The relationship between disease perception, self-efficacy, coping style and self-regulatory fatigue in old adults patients with hypertension:A cross-sectional study

Purpose: The old adults patients with hypertension need long-term self-control to maintain their blood pressure levels and delay the development of the disease. In the long run, the patient's self-control ability will be worn down, resulting in self-regulatory fatigue.However, no studies have shown the relationship between disease perception, self-efficacy,coping style, and self-regulatory fatigue.This study aimed to investigate the relationship between disease perception, self-efficacy,coping style and self-regulatory fatigue in old adults patients with hypertension. Methods: A cross-sectional survey was conducted among 416 old adults patients with hypertension in the First Affiliated Hospital of Jinzhou Medical University, Liaoning Province by convenience sampling method.The general demographic questionnaire, brief illness perception questionnaire,general self-efficacy scale,medical coping modes questionnaire and self-regulatory fatigue scale were used to investigate.The mediation effect was analyzed by Amos23.0 software. Results: Disease perception, avoidance, and acceptance-resignation can directly act positively on self-regulatory fatigue, while self-efficacy and confrontation can directly act negatively on self-regulatory fatigue. Disease perception can act on self-regulatory fatigue through the chain mediating effect between self-efficacy, confrontation, avoidance, and acceptance-resignation. Conclusion: The old adults patients with hypertension had higher self-regulatoryfatigue level.Disease perception, avoidance and acceptance-resignation were positively correlated with self-regulatory fatigue, reducing patients' negative emotions about disease and improving their confidence in disease treatment can reduce patients' self-regulatory fatigue.