Self-care Compliance Research Articles

Effects of a Customized Diet Education Program Using a Mobile Instant Messenger for People Undergoing Peritoneal Dialysis: A Feasibility Test

PurposeThe study was conducted to develop a customized diet education program using mobile instant messenger for people undergoing peritoneal dialysis (PD). Our goal was to examine the program’s effects on diet-related self-efficacy, dietary self-care compliance, and physiological indices (hemoglobin, albumin, potassium, and phosphorus). MethodsThis was a quasi-experimental study with a non-equivalent control group pre-post-test design. We applied the Cox interaction model of client health behaviors. Overall, 43 patients (21 in the experimental group and 22 in the control group) attending the renal clinic and undergoing PD at three hospitals were included. The experimental group underwent a customized diet education program using a mobile instant messenger for five weeks. Patients in the control group received routine care. This study was conducted in the following order: pre-test, treatment, post-test 1 (immediately after), and post-test 2 (four weeks after). ResultsThis study showed significant differences in dietary self-care compliance (F = 15.29, p < .001) and hemoglobin level (F = 7.55, p = .001) in interactions between times and groups. ConclusionsThe diet education program is an effective strategies to preventing complications and helping PD patients perform dietary self-care compliance through systematic and continuous interactions with educational nurse who is an expert in PD management of people undergoing PD.

Nursing Knowledge and Practice in Self-Care Compliance in Heart Failure Patients: A Systematic Review

Nursing Knowledge and Practice in Self-Care Compliance in Heart Failure Patients: A Systematic Review

Impact of Incorporating a Self-care Management Program with Telephone Follow-up on Geriatric Patients’ Self-care Compliance and Coping Post Cataract Surgery

Impact of Incorporating a Self-care Management Program with Telephone Follow-up on Geriatric Patients’ Self-care Compliance and Coping Post Cataract Surgery

Development of compliance theory based on self-regulation in chronic kidney failure patients on hemodialysis

Self-management in regulating diet, fluids, activities, and medication in chronic renal failure patients which getting hemodialysis is still worse. This research aimed to develop the theory of compliance based on self-regulation to increase patient obedience and awareness. A cross-sectional approach of 130 respondents was recruited using simple random sampling. Structural equation modeling partial least square (SEM-PLS) was the statistical analysis for this study. All indicators in the outer model showed outer loading value &amp;gt;0.7, it declared feasible to predict each of the latent variables. The R-square value of appraisal latent was 0.576, Coping was 0.897, and self-care compliance was 0.713. The model was relevant when applied in other research studies with a Q-Square value=0.832. The goodness of fit (GoF) was 0.832&amp;gt;0.36, which means that the model was applied well. The appraisal variable is the strongest variable that influences coping, based on the hypothesis test. The self-regulation-based compliance model for blood pressure, interdialytic weight gain (IDWG), sodium levels, and functional independence can be developed through analysis of the structural model.

Clinical significance and correlation of compliance to thirst in maintenance hemodialysis patients.

The main treatment method for end-stage renal disease (ESRD) is maintenance hemodialysis (MHD). With the continuous improvement of dialysis technology, the survival period of MHD patients has been effectively prolonged, but dialysis technology still cannot completely replace renal function. To study the dietary compliance and its correlation with thirst in MHD patients and to provide guidance for clinical development of corresponding intervention countermeasures. A total of 90 patients who received MHD treatment from March 2021 to March 2022 were selected as objects. The Renal Adherence Attitudes Questionnaire (RAAQ) and the Renal Adherence Behaviour Questionnaire (RABQ) were used to analyze the dietary compliance and thirst status of patients. Pearson correlation analysis was used to analyze the correlation between diet compliance and thirst. Positive correlations were found between VAS and DTI, SXI and TDS (P< 0.05). Social restrictive attitude was positively correlated with VAS, DTI, SXI, TDS, acceptance attitude and compliance in facing difficulties (P< 0.05), and negatively correlated with self-care compliance (r=-0.35, P< 0.05). Health attitude was positively correlated with VAS, DTI and SXI (P< 0.05). Acceptance attitude was positively correlated with DTI, SXI and TDS (P< 0.05). High RAAQ was associated with high VAS (b= 0.11, 95% CI: 0.05, 0.18), DTI (b= 0.28, 95% CI: 0.17, 0.38), SXI (b= 0.24, 95% CI: 0.14, 0.34) and TDS (b= 0.26, 95% CI: 0.13, 0.4). The overall performance of dietary compliance in patients with MHD is at a moderate level, and dietary compliance is negatively correlated with disease perception.

