HPLP and the revised HPLP-ll. The statistical methods used in this study were t-test, ANOVA, Pearson correlations, and multiple regression. RESULT: The differences of the HPLP-ll were found to have a significance of age, marital status, education level, and health service center. The level of self care behaviors was related positively to the level of health promoting lifestyle and their subcategories. Based on stepwise multiple regression analysis, the model that predicted factors included self care behaviors, age, health service center and education. CONCLUSION: After decades of decreasing rates, TB has reemerged as a serious national problem in Korea. The careful clinical management and more national concern of TB may help to improve the outcomes of many patients. The findings of this study suggest that TB patients who are more fulfilled in health-promoting lifestyles and self-care behaviors may be able to make better decisions regarding positive health-promoting behaviors.