The Influence of Health Literacy, Physical Activity, and Grip Strength on Self-Care Compliance in Older Male Patients with Chronic Heart Failure: A Cross-Sectional Descriptive Study

The Influence of Health Literacy, Physical Activity, and Grip Strength on Self-Care Compliance in Older Male Patients with Chronic Heart Failure: A Cross-Sectional Descriptive Study

Effect of risk factor-tailored autonomy enhancement education in the first-time middle-aged patients undergoing percutaneous coronary intervention: a randomized controlled trial

PurposeIt is important for middle-aged patients who have undergone acute treatment for coronary artery disease to voluntarily improve their lifestyle and risk factors based on their recognition as patients with chronic diseases. This study conducted individual education to improve risk factors and tried to verify its effectiveness.MethodsThe hypothesis was verified by applying a randomized controlled pre- and post-test design through random assignment of two groups. Middle-aged (40–64 years) patients who underwent percutaneous coronary intervention for the first time were recruited from a university hospital in Seoul, Korea. For the experimental group, based on the Self-Determination Theory, risk factor- tailored counseling and education were provided individually for one hour based on the education booklet, and telephone counseling was conducted twice for 12 weeks. Differences in autonomous motivation, resilience, self-care compliance and biochemical indicators measured after 12 weeks in the experimental group and the control group were compared. Data were analyzed using SPSS/WIN ver. 22.0.ResultsThe autonomous motivation, resilience, and self-care compliance of the experimental group were significantly higher than those of the control group (p < .05). Body mass index (p = .005) and current smoking rate (p < .001) were also significantly decreased in the experimental group but there was no significant difference in other biochemical parameters.ConclusionFor middle-aged patients with first coronary intervention, risk factor-tailored education emphasizing autonomy by nurses should be provided early after discharge.Trial registrationThis study was retrospectively registered in the Clinical Research Information Service and the identification number is KCT0008698(11/08/2023).

The Effect of Self-Care Education on Heart Failure Patients : Literature Review

Heart failure is a heart disease which has an escalating prevalence. Disease conditions that can cause a deterioration in quality of life and even death require further treatment through self-care. Knowledge about self-care can be provided by nurses while the patient is in the hospital even when going home. The purpose of this systematic review is to determine the application of self-care education in heart failure patients to improve self-care knowledge and compliance. The research method used a systematic review design using data bases from ProQuest, EBSCOhost, Scopus, and Science Direct with several keywords used. The results obtained 7 articles that were reviewed after adjusting the inclusion criteria. The results of the study found that the provision of self-care education was able to improve self-care compliance in heart failure patients. The conclusion of this study is that education that is more applicable, interactive and sustainable can improve knowledge and compliance with self-care in heart failure patients.

Fatalistic beliefs, self-care, and HbA1c in Mexican men with type 2 diabetes mellitus: A cross-sectional study.

The aim of this study is to examine the relationship between fatalistic beliefs, self-care, and glycemic control among Mexican men with type 2 diabetes mellitus. This is a cross-sectional study in men diagnosed with type 2 diabetes mellitus from 18 to 59 years of age from the Northeast of Mexico. Fatalistic beliefs, self-care, medication adherence, and HbA1C were evaluated. Patients were divided into glycemic control (<7% HbA1c) and without glycemic control (>7% HbA1c). Tests were performed to compare 2 independent groups, Student's t and U Mann Whitney. Correlation tests and multiple linear regression models were also performed. For statistical analysis, the SPSS v27 program was used. Forty-nine percent of the men had glycemic control (<7% HbA1c). Fatalistic beliefs were negatively correlated with self-care and medication adherence, but not with HbA1c. In multiple linear regression models, fatalistic beliefs were a negative predictor of self-care and medication adherence. In the model for HbA1c, the pessimism subdimension and self-care were the predictors. Fatalistic beliefs negatively affect self-care compliance and medication adherence, while the pessimism subdimension was related to the increase in HbA1c.

Factors Affecting Quality of Life in Hemodialysis Patients

Purpose: The purpose of this study was to investigate factors affecting quality of life in hemodialysis patients.Methods: In this descriptive study, the subjects were 127 hemodialysis patients at four dialysis clinics in Pusan and Daegu metropolitan cities. Data were analyzed with descriptive statistics, independent t-test, one-way analysis of variance, Pearson’s correlation coefficients, and stepwise multiple regression analysis using SPSS/WIN version 26.0.Results: The average scores for social support, symptom experience, physical function, self-care compliance, and quality of life were 3.97±0.66, 38.50±27.94, 2.24±0.60, 3.43±0.49, and 3.02±0.57, respectively. Fifty-five (43.3%) subjects had a type D personality. Quality of life showed significant differences according to educational background (F=6.44, &lt;i&gt;p&lt;/i&gt;&lt;.001), job (t=2.52, &lt;i&gt;p&lt;/i&gt;=.013), and type D personality (t=4.39, &lt;i&gt;p&lt;/i&gt;&lt;.001). Social support (r=.32, &lt;i&gt;p&lt;/i&gt;&lt;.001), physical function (r=.45, &lt;i&gt;p&lt;/i&gt;&lt;.001), self-care compliance (r=.24, &lt;i&gt;p&lt;/i&gt;=.005), albumin (r=.09, &lt;i&gt;p&lt;/i&gt;=.027), and phosphorous (r=.27, &lt;i&gt;p&lt;/i&gt;=.002) were positively correlated with quality of life. Symptom experience (r=-.40, &lt;i&gt;p&lt;/i&gt;&lt;.001) was negatively correlated with quality of life. The factors affecting quality of life were social support (β=.31, &lt;i&gt;p&lt;/i&gt;&lt;.001), physical function (β=.30, &lt;i&gt;p&lt;/i&gt;&lt;.001), educational background (β=.20, &lt;i&gt;p&lt;/i&gt;=.007), type D personality (β=-.19, &lt;i&gt;p&lt;/i&gt;&lt;.001), and symptom experience (β=-.18, &lt;i&gt;p&lt;/i&gt;=.019), with a total explanatory power of approximately 43%.Conclusion: Quality of life in hemodialysis patients was affected by social support, physical function, educational background, type D personality, and symptom experience. These factors should be considered in nursing interventions to improve quality of life of hemodialysis patients.

Relationship between self-care compliance, trust, and satisfaction among hypertensive patients in China.

Hypertension is a growing public health concern worldwide. It is a leading risk factor for all-cause mortality and may lead to complications such as cardiovascular disease, stroke, and kidney failure. Poor compliance of hypertensive patients is one of the major barriers to controlling high blood pressure. Compliance is not ideal among Chinese patients, and increasing patient self-care compliance with hypertension is necessary. This article analyzes the status of self-care compliance, trust, and satisfaction among Chinese hypertensive patients using cross-sectional data from Zhejiang Province. We use a multi-group structural equation model (MGSEM) to compare the interrelationships across genders. The study's findings show that the average trust, satisfaction, and compliance scores are 3.92 ± 0.55, 3.98 ± 0.61, and 3.33 ± 0.41, respectively. Female patients exhibit higher average total scores for trust and compliance than male patients. The SEM results indicate that trust has a direct positive association with compliance [β = 0.242, 95% CI: (0.068, 0.402)] and satisfaction [β = 0.260, 95% CI: (0.145, 0.367)], while their satisfaction is not directly associated with compliance. The results of MGSEM show that trust has an indirect effect on compliance in the male group through satisfaction [β = 0.051, P < 0.05, 95% CI: (0.012, 0.116)]. In the female group, trust has a direct effect on satisfaction [β = 0.235, P < 0.05, 95% CI: (0.041, 0.406)] and compliance [β = 0.319, P < 0.01, 95% CI: (0.086, 0.574)]. This study reveals the mechanisms of self-care compliance, trust, and satisfaction among Chinese hypertensive patients. Its findings may serve as a reference for guiding primary healthcare providers to improve hypertension patients' compliance and implement gender-targeted health interventions.

Influence of the Clinical Nursing Pathway on Nursing Outcomes and Complications of Cervical Carcinoma Patients Undergoing Chemotherapy via PICC.

Background Cervical Carcinoma (CC) is the second most common cause of death in women, with most patients being diagnosed at an advanced stage. The conventional treatment for CC, with a long chemotherapy treatment cycle, is less than satisfactory and will cause serious damage to the patient's blood vessels. Objective To analyze the impact of the clinical nursing pathway (CNP) on the incidence of complications and adverse prognosis in patients undergoing chemotherapy for CC via peripherally inserted central catheters (PICC). Materials and Methods This study enrolled 157 CC patients who underwent PICC chemotherapy in the Shaanxi Provincial Cancer Hospital between March 2017 and April 2020 and assigned them between the two groups according to different nursing interventions. Ninety-three patients treated with CNP intervention were included in the research group (RG), and sixty-four cases treated with the routine nursing intervention were included in the control group (CG). The self-care ability and intervention satisfaction of patients were assessed using the self-care ability scale and the intervention satisfaction questionnaire, respectively, both developed by our hospital. The complication rate was observed in both cohorts, and the adverse prognosis of patients was statistically analyzed. Finally, an assessment was made on the patients' quality of life (QOL) using the quality of life questionnaire core 30 (QLQ-C30). Results Higher scores of self-management information, catheter nursing ability, self-care compliance, and abnormal situation management were determined in RG after the nursing intervention. RG also outperformed CG in the overall incidence rates of complications and poor prognosis. Moreover, RG presented statistically higher nursing satisfaction and QLQ-C30 scores than CG after the nursing intervention. Conclusion CNP has a significant nursing effect on patients with CC treated with PICC chemotherapy, which can not only reduce the incidence of postchemotherapy complications but also improve patient prognosis, satisfaction, and life quality, with the value for clinical promotion.

혈액투석 환자의 자기관리증진 프로그램 효과

Purpose: This study was conducted to verify the effects of a self-management promotion program for hemodialysis patients on self-efficacy, knowledge about hemodialysis, self-care compliance, dysfunctional cognition about sleep, and insomnia. Methods: 49 hemodialysis patients in this study participated in a non-equivalent control group pre-post test design. The experimental group attended a 10-session self-management promotion program for hemodialysis patients. The study measurements such as self-efficacy, knowledge about self-care, compliance with self-care, dysfunctional cognition about sleep, and insomnia severity index were used to evaluate the program''s effect. Data were analyzed by frequency, percentage, standard deviation, χ²-test, Fisher''s exact test, and independent two-sample t-test using the IBM SPSS Statistics 21.0 program. Results: Self-efficacy (t=3.68, p=.001), knowledge about self-care (t=2.96, p=.005), compliance with self-care (t=2.76, p=.008), dysfunctional cognition about sleep (t=-4.25, p<.001), and insomnia (t=-5.91, p<.001) were significantly different in the experimental group compared to the control group. Conclusion: The self-management promotion program effectively improved self-efficacy, knowledge about self-care, compliance with self-care, and decreased dysfunctional cognition and insomnia in hemodialysis patients. Therefore, this self-management promotion program can increase self-care behavior and reduce insomnia for hemodialysis patients.

Application of Rapid Rehabilitation Surgical Nursing Combined With Continuous Nursing in Self-Care Ability, Medication Compliance and Quality of Life of Renal Transplant Patients.

ObjectiveTo explore the effects of rapid rehabilitation surgery (FTS) nursing combined with continuous nursing on self-care ability, medication compliance and quality of life of patients after renal transplantation.MethodsSixty patients who received kidney transplantation in our hospital from January 2019 to January 2021 were randomly divided into the control group and the observation group with 30 patients in each group according to the random number table method. The control group was given FTS nursing, while the observation group was given continuous nursing on the basis of the control group. General data were collected and compared between the two groups. Postoperative indexes such as the time of first intake and the like of patients in the two groups were recorded. The patients' comfort, self-care ability, medication compliance and quality of life after renal transplantation were evaluated in the two groups. During the follow-up, the hospitalization of patients with complications was recorded.ResultsThere was no significant difference in the first intake, blood glucose, creatinine, urea nitrogen, blood potassium or postoperative hospital stay between the two groups (P > 0.05). There was no significant difference in the postoperative physical, mental, psychological, social and environmental dimensions between the two groups (P > 0.05). The scores of cognitive symptom management, exercise and communication with doctors in the two groups in post-intervention were higher than those in pre-intervention, and the scores in the observation group in post-intervention were higher than those in the control group (P < 0.05). The medication compliance in the observation group (93.33%) was higher than that in the control group (70.00%) (χ2 = 5.455, P = 0.020). In post-intervention, the scores of quality of life of the observation group were higher than those of the control group (P < 0.05). The admission rate of complications in the observation group (10.00%) was lower than that in the control group (30.00%) (χ2 = 3.750, P = 0.035).ConclusionFTS nursing can help renal transplantation patients to obtain more stable postoperative blood pressure, renal function and other indicators and comfort. On this basis, combined with continuous nursing can improve patients' self-care ability and medication compliance, which is of great significance to improve the quality of life of patients.

Association between Knowledge and Self-care Adherence among Elderly Hypertensive Patient in Dwelling Community

BACKGROUND: Hypertension contributes significantly to the increase in cardiovascular disease cases, especially in the elderly. Knowledge and self-care compliance are needed, but in reality, awareness and regularity of control are still lacking in hypertensive patients in urban communities. AIM: The aim of the study was to determine the relationship of knowledge with self-care and get an overview of existing knowledge and self-care in the elderly with hypertension. METHODS: This is a quantitative and cross-sectional design recruited 383 hypertensive patients in three community health centers. Sampling with proportional random sampling from three health centers that have the highest cases of hypertension in the city of Padang. Knowledge instrument using hypertension knowledge-level scale. Moreover, hypertension self-care adherence using hypertension self-care activity level effects. Analysis using Chi-square test RESULTS: The sample of this study was 383 respondents. About 66.3% are women, 88.3% have low education, and 86.9% do not work. 51.2% had duration of hypertension 0–5 years and the average age was 60.89 ± 8.072 years. About 94.8% of respondents have poor knowledge. Self-care practice showed 64% non-adherence to medication, 88.5% non-adherence to the DASH diet, and 82.5% non-adherence to weight management. However, 78.6% indicated non-smoking adherence and 100% alcohol avoidance adherence. There was a relationship between knowledge and adherence to weight management (p=0.000; odds ratio [OR] 6.7 (95% confidence interval [CI] for Exp B; 2.65–16.91)) and physical activity (p=0.000; OR 14.99 (95% CI for Exp B; 5.65–39.79)). CONCLUSION: Providing comprehensive and repeated health education for the elderly with hypertension can increase their knowledge. The involvement of patients and families is needed to improve self-care behavior.

Smartphone Application for Diabetes in Indonesia: A Narrative Review

In 2017, Indonesia was ranked sixth in the top ten countries with the highest diabetes cases. The prevalence is expected to continue increasing. The use of Smartphone applications is one of the alternative methods in promoting better disease management and preventing diabetes. The purpose of this review is to identify existing studies regarding Smartphone applications for diabetes in Indonesia and to highlight the important findings. There are only a few original clinical studies about Smartphone applications for diabetes in Indonesia. A total of 5 studies were reviewed here. There are the Nutri Diabetic Care, the Teman DM, the DM Calendar App, the E-diary DM, and the Salam Sehat. The study was conducted on several respondents with the use of short-term applications and using the variable method. Nevertheless, the studies found that Smartphone applications for diabetes can be beneficial for improving self-care, self-efficacy, increased knowledge, and medication and diet compliance among diabetic patients in Indonesia. The information and utility criteria for diabetes application which should be relevant to clinical guidelines are not discussed. The implementation of Smartphone applications for diabetes is suitable for Indonesian condition. The best application with the right information, utility, and supported by clinical studies is suggested as a complement to the diabetes management by a health professional.

맞춤형 식이교육이 자가 간호이행, 자기효능감 및 생리적 지표에 미치는 효과: 역할불이행 혈액투석 환자를 중심으로

Purpose: The purpose of this study to identify the effects of tailored dietary education on self-care compliance, self-efficacy and physiologic indicators in noncompliant hemodialysis patients. Methods: This study utilized one-group repeated pretest-posttest design. Forty-four hemodialysis patients were recruited from C hospital, Gyeonggi-Do. Data were collected at four and twelve weeks after education from February to August, 2019. Data were analyzed using the SPSS version 20.0 program with descriptive statistics, repeated measure-ANOVA and Bonferroni’s method. Results: There were significant increases in diet knowledge (F=7.37, p=.003), diet self-care compliance (F=12.53, p=.001) and self-efficacy (F=14.00, p=.001) even 12 weeks after tailored dietary education. The serum phosphate levels were significantly lowered at four weeks after education (F=7.30, p=.003). Conclusion: The findings in this study suggest that tailored dietary education was effective to improve self-care compliance, self-efficacy and physiologic parameters in noncompliant hemodialysis patients. Prior to education, information including cognitive function, dietary habits, and examples of dietary life is essential in noncompliant hemodialysis patients. Tailored interventions in various ways should be sought to provide effective education.

Effectiveness of Self-Management on Adherence to Self-Care and on Health Status among Elderly People with Hypertension

BackgroundAdherence to self-care is the goal of nursing care for elderly people with hypertension to give them optimal functional health status. The purpose of this paper is to determine the effectiveness of self-management on adherence to self-care and management of health status elderly people living with hypertension in Pekanbaru City.Design and methodsThis study design was quasi-experimental with a pre-post test with a control group. The self-management intervention was provided through four home visits to elderly people living with hypertension with a caregiver. Samples were taken by the consecutive sampling technique, and a total number 134 elderly people were participants. The instruments used were the adherence to self-care questionnaire and the Short Form 12 Health Survey (SF12) for elderly people.ResultsThe results showed that most of the respondents with hypertension were 60-74 years of age (84.3%), were female (67.9%), of Minang ethnicity (48.5%), had completed primary school (44%), were unemployed (81.3) %), had a family history of hypertension (50%), were non-smokers (52.2%), and had never drunk alcohol (95.5%). The effects of self-management were positive on adherence to caring for themselves (p<0.001) and on health status (p<0.001). The most influencing factor on self-care compliance and health status after being controlled by confounding variables was self-management (p<0.001).ConclusionsThis study recommends that nursing interventions on self-management for elderly people with hypertension in the community and should be integrated into the Community Health Nurses’ (Perkesmas) program in Indonesia.

Causal beliefs about hypertension and self-care behaviour in Korean patients

ABSTRACT Background Hypertension is a lifelong disease that requires a healthy lifestyle and medical treatment. Patients’ views about the causes of hypertension play a role in guiding their self-care to regulate hypertension. Aims This study aimed to examine the internal structure underlying the causal beliefs about hypertension in Korean patients and their influence on self-care intention and medication compliance. Methods A cross-sectional study was conducted using a convenience sample of 145 patients. Causal beliefs about hypertension were assessed using a modified Illness Perception Questionnaire-Revised. The internal structure of causal beliefs about hypertension was extracted with an exploratory factor analysis of SPSS 22.0. The influence of causal beliefs on self-care intention and medication compliance was tested using multiple linear regression and logistic regression analyses. Findings Causal beliefs about hypertension were structured into four dimensions: psychological, fate-related, risk, and habitual factors. Attributing the causes of hypertension to risk factors (e.g., smoking, alcohol) and fate-related factors (e.g., fate, accident) was a significant predictor of lower self-care intention and poorer medication compliance, respectively. Discussion Patients’ causal beliefs about hypertension were either relevant or irrelevant to medical facts. Special attention is needed for patients who believe that risky behaviour or supernatural power causes hypertension. Understanding patients’ beliefs about hypertension should be highlighted as a primary step to develop nursing strategies corresponding to patients’ recognition about hypertension. Conclusion Careful assessment of the causal beliefs about hypertension is essential to develop nursing interventions to maintain and promote active self-care.

Self-care and related factors associated with left ventricular systolic function in patients under follow-up after myocardial infarction.

Recent advances in treatment have led to long-term survival after myocardial infarction (MI), but subsequent complications such as heart failure have also increased, and, therefore, the relationship between prognosis and self-care needs to be investigated. This study aimed to confirm the relationship of potential variables affecting self-care of patients after MI and to determine whether self-care predicts left ventricular systolic function. Using a descriptive study design, a hypothetical model was constructed based on previous studies, and 191 post-MI patients were recruited from three university hospital outpatient clinics in Korea. The modified model was verified by constructing a structural equation model using AMOS version 24.0. The exogenous variables were illness perception, social support, and depression symptoms. The endogenous variables were self-efficacy, self-care compliance, and changes in left ventricular ejection fraction (LVEF). The average patient age and disease duration were 66.3 (±11.5) years and 62.1 (±56.6) months, respectively. Self-care compliance was directly influenced by self-efficacy and indirectly affected by social support. Self-care compliance had a direct effect on LVEF changes, which was indirectly associated with illness perception, social support, and self-efficacy. This study confirmed the direct effect of self-care compliance on changes in LVEF in patients under follow-up after MI. It is necessary to periodically monitor the degree of self-care in outpatients who are undergoing follow-up after MI to prevent a decrease in cardiac function. Counseling and education may be effective forms of social support to improve disease awareness and self-efficacy among patients with low self-care compliance.